2018-06-24 Film Festival Shortfest Closing nightAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions w A Public Document
1. Agency Name { C imp RF.,
-
•City of Palm Springs iTY F P A L H S P R �+,.fficial tine Only
Division, Department, or Region (if applicable)
2618
vaa+anaavamaw a.Y ++ainaw �+rarnc, reury t ��(LE
Christina Chartier, Executive Assistant to Mayor and Council
Area CodelPhone Number E-mail
760-322-8366 1 chdstina.chartier@palmspdngsca.gov
L 19 AM 8-' 06
❑ Amendment (Must Provide Explanation 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 $ 50.00
Event Description: PSIFF ShortFest Closing Night Party Date(s) 06 1. 24 1 18
Provide Trtfe/Exptanab'on
Ticket(s)IPass(es) provided by agency? Yes ❑ No ® If no: PSIFF
Name or source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Official's Name (Last First)
of agency official?
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 Ticketts}! Describe the public purpose made pursuant to the agency's policy
Passes
Name of Indhridual Number
B. of Tkketls}1 Identify one of the following:
(Lasf, First) Passes
Robert Moon Ceremonial Role ❑ other ® Income ❑
2 it checiang'Ceremonlal Rde or'OfW aeufte below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
J.R. Roberts Ceremonial Role ❑ Other ❑X Mcome ❑
2 l/chaclang'CeremonlalRote or %)thee desodbe Wow
Public Purpose as defined by PS Resolution No. 22454,
C. Name of Outside Organization I of;W* sy I Describe the public purpose made pursuant to the agency's policy
(include address and description) Pain
4. Verification A
1 have read and understand F�egulafons 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 Head r p Print Name Tide (month day, year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of: California
02
Ceremonial Role Events and TickeVPass 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 $ to identify an individual. -Use Section C. to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Tickef(su
describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last First)
Number
of Tlcket(s)1
Passes
Identify one of the following:
Ceremonial Role ❑ Other ® IMCOM& ❑
Lisa Middleton
2
Ydnic Q-ceremo,aa, F?,Wg,or•oth&,de=,h, }c;,*
Public Purpose as defined by PS Resolution No- 22454,
Section 1 (d)(vii)
Ceremonial Role ❑ other ® ir,:orra ❑
David Ready
2
frcheckng CemmomsiR�e'or'Olhefdescnteee..w
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Ceremonial Role ❑ Other ® Income ❑
Perry Madison
2
nchecftTemmontelRode-cr•olherdesaFbebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Ceremonial Role ❑ other ® Income ❑
Denise Goolsby
2
itcheNai m TemoNalRowle' OWdesalbebeAow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
Name of Outside Organization
C. Include address and description)
{ pti
Humber
of Tlcksgs)f
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 602 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Form 802 —Additional Tickets for PSIFF ShortFest Closing Night 6.24.18 Page 2
Holstege, Christy- 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(vii)
Baron, Harriet —1, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x)
Kotkin, Edward-2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(0)