2016-05-12 Arthur Lyons Film FestivalAgency Report of: RECEIVED
Ceremonial Role Events and Ticket/Pass Distri ipn F Ft-1H SPRING'D
1. Agency Name 2816 JUN b t
City of Palm Springs
Division, Department, or Region (if Applicable) Hompsof
CITY CLERK
Designated Agency Contact (Name. Title) I
Jennifer Nelson, Executive Asst. to Mayor/Council
760-323-8200 l jennifer.nelson@paimspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes® No ❑
Event Description Arthur Lyons Film Festival
Provide riderExplanadon
Public Document
For Official Use Only
❑ Amendment (Must provide explanation in Part 3 )
Date of Original Filing:
(Month, Day, Year)
Face Value of Each Ticket/Pass $
Date(s) I 12 r 16
125.00
51 15 t 16
Ttcket(s)IPass(es) provided by agency? Yes ❑ No ® If no: Palm Springs Cultural Center
Name of Source
Was ticket distribution made at the behest Nog Yes ❑ If yes:
of agency official? Oftel's Name (Last, First)
3. Recipients
• Use Section A to identify the agency's department or unit. a Use Section 8 to identity an Individual. • Use Section C to ktentify an outside organization.
A. Name of Agency, Department or Unit
Number of
Tickegs)l
Describe the public u
p purpose made pursuant to the agency's policy
Paul")
Name f Individual
B. oIndiidl
Number of
Tickegs)t
Identify one of the following:
Passes)
Ceremonial Role ❑ Other ® Income ❑
Moon, Robert
trcnec$ing'Core=nsrRde-w•On+er descHbob law
2
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ other ® -nr=me ❑
Foat, Ginny
Ncheckv CemmoniniRde'ar'Otner'dv=beb tow
2
Public Purpose as defined by PS Resolution No. 22454
Name of Outside Organization
C. pnclude address and description)
Number of
Tickegs)l
Describe the public purpose made pursuant to the agency's policy
Passes)
4. Verification
dons 18944 1 and 18942. 1 have verified that the distribution set forth above, is in accordance with the requirements
I have read and understand711a
David H. Ready City Manager
ftnslum orAgemy N od ar ee Print Name -r �Mlr.'h, n y, Year
Comment:
FPPC Form 802 (4112)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-7772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions 1302
Continuation Sheet e
rm
A Public Document
Agency Name
City of Palm Springs
3. Recipients
e Use Section A to identify the agency's department or unit. *Use Section B to identify an individual. a Use Section C to Identify an outside organization.
A. Name of Agency, Department or Unit
Number of
Tlcke"s)l
Describe the public purpose made pursuant to the agency's policy
Passes)
Name of Individual
B. N
Number of
Tl
Identify one of the following;
Fowlcket(a)l
Pass(es)
Ceremonial Role ❑ Other ® fia ❑
Mills, Chris
2
+fdmckingTemmoroWRde-or-omerues:seb"w'
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Roberts, JR
2
uchwMr*Terem walRde'or'Orherdesaibebebw
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Kors, Geoff
2
lldreclringTommonlelRole'orVf rdewnbebebw
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Cairns, Cindy
2
Itchec0dnqTemmoniefRde'or'Dtherldesaibebelaw
Public Purpose as defined by PS Resolution No. 22454
C. Name of butelde Organization
(include address and description)
Number of
Tickegs)l
Describe the public purpose made pursuant to the agency's policy
Passes)
FPPC Form 802 (4112)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-7772)