2016-01-01 PS Film FestivalAgency Report of:
FpALN
Ceremonial Role Events and Ticket/Pass DistribubpMp SPRING1,6 Public Document
1. Agency Name
2016 JAN
20 DASW--nt7
City of Palm Springs
f1 [ '
For ofCd"OnNly
S THOMPE&S
Division, Department, or Region (if Applicable)
JAM
CI
Y CLERK '
Designated Agency Contact (Name. Title)
Jennifer Nelson, Executive Asst. to Mayor/Council
❑ Amendment (Must provide explanation in Part 3.)
Area Code/Phone Number
E-mail
760-323-8200
jennifer.nelson@palmspdngsca.gov
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 $ 200.00
Event Description PS Film Festival 2016
Date(s) 1 1 01 r 16 1 1. 11 1 16
Provide TRI&Explanabon
Trcket(s)/Pass(es) provided by agency? Yes ❑ No ®
If no: Palm Springs International Film Festival
Name of Source
Was ticket distribution made at the behest No ® Yes ❑
If yes:
of agency official?
OlFidal's Name (Last. First)
3. Recipients
*Use Section A to Identify the agency's department or unit. • Use Section S to Identify an Individual. a Use Section C to identify an outside organization.
A. Name of Agency, Department or unit
Number of
Tkketlsj!
Describe the public u
p purpose made pursuant to the agency's policy
Passles)
Name of Individual
B. �J
aAA
Number of
Ticks Sy
Identify one of the following.
Pass(es)
Ceremonial Role ❑ Other Income ❑
Mills, Chris
2
lrchackinp'CefemoniarRole or ;)fherd*3=bebWw,
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Rde ❑ other ® Income ❑
Moon, Robert
Nchecking 'Ceremonial RW& or 7(herdesmtwberow
2
Public Purpose as defined by PS Resolution No. 22454
C. Name of Outside Organization
(intrude address and description)
Number of
Tlcket(s)l
Describe the public purpose made pursuant to the agency's policy
Pasalas)
4. Verification
1 have read and understand FPPC RequJatiorrs i i and i69g2.1 have verified that the distribution set forth above is in accordance with the mquimmants
David H. Ready
City Manager
Sipnata olAQencyHeadorDesgnee PrtnrNeme
Tolle Imulle.Day Yea.'j
Comment:
FPPC Form 802 (4112)
FPPC Toll -Free Helptine: 8661ASK-FPPC (8661276-7772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass DistributionsCaliforniarm ; 1
Continuation Sheet e
A Public Document
Agency Name
City of Palm Springs
3. Recipients
e Use Section A to Identify the agency's department or unit a Use Section B to identify an indivldual, ■ Use Section C to Identify an outside organization.
A. Name of Agency, Department or Unit
Number of
Ticket(s)1
Pass(es)
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
Number of
Tieket(sy
Pass(es)
Identify one of the following:
Kors, Geoff
2
monial Role ❑ Other ® Income ❑
long 'Ceremonial Role' or'prhee describe below
Public Purpose as defined by PS Resolution No. 22454
Roberts, J.R.
2
Ceremonial Role ❑ Other ® ;ntoma ❑
,rcfroNurp Ceremony r3cAo- or pther^desvlbebelow
Public Purpose as defined by PS Resolution No. 22454
Foat, Ginny
2
Ceremonial Role ❑ Other ® Lnoome ❑
It cheddngTeremonlalRale•or-Other* describe below
Public Purpose as defined by PS Resolution No. 22454
Ready, David
2
Ceremonial Role ❑ Other ® .nc me ❑
llcheckrVTeremonlalRole* oraherdescribe below,
Public Purpose as defined by PS Resolution No. 22454
C. Name of Outside Organization
(include address and description)
Number of
Tickegay
Paul")
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (4112)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-7772)
Form 802 — Palm Springs Short Film Festival Passes — 200.00 each
Nelson, Jennifer, 2 - Public Purpose as described by PS Resolution No. 22454
Kieh, Jeff, 2 - Public Purpose as described by PS Resolution No. 22454
Fuller, Marcus 2 - Public Purpose as described by PS Resolution No. 22454
Thompson, Jay 2 - Public Purpose as described by PS Resolution No. 22454