2018-05-10 Arthur Lyons Film NoirAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs 1,4'T Y
ivision, Department, or Region (if applicable) Mo 1
vFFICE
Christina Chartler, Executive Assistant to Mayor and Council
760-322-8366 1 chdstina.chartier@palmspdngsca.gov
A Public Document
61
120 9. S7 For Official Use Only
Tht. I.rl i i k+t_
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(nronth, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 129.00
Event Description: Arthur Lyons Film Noir Festival Date(s) 05 1 10 1 18 05 f 14 / 18
Provide TWExplanation
Tickets)/Pass(es) provided by agency? Yes ❑ No El If no: Palm Springs Cultural Center
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
OrriGal's Name (Last First)
of agency official?
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 organisation.
A. Name of Agency. Department or Unit
of 7icket(a)I I Describe file public purpose mode pursuant to the agency's policy
Passes
Name of Individual Number
B. of Ticket(s)1 Identify one of the following:
(LOA First) passes
Robert Moon Ceremonial Raie ❑ Other ® ncome ❑
4 rr eheeidn9'Cmemonlat Rde- or'Ofherdesalbe tie«
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vil
J.R. Roberts Ceremonial Rc;e ❑ Other ❑X income ❑
2 It checklnp •ceremonial Rde or rather describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Name of Outside O nWtion Number
C. of TickegaY Describe the public purpose made pursuant to the agency's policy
(include address and description) paw
4. Verification
1 have read and understand FPPC Regulations 18944.1 and 18942. t have verified that tale distribution set forth above, is in accordance
with the requirements.
ZT, David Ready City Manager
Signature of Agkofy HqA 0 Designee Print Name Title ;month. day, year,
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of: California e
02
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.
Number
A. Name of Agency, Department or Unit
of Tickat(ap
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last First)
Number
of Tkket(sjl
Passes
Identify one of the following:
Lisa Middleton
2
Ceremonial Role ❑ Other ® lr=me ❑
uu,etking-Commonra+Rde-or•otWcfescnbebW w
Public Purpose as defined by PS Resolution No. 22454r
Section 1 (d)(vii)
Denise Goolsby
2
Ceremonial Role ❑ Other ® Income ❑
IloVckh+?-CemmonlalRota'orrotheYdescrlbebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Shari Wrona
2
Ceremonial Role ❑ Other ® Income ❑
flchecking'CommoMalRale'or'OtWdescftbelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vx
Ceremonial Role ❑ Other ❑ Income ❑
ll cheddng 'Comnwmal Role' or -OfW describe bftw
Name of Outside Organization
C. (include address and description)
Number
of Tickagsyf
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Tall -Free Helpline: 8661ASK-FPPC (8661275-3772)