2016-06-21 PS Film Festival Shortfest Movie PassesAgency Report of: RECEIVED
Ceremonial Role Events and Ticket/Pass Distributi 'bY OF PALM SPRINGSkdIic Document
1. Agency Name 2016 WG _ ate mg: 35 California•
City of Palm Springs Form
Division, Department, or Region (11 Applicable) 1ES T H O M P S For Ornam Use onlyCITY CLERK
sarnna#.A A..a.•.... P'....L�... /Al....... T;u..!
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@palmspringsca.gov
Date of Original Filing:
(month, nay, rear)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Face Value of Each TicketlPass $ 200.00
PS Shortfest Movie Passes
Event Description
Date(s) 6 �21 � 16 6 1 27 � 16
Provide TitleiExplanadon
Tickets)/Pass(es) provided by agency? Yes ❑ No ®
If no Palm Springs Film Festival
Name of Source
Was ticket distribution made at the behest
No ® Yes ❑
If yes-.
of agency official?
Official's Name (Last First)
3. Recipients
• Use section A to Identify the agency's department or unit • Use Section O to Identify an individual. o Use Section C to identify an outside organization.
A. Name of Agency, Department or Unit
Number of
Tieksgsil
Describe the public purpose made pursuant to the agency's policy
Pass(es)
Nof Individual
B • Name (� �)
Number of
Tickegsll
Identify one of the following:
Pass(es)
Ceremonial Role ❑ Other ® Income ❑
Moon, Robert
11checking'Cemmm+ia)Ro)e'ar'0thePdesmbeba)aw'
2
Public
Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Foat, Ginny
trchecking'Ceremonial Rol- - Other desmbebelow
2
Public Purpose as defined by PS Resolution No. 22454
C. Name of Outside Organization
(include address and description)Tickegsi!
Numberof
Describe the public purpose made pursuant to the agency's policy
Pass(es)
4. Verification
I have read and understand FPP gulations 18944 f and
18942 l have verified that
the dishibution set forth above, is in accordance with the requirements.
David H. Ready
City Manager
Slynafu. Ape sr or Design"
Pnnt Name
Trde (Month. Day. Year)
Comment:
FPPC Form 80214112)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-7772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions a
rriia
Continuation Sheet
A Public Document
Agency Name
City of Palm Springs
3. Recipients
• Use Section A to ]dsntify the agency's department or unit a Use Section S to Identify an individual. a Use Section C to identity an outside organization.
A. Name of Agency, Department or Unit
Number of
Tlckegs)1
Passes)
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
Number of
Tlckegs)l
pass(es)
Identify one of the following:
Kors, Geoff
2
Ceremonial Role ❑ Other ® Income ❑
Nchecking'CercmonialRole"or'Orherdesmbebelow
Public Purpose as defined by PS Resolution No. 22454
Ready, David
1
Ceremonial Role ❑ Other ® 1n,c.-lo ❑
llcheckrnp'CemmomatRore'or-Orherdescnbebelow-
Public Purpose as defined by PS Resolution No. 22454
Roberts, J.R.
2
Ceremonial Role ❑ Other ® knwme ❑
Ilcheckrnq'CemamialRole'w'Orherdescnbebelow-
Public Purpose as defined by PS Resolution No. 22454
Mills, Chris
2
Ceremonial Role ❑ Other ® ;nwme ❑
1lcheckrnp'CeremonialRole'ar'Orher'descnbebelow
Public Purpose as defined by PS Resolution No. 22454
C.Name of Outside Organization
(include address and description)
Number of
Tfckegs)l
Pass(es)
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (4112)
FPPC Toll -Free Helpline- 8661ASK-FPPC (8661275-7772)
Additional Attendees — PS Shortfest Movie passes 6/21/16 to 6/27/16
1. Geoff Kiehl, 2 — Public Purpose as defined by PS Resolution No. 22454
2. Jennifer Nelson, 2 - Public Purpose as defined by PS Resolution No. 22454
3. Craig Gladders, 2 - Public Purpose as defined by PS Resolution No. 22454