2018-01-14 Film Festival Closing Nightjency Report of:
iremonial Role Events and Ticket/Pass Distributions A Public Document
4gency Name - F P M lsanplN WONV
City of Palm SpringsDavis on, Department, or egfon (tfapplkeble)L! 9 AM 6= 0� For orr«lal Use
Designated Agency contact (Name,Title)
Christina Chartler, Executive Assistant to Mayor and Council
Area ode one Number 11 E-mail
760-322-8366 I Christina.chartier@paimspdngsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: PSIFF Closing Night Screening
Provide TRW Explanation
Tickets)/Pass(es) provided by agency? Yes ❑ No El
THE CITY CLEF
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(Month, day, year)
Face Value of Each Ticket/Pass $ 60.00
Date(s) 01 , 14 1 18 1
If no: Palm Springs International Film Festival
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
o
of agency official?
Name (Cask First
3. Recipients
Use Section A to identify the agency's department or unit. -Use Section 8 to identify an individual. -Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit of Tlcke#sy Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of Tiekegay Identify one of the following-
(Last. F144 Passes
Robert Moon Ceremonial Role ❑ Other ® Income ❑
2 llchecking'Cemmoniet Role"ar'Otherdescdbe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d via
Lisa Middleton Ceremonial Role ❑ Other x❑ Income ❑
2 It checking Teremooial Rda"or "Other descdbe bebw
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d via
Name of Outside Organization Number
C. (include address and description) ofTleket(s)1 Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
1 have read and understand FPPC Cations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements.
David Ready City Manager
Signature of Agency d n Print Name Title jmonth, day. year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of: California
Ceremonial Role Events and Ticket/Pass 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.
Numhsr
A. Name of Agency, Department or Unit
of Ticket(su
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
{Last First)
Number
of Ticket(sy
Passes
Identify one of the following:
Ceremonial Role ❑ Other ® Income ❑
Geoff Kors
2
Irche&ny'CeremoMa1Rde or-Other^descOebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vil)
Ceremonial Role ❑ Other ® Income ❑
J.R. Roberts
2
lrcheclung'CensmadalRde or Otherdescdbebebw
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other ® income ❑
Chris Mills
2
Ycheckrog ,Ce emonaf Rote or Other describe bekw
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other El Income ❑
David Ready
2
ncheeft'Cwer,a:delRde or'Otherdescribebobw
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)
C. Name of Outside Organization
address and description)
of � Number mber
cke9s{include
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Form 802 —Additional Tickets for Palm Springs International Film Festival Closing Night Gala
1.14.18
Cairns, Cindy— 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(vii)
Goolsby, Denise - 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(vii)
Severin, Suzanne — 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(0)