2016-06-21 PS Film Festival Shortfest Opening NightAgency Report of: RECEIVED
Ceremonial Role Events and Ticket/Pass Di 4UVPgMLM SPRINGS
1. Agency Name
City of Palm Springs 2016 AUG —I I'M 3p�tam;
or
JAMES MPS
CITY C ERK
Public Document
For official Use Only
Jennifer Nelson, Executive Asst. to Mayor/Council
❑ Amendment (Must provide explanation in Para 3.)
Area Code/Phone Number
E-mail
760-323-8200
jennifer.nelson@palmspringsca.gov
Date of Original Filing:
(Month. Day, rear)
2. Function or Event Information
Does the agency have a ticket policy?
g cY P cY • Yes ® No ❑
Face Value of Each Ticket/Pass $ 50.00
Event Description PS Shortfest Opening night
Date(s) 6 1. 21 ) 16 _J I
Prowde rtlerExplanaffon
Ticket s IPass es provided b agency?
(} ( } P y 9 Y Yes ❑ NO ®
If no. Palm Springs Film Festival
Name of source
Was ticket distribution made at the behest NON Yes ❑
If yes,.
of agency official?
Officials Name (fast, First)
3. Recipients
a Use section A to identify the agency's department or unit • Use Section 8 to Identify an Individual. • Use Section C to Identify an outside organization.
A. Name of Agency, Department or Unit
Number of
llckegs)l
Describe the public purpose made pursuant to the agency's policy
Pass{es)
Name of Individual
B. anL r vl
Number of
Ticksgs)l
Identify one of the following-
Pass(es)
Ceremonial Role ❑ Other ® Iricgnp ❑
Moon, Robert
It checkrr*-CeteamiafRole' ar'Ofher'd@=tw&-ow
2
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® ❑
Foat, Ginny
ftcheckir>Q'CemmortWfRole"or-Olhefdescdbeba,Gw
2
Public
Purpose as defined by PS Resolution No. 22454
C. Name of Outside Organization
{include address and description)
Number of
Ticket{s)l
Describe the public purpose made pursuant to the agency's policy
Pass(es)
4. Verification
I have read and understand FPPC R eps 18944 1 and 18942 t have verified that the distribution set forth above s in accordance with the requiremerds
David H. Ready
City Manager
SiQneture of Aperrey lie r print Name
; ra (Month Bay, Year)
Comment:
FPPC Form 802 (4112)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275 7772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions La 111 e j
Continuation Sheet e
A Public Document
Agency Name
City of Palm Springs
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section a to identify an Individual. • Use Section C to Identify an outside organization.
A. Name of Agency, Department or unit
Number of
Ticket(s)l
Describe the public purpose made pursuant to the agency's policy
Pass(es)
Name of
B. Nf Individual
Number of
Tlckeys)l
Identify one of the following:
Passes)
Ceremonial Role ❑ Other ® Income ❑
Kors, Geoff
2
IfchecaVTommomarRwe-w-Other deurreebelow-
Public Purpose as defined by PS Resolution No, 22454
Ceremonial Role ❑ other ® Income ❑
Ready, David
1
rrcheckwig CeremarualRore or Otherdesotebelaw
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® ncome ❑
Roberts, J.R.
2
ircheckhp CerrmoniWRole or -Other desvibehekw
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® income ❑
Mills, Chris
2
#[hacking CeremoniaiRde ar Otherdewnbebelow
Public Purpose as defined by PS Resolution No. 22454
C. Name of Outside Organization
(include address and description)
Number of
Ticket(s)1
Describe the public purpose made pursuant to the agency's policy
Passles)
FPPC Form 80214112)
FPPC Toll -Free Helpline: 8661ASK-FPPC 18661276-7772)
Additional Attendees — PS Shortfest Opening Night 6/21/16
1. Carl Sessoms, 2 — Public Purpose as defined by PS Resolution No. 22454
2. Alberto Gradilla, 3 - Public Purpose as defined by PS Resolution No. 22454
3. Jackie Linares, 4 - Public Purpose as defined by PS Resolution No. 22454