2017-06-20 Film Festival ShortfestAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs 4 E f Y
or Region (if applicable)
Cindy Calms, Special Assistant to City Manager
760-322-8362 1 cindy.caims@palmspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: PS International ShortFest 2017
Provide ritle/Explanabon
Tickets)/Pass(es) provided by agency? Yes ❑ No El
A Public Document
F PALM SPRING
21V DEC 19 PSI 8: 36
For Official Use Only
❑ Amendment (Must Provide Explanation in Part a.)
Date of Original Filing:
(month, day, year)
Face Value of Each Ticket/Pass $ 250.00
Date(s) 06 1 20 r 17 06 r 25 1 17
If no: Palm Springs International Film Festival
Name of source
Was ticket distribution made at the behest Yes ❑ No ® If yes-
Official's Name (Last firs!)
of agency official?
3. Recipients
-Use Section A to identify the agency's department or unit. *Use Section H to identify an individual. -Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit of Tickeysy Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
of Tk kal(sll I Identify one of the following:
Passes
Ceremonial Role ❑ Other ® Income ❑
Moon, Robert 2 ncne&ft CereaKWWRde or'Other"descdbebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vlil .
Ceremon:al Rote ❑ Other X❑ Income ❑
FDat, Ginny 2 rrcnackng ; aremanfalRde or'&Wdesatbebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d viii .
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 Regulations 18944.1 and 18942_ l have verified that the distribution set forth above, is in accordance
with the reouirements. 1 /V
David Ready City Manager 10L )
Print Name Title (month. day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of: Calitorn 'a
Ceremonial Role Events and Ticket/Pass Distributions `
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.
Numhar
A. Name of Agency, department or Unit
of Tickegsy
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of llaket(sjl
Passes
Identify one of the following;
Ceremonial Role ❑ Other ® Income ❑
Mills, Chris
2
If checlaog 'CemmoNal Rote' or'Otffer• descdM bo+bw'
Public Purpose as defined by PS Resolution No, 22454,
Section 1(d)(viii).
Ceremonial Role ❑ Other ® Incr;.Tne ❑
2
if chedung 'Cem wnW Rde' or'Ofher desmbe below
Kors, Geoff
Public Purpose as defined by PS Resolution NO. 22454,
Section 1 d viii .
Ceremonial Role ❑ Other ® Inmme ❑
2
9checking'Cemmodal Rae' or tither desafbe below
Roberts, J.R.
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d viii .
Ceremonial Role ❑ Other ® Income ❑
Ready, David
2
ncheckM'Cemmonlar Rde'or'Ofiiw'desmbe bebw
Public Purpose as defined by PS Resolution No. 22454,
Section 1(d)(viii).
Name of Outside Organization
(�. r9
(include address and description)
Number
of Ticket{sY
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Nelpline: 8661ASK-FPPC (8661276-3772)
Form 802 — Additional Tickets for PS International Shortfest, June 20-25, 2017 Sponsor Badge
Lopez, Janice — 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x).
Kiehl, Geoffrey —1, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x).