2018-01-02 SMG Film Festival GalaAgency Report of:
Ceremonial Role Events and TicketlPass Distributions &4eblic Document
1. Agency Name 77 r' " iirFPD "Foromffidal
JF Uti SPPi ,City of Palm Springs Division, Department or Region (it applicable) JUL30 e only
PM �:37
Designated Agency Contact (Name, Title) yr ri7EtT`r'
CLE
Christina Chartier, Executive Assistant to Mayor and Council
❑ Amendment (Must Provide Explanation m Part 3.)
760-322-8366 I christina.chartier alms do sca. ov I Date of Original Filing:
@P P 9 9 (monh'r, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 2,000.00
Event Description: PSIFF Gala Date(s) 01 1. 02 1 18
Provide Title/Expronshon
Ticket(s)/Pass(es) provided by agency? Yes ❑ No El If no: SMG
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Official's Name (Last. First)
of agency official?
3. Recipients
-Use Section A to identify the agency's department or unit. *Use Section B to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or unit of Ticket(ay Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual of Ticket(sp Identify one of the following:
(Last, First) Passes
Marcus Fuller Ceremonial Role ❑ other (9 Income ❑
2 if
chw*Jng L emmords) Rde or rofW descrfbe beraw
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vil
Edward Kotkin Ceremonial Role ❑ Other 0 .noome ❑
2 llche0mg .eramoolaJFWe or'OMardesWbebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Name of Outside Organtmdon Number
C. (include address and description)of Ticket(sy1 Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
t have read and under
with the requirements.
Comment:
18944.1 and 18942.1 have verifed that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title (month. day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helplins: 8661ASK-FPPC (8661275-3772)
Agency Report of: California
02
Ceremonial Role Events and TicketlPass Distributions '
Continuation Sheet A Public Document
Agency Name
City of Palm Springs
3. Recipients
*Use Section A to identify the agency's department or unit. • Use Section B to identify an individual. • Use Section C; to identify an outside organization_
Number
A. Name of Agency, Department or Unit
ofTlckegs)l
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Tkkst(s}1
Pass"
Identity one of the following:
Janice Lopez
Ceremonial Role ❑ Other ® !dime ❑
ftcheddng'CommonialRds"ar'Otheedes="b-ed
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)
Ceremonial Role ❑ Other ® Income ❑
Darrren Johnson
frChewn¢-cd<omo 41Role- or•othortlBscrift a'
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other ® lnwmc ❑
Cain Crandelle
1
ffcheckV'Cemmor&lRde'or'ofhardesmimbew
Public Purpose as defined by PS Resolution No. 22454.
Section 1 d vil
Ceremonial Role ❑ Other ® ,00m6 ❑
Kayla Mariner
1
frchecfdop'CemmonfafRde-ar ofher'desrrr�.tr:k�
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)
Name of Outside Organization
C.
(include address and description)
Number
of Ticket(sji
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (21201%
FPPC Toll -Free Helpline: 866/ASK-FPPC (86W275-3772)