2017-06-25 Film Festival Shortfest ClosingAgency Report of: _`�
Ceremonial Role Events and TicketlPass Distributions �00 A Public Document
1. Agency Name t U L bYttdthmp
City of Palm Springs =17 Y F PALM SPRING''MP
Division, Department, or Region (if applicable) 2111 D C l9 PM 8: 36 For official Use o
Designated Agency Contact (Name, Title) F 1 I1r_ CIiY irL (?I
Cindy Calms, Special Assistant to City Manager
❑ Amendment (Must provide ExplanaSon in Parts )
760-322-8362 1 cind .caims aims rin sca. ov pate of original Filing:
Y @P P 9 9 (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: PS International ShortFest Closing
Provide TiHe/Explana6on
Ticket(s)IPass(es) provided by agency? Yes ❑ No El
Face Value of Each Ticket/Pass $ 50.00
Date(s) 06 ► 25 ) 17 06f 25 t 17
If no: Palm Springs International Film Festival
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
o
of agency official? nidars Name (Lost First)
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 organtutlon.
Number
A. Name of Agency, Department or Unit of TickegaIll Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of Tlcket[ajr Identify one of the following:
(Last, First) I Passes
Ceremonial Role ❑ other ® Income ❑
ndm*ng.cerarrw�ra1eae•w•orherdescrneeelow
Moon, Robert 2
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d viii .
Ceremonial Role ❑ other ❑X Income ❑
Foat, Ginny 2 ndrecrana'commaia,rtofe-or'OfftrdesWnecmow
Public Purpose as defined by PS Resolution No. 22454,
Section 1(d)(viii).
C. Name of outside Organization I of Tkketisyr I 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 1 have verified that the distribution sec forth above, is in accordance
with the requirements
David Ready City Manager M)
Signature of Agency H d o s Print Name Title (month, day, year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of:
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 L to identify an outside organization.
Humber
A. Name of Agency, Department or Unit
of Tleket(s)1
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of TIcket(su
Identify one of the following:
(Last, first)
Passes
Ceremonial Role ❑ Other ® Ir.wrne ❑
2
)! checklnp'Certmadat Rda- or Other dsssdbe below
Mills, Chris
Public Purpose as defined by PS Resolution No, 22454,
Section 1(d)(viii).
Ceremonial Role ❑ Other ® Income ❑
2
B cheWng 'Ceremonial Rde' or'Other desatbe below
Kors, Geoff
Public Purpose as defined by PS Resolution No, 22454,
Section 1 d viii .
Ceremonial Role ❑ Other ® Income ❑
2
Achedang 'Ceremonial Role' or'Ofher describe below
Roberts, J.R.
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d viii .
Ceremonial Role ❑ Other ® Inmme ❑
H 0Wk0g Ceremonlel Rde' or'Other desaibe below
Ready, David
1
Public Purpose as defined by PS Resolution No, 22454,
Section 1(d)(viil).
Name of Outside Organization
C,
Number
of Tick"sy
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
FPPC Form 8021212016)
FPPC Tall -Free Helpline: 8661ASK-FPPC (8661275-3772)
Form 802 — Additional Tickets for PS International Shortfest Closing Night, June 25, 2017
Lopez, Janice — 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x).
Kiehl, Geoffrey — 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x).