2017-06-23 Film Festival Shortfest Eyewear PartyAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division. Department. or Realon of applicable)
Cindy Cairns, Special Assistant to City Manager
Area CodelPhone Number I E-mail
760-322-8362 1 cindy.caims@paimspdngsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: PS ShortFest Polaroid Eyewear Party
Provide Tftle/Explanation
Ticket(s)IPass(es) provided by agency? Yes ❑ No 91
)A A Public Document
S Y OF PALM SPf'
For OtCdai Use Only
DEC l 9 P� 8= 36
J FICE OF THE C!i'Y gLEtRi%
❑ Amendment (Must Provide Explanation In Part 3.)
Date of Original Filing: (month, day, year)
Face Value of Each Ticket/Pass $ 25
Date(s) J 23 1 17 061 23 r 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? Q
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 Tickewt Identify ono of the following:
(Lest, First) I Passes
Ceremonial Role ❑ Other ® Income ❑
N cheddV L eramonla! Role or'Orher" describe below
Kiehl, Geoffrey 2 Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x .
Ceremonial Role ❑ other ❑ Income ❑
frd eo arrQ Cerem onlar Role or "01W desalbe below
C. Name of Outside Organization I ojj; &qsy I Describe the public purpose made pursuant to the agency's policy
(include address and description) Passes
4. Verification
l have read and
with the reauirei
Comment:
FPPC Regulations 18944.1 and 18942. l have verified that the distribution set forth above, is in accordance
David Ready City Manager 1"410 111
Print Name Tide (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866tASK-FPPC (8661275-3772)