2017-01-02 SMG Film Festival GalaAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Documerf)
1. Agency Name
City of Palm Springs I i Y OF PALM S R i N €t7For
7Only
Z
Division, Department, or Region {if applicable)-Ze &
Designated Agency Contact (Name. rifle) i OF I HE CITY CLE w
Cindy Cairns, Special Assistant to City Manager
❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8362 1 cindy.cairns@palmspdngsca.gov I Date of Original Filing:
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes IN No ❑
Event Description: PS International Film Festival Gala '17
Provide TifralExplanabon
Ticket(s)IPass(es) provided by agency? Yes ❑ No El
Face Value of Each TickeVPass $ 2,000
Date(s) 01 1 02 1 17 011 02 r 17
If no SMG
Name of source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
of agency official?
Official's 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 of Ticksgsy Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of lickegsy Identify one of the following:
(Last, First) I Passes
Ceremonial Role ❑ Other ® income ❑
Fuller, Marcus 2 lydedrhV-CemnKWarRote or Qheed9scrtbebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii .
Ceremonial Role ❑ Other ❑ income ❑
If chec" Teremordal Rde WOW describe below
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
! have read and understand FPPC Regulations 18944.1 and 18942 l have verified that the distribution set forth above, is in accordance
with the requirements.
David Ready City Manager 12 ?J 1-1
Signature of Agency Vad qdAigrA Print Name Title (month. day. year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866(ASK-FPPC (8661275-3772)