2017-06-20 Film Festival Shortfest OpeningAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
9. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable)
Cindy Calms, Special Assistant to City Manager
Area CodelPhone Number E-mail
760-322-8362 1 cindy.caims@paimspringsca.gov
'.' ` A Public D
CIVY OF PALM'5PR1
11 DEC 19 PM g: , 6 For Orrdal Use Only
ICE OF THE CITY CL E-I.;,
❑ Amendment (Must Provide Explanation in Pan 3.)
Date of Original Filing:
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes IN No ❑ Face Value of Each Ticket/Pass $ 60.00
Event Description: PS International ShortFest Opening Date(s) 06 1 20 1 17 061 20 1 17
Provide Titre/ Explanation
Tickets)/Pass(es) provided by agency? Yes ❑ No E) If no: Palm Springs International Film Festival
Name of Source
Was ticket distribution made at the behest Yes ❑ No IN If yes:
otrrcrars Hama (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 Ticketlsy Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of TWketlsY Identify one of the following:
(Last, First) I Passes
Ceremonial Role ❑ Other IN Income ❑
Moan, Robert 2 HchecRhp*CeremoMarRore or UWdescribeberaw
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d viii .
Ceremonial Role ❑ Other X❑ Income ❑
Foat, Ginny 2 lfcaeekNV CeremorrtalRde or Othel'deswbebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1(d)(viii).
C. Name of Outside Organbntion I of Tl�ksK Describe the public purpose made pursuant to the agency's policy
(include address and description) Passes
4. Verification
1 have read and understand
with the requirements. )
Comment:
C Regulations 18944 1 and 18942 l have verified that the distribution set forth above, is in accordance
David Ready City Manager I P61101 i7
Print Name Title (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of: California 802
Ceremonial Role Events and TicketlPass 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 Tickew
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of individual
Number
of Ticket(sjl
identify one of the following:
(Last, First)
Passes
Ceremonial Role ❑ Other ® Income ❑
2
It checkfnp 'Ceremonlel Rafe"or'aW describe below,
Mills, Chris
Public Purpose as defined by PS Resolution No_ 22454,
Section I(d)(viii).
Ceremonial Role ❑ Other ® Income ❑
2
Ircheddng'Comax lalRdo'or VtWde$Wto bebw
Kors, Geoff
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d viii .
Ceremonial Role ❑ Other ® !- ame ❑
2
It checking "Ceremonial Role'or'Ofher' deswbe below
Roberts, J.R.
Public Purpose as defined by PS Resolution No, 22454,
Section 'I d viii .
Ceremonial Role ❑ Other ® incene ❑
I! checldnp `Ceremonial Role' or rolherr tbSCdce ce..:w
Ready, David
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(viii).
Name of Outside Organization
C.
Number
of Tlcket(s11
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
FPPC Form 802 (212016)
FPPC Toll -Free Helpllne: 8661ASK-FPPC (8661275.3772)
Form 802 — Additional Tickets for PS International Shortfest Opening Night, June 24 2017
Dunn, Charles — 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(ix).