2017-01-02 Film FestivalAgency Report of:
Ceremonial Role Events and Tic_ ket/Pass Distributions
1. Agency Name IT Y
City of Palm Springs
or Region (if
Cindy Calms, Special Assistant to City Manager
Area Code/Phone Number I E-mail
760-322-8362 1 cindy.cairns@paimspdngsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: PS International Film Festival 2017
Provide Titter i'xplanab'on
Ticket(s)IPass(es) provided by agency? Yes ❑ No 91
44w b
�` Public Document
Pt,LM SpRir,
21 PM h : 53 I For Offlrial Use Only
THEE C1 FY Ci fir:
❑ Amendment (Must Provide Explanation in Parr 3.1
Date of Original Filing:
(month, day, Year)
Face Value of Each Ticket/Pass $ 31000
Date(s) 01 1 02 1 17 01 1. 15 1 17
If no: Palm Springs International Film Festival
Name or source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Officals 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.
Number
A. Name of Agency, Department or Unit of Tickagay Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual Im
of Ticket{*}! I Identify one of the following:
(Last, First) Pa
Ceremonial Role ❑ Other ® Income ❑
Moon, Robert 2 rrchwAnV (:emmonratRae or otWdescrirebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii .
Ceremonial Role ❑ Other Q Income ❑
Foat, Ginny 2 rrchec-ft-eremoniarRole or-0tWdesWbeberow
Public Purpose as defined by PS Resolution No. 22454,
Name of Outside Organization Number
C. (include address and description) of Ticket(sy Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
l have read and understand FPPC Regulations 18944.1 and 18942. l have verified that the distribution set forth above, is in accordance
with the nts.
David Ready City Manager
Signs oy Head or Designee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866fASK-FPPC (86612754772)
Agency Report of: California 802
Ceremonial Role Events and Ticket/Pass Distributions Form
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 Tickstisy
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of individual
Number
of TicketiaY
Identify one of the following:
{Lest First}
Passes
Ceremonial Role ❑ Other ® Income ❑
2
Heh6cft C_ NmonlalRole' or'01Wclesoibebelow
Mills, Chris
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii).
Ceremonial Role ❑ Other ® Income ❑
2
Nthnkng Temmanlal Role- or'prherdeschbe below
Kors, Geoff
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii .
Ceremonial Role ❑ Other ® Income ❑
2
H checking Tenmwiel Role' or'0fher describe bebw
Roberts, J.R.
Public Purpose as defined by PS Resolution No. 22454,
Section i d vii .
Ceremonial Role ❑ Other ® Income ❑
2
it checbV Tamnx nlsl Role- or'Olher describe below
Ready, David
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii).
Name of Outside Organization
C,
Number
Tickat
of kkegaj!
Describe the public purpose made pursuant to the agency's policy
(include address and description)
paw
FPPC Form 802 (212016)
FPPC Toll -Free Helpllne: B661ASX-FPPC (8661275-3772)