2017-01-02 Film Festival GalaAgency Report of:
Ceremonial Role Events and TicketlPass Distributions. r -p _ ublicDocurnent6
1. Agency Name - t; f `p t.l_bT 4§ rW 1
City of Palm Springs
Division, Department, or Region {if applicable}
Phi �= 53 For official Use Only
��G Cl� Y CLc+xi'
Designated Agency Contact (Name. Title)
Cindy Calms, Special Assistant to City Manager
❑ Amendment (Must Provide Explanation in pad 31
Area CodelPhone Number E-mail
760-322-8362 1 rind .cairns alms rin sca. ov Date of Original Filing:
Y @P P g g (month, day, Year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description- PS International Film Festival Gala '17
Provide ride/Explanakon
Ticket(s)IPass(es) provided by agency? Yes ❑ No 91
Was ticket distribution made at the behest Yes ❑ No
of agency official?
Face Value of Each TickettPass $ 2,000
Date(s) 01 / 02 ' 17 011 02 r 17
If no: palm Springs International Film Festival
Name of source
If yes:
3' tiers Name {Last First)
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 oMkegsy Describe the public purpose made pursuant to the agency's policy
Passes
Name of Individual Number
B. of Tieke!(su Identify one of the fallowing:
(Last, First) I Passes
Ceremonial Role ❑ Other ® Income ❑
Moon, Robert 2 rfcheckng'CeramoniaiRds or'Orherdescnbebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii .
Ceremonial Role ❑ Other 0 Income ❑
Foat, Ginny 2 IfdwiftTommonistRds'or'Othertlew4tobelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii .
.C.Name of Outside Organization oNTlmber
esjr '
(include address and description] Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
1 have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requiremen s.
David Ready City Manager J
geaor Desigee Prnt Name Title (month, day, year)
FPPC Form 802 (212016)
FPPC Tall -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
Agency Name
A Public Document
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 TickellaY
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Tk:kef(sp
identify one of the following:
(Last, First)
Pass"
Ceremonial Role ❑ Other ® Income ❑
2
it checkng Ceremonial Role"or "OtheP describe below
Mills, Chris
Public Purpose as defined by PS Resolution No. 22454,
Section 1(d)(vii).
Ceremonial Role ❑ Other El income ❑
2
If awkng'Ceremonlal RoW or'OtW despibe
Kors, Geoff
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii .
Ceremonial Role ❑ Other ® nxme ❑
2
If chedkng 'Ceremonial Role' or -other• dssWto bebw
Roberts, J.R.
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii .
Ceremonial Role ❑ Other ® income ❑
N checwno •Ceremonial Rok' or'Otw dowdoe bebw
Ready, David
1
Public Purpose as defined by PS Resolution No. 22454,
Section 1(d)(vii).
Name of Outside Organization
C, �iti
Number
of ikkatlajt
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Posses
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: B661ASK-FPPC (8661275-3772)
Form 802 —Additional Tickets for PS International Film Festival Gala 2017, 01/02/2017
Blaisdell, Amy-1, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(vii)
Lopez, Janice —1, Public Purpose as described by PS Resolution No. 22454, Section 1 (d)(vii)
Crandall, C. (DIGICOM Student) —1, Public Purpose as described by PS Resolution No. 22454,
Section 1 (d)(vii)
Ryan, R. (DIGICOM Student) —1, Public Purpose as described by PS Resolution No. 22454,
Section 1(d)(vii)
Krooms, D. (DIGICOM Student) —1, Public Purpose as described by PS Resolution No. 22454,
Section 1(d)(vii)
Darrin, N. (DIGICOM Student) —1, Public Purpose as described by P5 Resolution No. 22454,
Section 1(d)(vii)
Ornelas, S. (DIGICOM Student) —1, Public Purpose as described by PS Resolution No. 22454,
Section 1(d)(vii)
Whippie, D. (DIGICOM Student) —1, Public Purpose as described by PS Resolution No. 22454,
Section 1 (d)(vii)
Mariner, K. (DIGICOM Student) —1, Public Purpose as described by PS Resolution No. 22454,
Section 1(d)(vii)
Knight, J. (DIGICOM Student) —1, Public Purpose as described by PS Resolution No. 22454,
Section 1 (d)(vii)
Puchil, J. (DIGICOM Student) —1, Public Purpose as described by PS Resolution No. 22454,
Section 1(d)(vii)