2017-05-11 Arthur Lyons Film FestivalAgency Report of: r.tl ~C;.;;e;:.re;;,;m;,;.;.;o.;.;n~i a;;.;.I..;.R.;.;o;;.;.le;;..;;;E;;.;.v~e;.;,nts;;;;:;..;a;;.;n.;.;d;;..;;.Ti;.;;c.;.;k;,;;.e~t/;;..P;;.as;;,;s;;..;;;;D.;.;i s;;.;;t;;.;ri.::;b.::;u,;;tl~o;.;,ns;;....~~"!"""!!"''""':'"'~-.;.;~~ ~~n J.u blic Document
1. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable) AUG 2 9 Arlll : 3
California 802
Form
For Official Use Only
o;:D~e~s;-:ig:::n~a::::te:::d~Ao:g:-:e:::n:::c::y-;C;-:o:::nc:-ta:-:c~t"':'(N~a""m-e"", T:::-it;:-le~) ------------f!"'!"'tf E 0 F i :"1-.: C ' : ~
Christina Chartier, Executive Assistant to Mayor and Council D Amendment (Musl Provide EKplono~on in Part 3)
Area Code/Phone Number E-mail
760-322-8366 christina.chartier@palmspringsca.gov Date of Original Filing: -..,.......,.....,...--,--
(month, rlay, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes~ NoD
Event Description: Arthur Lyons Film Festival PS
Provide idle/ Explanation
Face Value of Each Ticket/Pass$ ..:1=2.:.5.:.:0.:,0 ____ _
Date(s) ~___!!_j____!Z_ _QL,~_!Z_
ncket(s)/Pass(es) provided by agency? Yes 0 No~ If no: Palm Springs Cultural Center
Name of Souroa
was ticket distribution made at the behest Yes 0 No 181 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 llll oubide organization.
Numblr
A. Name of Agency, Department or Unit of 11ck81(all Dftcr1be the public purpose made pursu811t to the agency's policy
Pu-
B. Name of Individual
Numblr
of 11clcel(all Identify one of the following:
(Last, First) -Ceremonial Role D Other 12!1 Income D
Moon, Robert 2 If Checking ·ceremonial Role" or ~other" deacrf~ below:
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role D Other 181 Income D
Roberts, J.R. 2 If CheCIUng "Ceremonial Role" or "Other" deacrfbe below:
Public Purpose as defined by PS Resolution No. 22454
Name of Outside Organization Number c. of Tlcket(•ll O..Cr1be the public purpose maiM pui'8UIInt to the agency's policy
(Include eddress and description) Pusea
4. Verification
FPPC Regulations 18944,1 end 18942_ I have verified that the distribution set forlh above, is in accordance
David Ready
Print Name
City Manager
Title (month, day, yeat)
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 868/ASK-FPPC (8661275-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
California 802
Form
A Public Document
Agency Name
City of Pairn Springs
3. Recipients
• Use Se<:tion 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 Tk:ket(a)/
Passes
B. Number
Name of Individual of Tlcketfs)/
(Last, First) Panes
Foal, Ginny 2
Kors, Geoff 2
Mills, Chris 2
Wilson, Cathy 2
Name of Outside Organization Number c. of Tlcket(a)J (Include addrees and description) Passes
Deacrlbe the public purpose made pursuant to the agency's policy
Identify one of the folloWing:
Ceremonial Role D Other I&J Income D
ff checking ·ceremonial Role" or "Other" delerlbe below·
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role D Other I&J Income D
ff checking "Ceremonial Role" or "Other" descrlt» below·
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role 0 Other liJ Income D
ff checking "Cefemonial Role" or "Other" deter/be below:
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role D Other~ Income D
If checking "Ceremonial ROle" or "Other" describe below:
Public Purpose as defined by PS Resolution No. 22454
Deacr1be the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toli-FrH Helpline: 866/ASK-FPPC 18661275-3772)