2018-09-20 Cinema Diverse Film FestivalAgency Report of:
Ceremonial Role Events and TickeUPass Distributions
A Public Document
City of Palm Springs
or
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 christina.chartier@palmspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: Cinema Diverse Film Festival
Provide Tide/Explanalion
Ticket(s)/Pass(es) provided by agency? Yes ❑ No El
Date Stamp
r;l i 10: 25
For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, tlay year)
Face Value of Each Ticket/Pass $ 159.00
Date(s) 09 / 20) 188 091 23 / 18
If no: Palm Springs Cultural Center
Name of 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
Number
of Ticket(s)/
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Ticket(s)/
Passes
Identify one of the following:
Moon, Robert
2
Ceremonial Role ❑ Other Z Income ❑
1/chwiang -Cm.onial Rote"or'Other&wdbe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vi vii viii xi
Roberts, J.R.
2
Ceremonial Role ❑ Other x❑ Income ❑
Irchecking'Ceremoniel Rofe"or'Olhee'descnbe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vi vii viii xi
Name of Outside Organization
C. (include address and description)
Number
of Ticket(sy
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
I have read and understand PPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements.
y / David Ready City Manager
Signet ofAg y ad or Designee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866IASK-FPPC (86612753772)
Agency Report of: , California 802
Ceremonial Role Events and Ticket/Pass Distributions orm
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(s)l
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Ticket(s)l
Passes
Identify one of the following:
Ceremonial Role ❑ Other El Income ❑
Kors, Geoff
2
if checking 'Ceremonial Role" or'Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vi)(vii)(viii)(xi)
Middleton, Lisa
Ceremonial Role ❑ Other ® Income ❑
2
It checking 'Ceremonial Role" or'Other' describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vi)(vii)(viii)(xi)
Ready, David
Ceremonial Role ❑ Other ® Income ❑
2
If checking 'Ceremonial Role" or "Other' describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Holstege, Christy
Ceremonial Role ❑ Other ® Income ❑
2
Itchecking 'Ceremonial Role" or "Other' describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vi)(vii)(viii)(xi)
Name of Outside Organization
C' address and description)
Include
( P )
Number
of Ticket(s)l
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)