HomeMy WebLinkAbout2025-03-11 Mizell Center 50th AnniversaryAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable)
Date St amp
RECEIVED
California 802
Form
For Official Use Only
=o-es....,i-gn-a-te_d.,...A.,...g_e_n_cy-C=o-n....,.ta_c....,.t-(N_a_m-e,=r1-"lle-)---------------, APR 2 4 2025
Llubi Rios, Ex ecutive Services Adm inistrator
---------~------------.......,~"""-o'-1 ~ ffl!'fflV'1C(~liJ<planation in Part 3.) Area Code/Phone Number E-mail ,CMI'\
760-322-8362 Llubi.rios@palmpspringsca.gov Date of Original Filing:--,---,,,--,----,-
(month. day, year)
2. Function or Event Information
Does the agency have a ticket pol icy? Yes 181 No • Fa ce Va lue of Each TickeUPass $ _1_5_o_.o_o _____ _
Event Description: Mizell Center 50th Anniversary
Provide Tille/ Explanation
____J____j __
Ticket(s)/Pass(es) provided by agency ? Yes ~ No O If no: _________________ _
Name of Soun:e
Was ticket distribution made at th e behest Yes • No~ If yes: ------------------
Official's Name (Last, First) of agency official?
3. Recipients
• Use Section A to identify the age ncy's d epartment or unit. • Use Section B to identify an i ndividual. • Use Section C to identify an outsid e organization.
Number A. Name of Age ncy, Department or Unit of Ticket(a )/ Describe the public purpose made pursuant to the agency's policy
Passes
Number B. Name of Individual of Tlcket(s)I Identify one of the following:
(Last, First) Passes
Ceremon ial Role 0 Other [BJ Income 0
Garner, Grace 1 If checkmg 'Cetemomal Role' or 'Other" describe below
Public Purpose as defined by PS Resolution No. 22454 ,
Section 1 (d)(vii)(viii)(ix)
Ceremonial Role 0 Other 0 Income 0
If checking 'Ceremomal Role· or 'Othe(' de sen be below
Name of Outside Organization Number
C . of Ticket(s)/ Describe the public purpose made purs uant to the agency's policy (include address and description) Passes
4 . Verification
I have read and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
with the re i ments.
x_)J._eu---Scott C. Stil es City Manager
gency Head or Designee Print Name nue
'/:2 Lf -~5
(month, day, year)
Comment:-------------------------------------------
FPPC Form 802 (2/2016)
FPPC Toll-Free H elpline: 866/ASK-FPPC (8661275-3772)