2018-04-06 Cultural Center Documentary Film FestivalAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division. Department, or Region (ifawficable) 9t111
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 chdstina.chartier@palmspdngsca.gov
A Public Document
_ For Official Use Only
19 Aft 8:
THE
❑ Amendment (Must Provide Expranaffon In Part 3)
Date of Original Filing: (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 225.00
Event Description: American Documentary Film Festival Date(s) 04 1 06 1 18 04t 13 1 18
Provide Tide/Explanation
Ttcket(s)/Pass(es) provided by agency? Yes ❑ No ® If no: Palm Springs Cultural Center
Name of source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Official's
of agency official? Official's Name (Last First)
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.
A. Name of Agency, Department or Unit of TlcketlaN Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual Number
of Tiekegsp Identify one of the following.
(Last. Rrst} Passes
Robert Moon Ceremonial Rote ❑ Other ® Income ❑
2 if checkkV 'Ceremonial Role- or •Other W3Wbe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 WOO
J.R. Roberts Ceremonial Role ❑ Other Q Income ❑
2 ltdwting 'Ceremonial Role' or'Ofher describe below
Public Purpose as defined by PS Resolution No_ 22454,
Section 1 (d)(vii)
Name of Outside Organization Number
C' (include address and description) of Ticket(sjr Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
I have read and understand
with the requirements.
Comment:
18944.1 and 18942. I have veiifred that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title (month, day, year)
FPPC Form 802 (2I2016)
FPPC Toll -Free Helplins: 866/ASK-FPPC (666I275-3772)
Agency Report of: California e
02
Ceremonial Role Events and TicketlPass Distributions Form
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
of Tlckegs)f
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last First)
Number
of Tkket(sp
passes
Identify one of the following:
Christy Holstege
2
Ceremonial Role ❑ Other ® income ❑
"heckiV CemmOnlefRde or'&herasscniwbeow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vil)
Geoff Kors
2
Ceremonial Role ❑ Other ® Income ❑
lfcheckng'CemmontelRofe'or Other descrfbeWow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Lisa Middleton
2
Ceremonial Role ❑ Other ® Income ❑
Mchec)dng cemmoraalRo�e'or"OtWdtscdbebftw
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other ❑ Income ❑
lfcheckleg'CemmorAWRde'or Ofherdesmbebebw
C. Name of outside organization
(include address and description)
of 7i Number mbar ll
pass"
Describe the public purpose made pursuant to the agency's policy
FPPC Form 8021212016)
FPPC Toll -Free Helpline: 8661A5K-FPPC (8661276-3772)