HomeMy WebLinkAbout2025-03-08 Don't Mind Me GalaAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
APR 1 7 2025
=--.,....----,-.,---=--,----=--------....::O=F~E OF THE CITY Designated Agency Contact (Name, Title)
Division , Department, or Region (if applicable)
Llubi Rios , Executive Services Administrator
Area Code/Phone Number
760-322-8362
E-mail
Llu bi .ri os@palmpspringsca .gov
D Amendment (Must Provide Explanation m Part 3.)
Date of Original Filing:--------,-
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes 181 No • Face Va l ue of Each Ticket/Pass$ _3_7_5 ._o_o ____ _
Event Description: Don't Mind Me Gala __J__J __
Provide Title/ Explanation
Ticket(s)/Pass(es) provided by age ncy? Yes ~ No D If no : _________________ _
Name of Source
Was ticket distribution made at the behest Yes • No ~ If yes: ------------------
Official's Name (Last, First) of agency official?
3. Recipients
• Use Section A t o identify the agency's department o r u nit. • Use Section B to identify an individual. • Use Section C t o identify an outside organization.
A. Name of Agency, Department or Unit
Number
ofTlcket(s)/ Describe the public purpose made pursuant to the agency's policy
Passes
Number B. Name of Individual of Ticket(s )/ I dentify one of the following:
(Las t , F irst) Passes
Ceremonial Role D Other IBJ Income D
Garner, Grace 1 If checking 'Ceremornal Role" or "Othet" descn be below
Public Purpose as defi ned by PS Resolution No. 22454 ,
Section 1 (d)(vii)(viii)(i x)
Ceremonial Role D Other IBJ Income D
Bernstein , Jeffrey 1 If checking 'Ceremomal Role' o r 'Othet" descnbe below
Public Purpose as defined by PS Resolution No . 224 54 ,
Secti on 1 (d)(vii)(viii)(ix)
Name of Outside Organization Nu mber C. of Ticket(a)/ Describe t he public purpose made pursuant to the agency's policy (inclu de address and description) Passes
4. Verification
I have read and understand FPPC Regulations 18944. 1 and 18942. I have verified th at the distribution set fo rth above, is in accordance
with ~he re uirements. <
< ~ Scott C. Stiles City Manager ~
,5igatureofAgenc'y Head or Designee Print Name Tl1fe
Comment: -------------------------------------------
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline : 866/ASK-FPPC (866 /275-3772)