HomeMy WebLinkAbout2025-03-22 Brothers of the Desert Wellness SummitAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document -----------------------------,--------1. Agency Name ~tl!TV ED California 802
City of Pa lm Springs
Division, Department, or Region (if applicable)
Desi gnated Agency Contact (Name, Title)
Llubi Rios , Executive Services Adm inistrator
Area Code/Phone Number
760-322-8362
E-mail
Llubi .rios@palmpspringsca.gov
Form
MAY O 7 2025 For Official Use Only
·1 F ICE OF THE CITY LERK
0 Amendment (Must Provide Explanabon ,n Part 3.)
Date of Original Filing: ______ _
(month, day, year)
2. Function or Event Information
Does the ag ency have a ticket poli cy? Yes 181 No • Fa ce Value of Each Ticket/Pass$ _1_o_o_.o_o _____ _
Event Descripti on : Brothers of the Dsrt. Wellness Su mmit Date(s) ~-E ..... L~
Provide 1ittel Explanation
__J__j __
Ticket (s)/Pass(es) provided by agency? Yes ~ No D If no : _________________ _
Name of Source
Was ticket dis tribution made at the behest Yes • No~ If y es: -----,,..,.,,,-,,-,,-,.,...----,--~.,.,.--------
official's Name (Last, First) of agency official?
3. Recipients
• Us e Section A to identify the agency's d ep artment or unit. • Use Sectio n B to identi fy an individual. • Use Section C lo identify an o utside organization.
Number
A. Name of Agency, Department or Unit of Tickat(a)/ Describe the public purpose made pursuant t o the agency's policy
Paaaes
Number B. Name of Individual of Tickat(s)/ Identify one of the following:
(Last, First) Passes
Ceremonial Role 0 Other [8] Income D
Garner, Grace 1 If checking 'Ceremoma/ Role· or 'Other' de sen be below
Public Purpose as defined by PS Resolution No. 224 54,
Section 1 (d)(vii)(viii)(ix)
Ceremonial Role 0 Other 0 Income D
II checking 'Ceremonial Role or "Other' descnbe below
Name of Outside Organization Number C. of Tickat(a)/ Descri be the public purpose made pursuant to t he agency's policy (include address and descri ption) 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 requirements.
Scott C . Stiles City Manager
Print Name Trtle
Comment:-----------------------------------------
FPPC Form 802 (2/2016)
FPPC Toll-Free Hel pline: 866/ASK-FPPC (866/275-3772)