2018-06-19 Film Festival Shortfest VouchersAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name } 1 r
City of Palm Springs
Division. Deoartment or Rea on (if anotkabte) rdi
Designated Agency Contact (Name, title)
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 chdstina.chartier@palmspdngsca.gov
2. Function or Event Information
Does the agency have a ticket policy?
Event Description: PSIFF ShortFest
Provide VVe/Explanaffon
Ticket(s)/Pass(es) provided by agency? Yes ❑ No
Yes IN No ❑
Was ticket distribution made at the behest Yes ❑ No IM
of agency official?
A Public Document
OF AA!_H 5 , •
JUL 19 AM 8: 06 7For Offidal Use Only
�. OF THE CITY CLEF 1
❑ Amendment (Must Provide Explanadon in Part 3.)
Date of Original Filing:
(month, day, year)
Face Value of Each TlckeWass $ 13.00 Vouchers
Date(s) 06 t 19 i 18 061 24 f 18
If no: PSIFF
Name of Source
If yes:
Official's Name (Last, First)
3. Recipients
• Use Section A to identify the agency's deportment 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 4ickagsyt Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of Ticket(ell Identify one of the following:
(Last, First} Passes
Veronica Goedhart Ceremonial Role ❑ Other ® Income ❑
2 it checklnp Ceremonial Rde or Omer describe below
Public Purpose as defined by PS Resolution No. 22454,
Ceremonial Role ❑ other ❑X Income ❑
Terri Hintz 2 Acheelarrp ceremonWRde or Orhsedescrmbebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Name of Outside Organizsttion Number
of Tkkagsyt Describe the public purpose made pursuant to the agency's policy
C. (Include address and description)
Passes
4. Verification
i have read and understand PC Re 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 H o Designee Print Name Title (month, day. year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866fASK-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.
Number
A. Name of Agency, department or Unit
of Ticket(sy
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Tickettsy
Passes
Identity one of the following:
Ceremonial Role ❑ Other ® Income ❑
Caren Nelson
2
lrcnec)&V-cereffmkVRde'w%XnerdascbeceAow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
Ceremonial Role ❑ Other ® Income ❑
Kimberly Bowman
2
IfcWWag'Cermn°nialRote'or-01Wdawfibebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
Ceremonial Role ❑ other ® ncome ❑
Sheryl Michael
2
ncheckng•Commomaly .-or,0tWdgS0bebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
Ceremonial Role ❑ Other ® Income ❑
Christina Magers
2
Nchockng'CeremonlarRcia'or'Otberde3lbebe;ow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
Name of Outside Organization
C.
(include address and description) pti )
Number
of Ticket(s)t
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 PSIFF ShortFest 06.19 to 06.24.18 Page 2
Olivera, Dolores— 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x)
Roendrich, Randi - 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x)
George, Stephanie — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(x)
Linares, Jackie — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(x)
Osburn, Julie — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1(d)(x)
Berra, Alaina — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(x)
Ponder, Penny — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1(d)(x)
Jaime, Francisco — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1(d)(x)
Salazar -Wilson, Catherine — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1
(d)(x)
Fernandez, Erik -- 2, Public Purpose as defined by PS Resolution No. 22454, Section 1(d)(x)
Minjares, Rick — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1(d)(x)
Gradilla, Alberto — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1(d)(x)
Balard, Jonathan — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1(d)(x)
King, Peter-2, Public Purpose as defined by PS Resolution No. 22454, Section 1(d)(x)