2018-06-19 Film Festival Shortfest Opening NightAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name
R EPOgItnpo
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City of Palm Springs
,�T
Y OF P t L H 51•R ih�
JUL 19 AM S: 0 For Orllclsl U
A1E OF THE CITY CLE ,e.
Division, Department, or Region (if applicable)
Designated Agency Contact (Name,Tltle)
77
Christina Chartier, Executive Assistant to Mayor and Council
❑ Amendment {Must Provide Erpianadan in Pans.}
Area ode/Phone Number
E-mail
760-322-8366
chdsbna.chartier aims rin sea. ov
@P P 9 9
Date of Original Filing:
(mend,, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 60.00
Event Description: PSIFF ShortFest Opening Night Party Date(s) 06 1 19 r 78
Provide Ttde/Explanedon
Tickets)/Pass(es) provided by agency? Yes ❑ No ® If
no: PSIFF
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If
yes:
of agency official?
Ofhpars Name (Last First}
3. Recipients
• Use Section A to identify the agency's department or unit. -Use Section E to identify an individual. • Use Section C to identify an outside organization.
A. Name of Agency, Department or Unit
Number
of Tickatlay
Describe the public purpose made pursuant to the agency's policy
Passes
Name of Individual Number
B. of Tieket(s]! Identify one of the fallowing:
(Lash First) Passes
Robert Moon Ceremonial pole ❑ Other ® In€cros ❑
2 ifcheck'ag 'C&emoelel Role' or -other describe beraw
Public Purpose as defined by PS Resolution No. 22454.
Section 1 d vii
J.R. Roberts Ceremonial Role ❑ Other X❑ IrmMe ❑
2 It chwkhV-C@mHw1al Role- or'Other desM a below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vll
Name of Outside Organization Number
C• (include address and description) of ncketts}r Describe the public purpose made pursuant to the agency's policy
Passe
4. Verification
1 have read and understand
with the requirements.
Comment:
18944.1 and 18942. 1 have verified 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: 866/ASK-FPPC (8661275-3772)
Agency Report of: California r
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 Tickst(su
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First]
Number
of 7ickst<#
Passes
Identity one of the following:
Ceremonial Role ❑ other ® Income ❑
Lisa Middleton
2
llchecldnp•CemmanWRote or Other descrlbebehm
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)
Ceremonial Role ❑ Other ® Income ❑
David Ready
2
ticeeckrV CeremonlalRde or%Wherdesmbebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Ceremonial Role ❑ Other ® Income ❑
Perry Madison
2
ticheckng ceremonial Role or•Otherdv=bebelaw-
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Ceremonial Role ❑ Other ® Income ❑
Denise Goolsby
2
lrchwWng'CommonlalRao or'Otherdescrlbebetow'
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
Name of Outside Organization
C.
(Include address and description) � )
Number
of Mckegey
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helplins: 8661ASK-FPPC (8661275-3772)
Form 802 —Additional Tickets for PSIFF ShortFest Opening Night 6.19.18 Page 2
Mejia, Anthony - 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x)