2017-06-20 Film Festival Shortfest VouchersAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs IT Y
or Region (if applicable)
A Public Document
F�PIiTATP'4 I N i
2111 5EC 19 PM 8* 35
Designated Agency Contact (Name, rifle) Li r r lVl
Cindy Calms, Special Assistant to City Manager
760-322-8362 1 cindy.caims@paimspringsca.gov
OF THE CITY CLU.r
For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 13.00
Event Description: PS ShortFest Screening Vouchers Date(s) 24 i 17 0�� 17
Provide T+tle/Expfanation
Ticket(s)IPass(es) provided by agency? Yes ❑ No ® If no: Palm Springs International Film Festival
Name of source
Was ticket distribution made at the behest Yes [I No ® 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 ii to identify an individual. • Use Section C to identify an outside organization.
A. Name of Agency, Department or Unit
Number
of Tlcketisu
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of TickegaY
Identify one of the follot;;ring:
(Last First)
Passes
Ceremonial Role ❑ Other ® Income ❑
Nolan, Thomas
4
" MTemrnDrdalRae or otWdesambebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x .
Ceremonial Role ❑ Other X❑ Income ❑
Lebsock, Anjlla
1
"choc"°" 'Camm WRo'o-o''orb°raesWbe°°rw"
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x .
Name of Outside Organization
C.
Number
of 7ickeRSY
Describe the public purpose made pursuant to the agency's policy
(Include address and description)
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 requirements.
�7/ David Ready City Manager
slonature of 7Z= H eslanee Print Name Title (month, day, year)
FPPC Form 802 (2J2016)
FPPC Toll -Free Helpline: 866JASK-FPPC (8661276-3772)
Agency Report of: Galitornia 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,
Wumher
A. Name of Agency, Department or Unit
of ricksS(ay
Describe the public purpose made pursuant to the agency's policy
passes
B• Name of Individual
Number
ofTickeasy
Identify one of the foltowing-
(Last First)
Passes
Ceremonial Role ❑ Other ® ❑
2
d dhed-CwwwtPkl Role" or'drhse desd,be below
it
Linares, ,Jackie
Public Purpose as defined by PS Resolution No. 22454,
Section 1(d)(x).
Ceremonial Role ❑ Other ® - ,rne ❑
2
ll checkng 'Cemmonkr Rde' or *QW describe bek„v
Sims, Taja
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x .
Ceremonial Role ❑ other ® income ❑
2
llchecklnQ'Ceremonkl Ro1o*or rorhePdesdribe below
Wilson, Catherine
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x .
Ceremonial Role ❑ Other ® trnCnme ❑
4
dcheckinp 'Ceremania, Bore• or rorher describe bek>vv
Dunn, Charles
Public Purpose as defined by PS Resolution No, 22454,
Section 1(d)(ix).
Name of Outside Organization
C.
Number
of Tickat(sy
Describe the public purpose made pursuant to the agency's policy
include address and description)
P )
Passes
FPPC Form 8021212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (B661275-3772)
Form 802 — Additional Tickets for PS International Shortfest Ticket Vouchers June 20-25 2017
Muniz, Arianna — 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x).
Zicaro, Jim — 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x).
Gradilla, Alberto —2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x).
Minjares, Rick-2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x).
Meyers, Christine —1, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x).