2017-06-24 Film Festival Shortfest Lexus PartyAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division. Deuartment. or Realon Of applicable)
A Public Documen0
'i9 Y CIF P-KEKSPitl
Designated Agency Contact (Name,rdle) " '1
Cindy Calms, Special Assistant to City Manager
760-322-8362 4 cindy.caims@palmspringsca.gov
17 DEC 19
PM 8: r For Official Use Only
ICE OF THE CITY C
❑ 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 $ 25
Event Description: PS ShortFest t_exus Short Films Party Date(s) 06 1. 24 1 17 06 1 24 1 17
Provide 7711WExplanation
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 ❑ No ® If yes:
Orsdai'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 an outside organization.
Number
A. Name of Agency, Department or Unit of Tiek"sir Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of Tickegall Identify one of the following:
(Lest, First) Passes
Ceremonial Role ❑ Other IN Income ❑
N chockfiV ' emmoniar Rcfa or •Other describe below
Kiehl, Geoffrey 2 Public Purpose as defined by PS Resolution No. 22454,
Ceremon al Role ❑ Other ❑ Income ❑
freheeldnp-eremonfalRole or-Otherde=bebelow
Name of outside organization Number
C. rg of Ticket(su Describe the public purpose made pursuant to the agency's policy
(include address and description) Passes
4. Verification
I have read and understy5o FPPC Regulations 18944 1 and 18942 1 have verified that the distribution set forth above is in accordance
with the repuiremerg&W11
David Ready City Manager 1
or Designee Print Name Title (month day year)
FPPC Form 8021212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)