HomeMy WebLinkAbout2025-03-26 PS Woman's Club Scholarship EventAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name
City of Palm Springs
D ivis ion, Department, or Region (if applicable)
Designated Agency Contact (Name, Title)
Llub i Rios, Executive Services Administrator
Area Code/Phone Nu mber
760-322-8362
E-mail
Llu bi .rios@palmpsprin gsca.gov
Date Stamp
RECEIVE
California 8 Q 2
I Form
For Official Use Only
MAY O 8 2025
OF ICE OF THE CIT
0 Ame ndme nt (Must Provide Explanation in Part 3.)
Date of Original Filing:--,-.....,........,..---,--
(month, day, year)
2. Function or Event Information
Does the agency have a t icket po licy? Yes [81 No • Face Value of Each TickeUPass $ _1_25_-_oo _____ _
Event Description : PS Woman 's Club Schola rship Ev ent
Provide Title/ Explanabon
__J__J __
Ticket( s )/Pass( es ) provided by agency? Yes • No ~ If no: Pa lm Springs Woman's Clu b
Name of Source
Was ticket distribution made at the behest Yes • No~ If yes: ----------------------
Offlciars Name (Last, First)
of agency official ?
3 . Recipients
• Use Sectio n A to identify the agency's d epartment o r u nit. • Use Section B to iden tify an individ ual. • Use Section C t o identify an outside organization.
Number
A. Name of Age nc y, Department or U nit ofTicket(s)I Describe the public p urpose made p ursuant to the agency's p olicy
Passes
Number "· ..
B. Name of Individual of Ticket(s)I Identify o ne of the following:
(Last, First) Pa sses
Ceremonial Role 0 Other (gJ Income 0
deHarte, Ron 1 If checking •ceremonial Role " or ·O1her" descnbe below
Publ ic Purpose as defined by PS Resolution No. 22454,
Section 1 ( d)(vii)(viii)(ix)
Ceremonial Role D Other [gj Income D
Be rn ste in , Jeffrey 1 If checking ·ceremonial Role " or 'Olher" descnbe below
Public Pu rpose as defined by PS Reso luti on No. 22454 ,
Section 1 (d)(vii)(viii)(ix)
Na me of Outside Organization Number
C . ofTicket(s)I De scribe the pub lic purpos e made pursuant t o t he agency 's p oli cy (i nclude address and description) Pa sses
4 . Verification
I have read and understand FPPC gulations 18944. 1 and 18942. I have verified that the distribution set forth above, is in accordance
with the requi re
c:trdd?£:: Scott C. St iles City Manager
Signal Print Name Trtle
Comment:-----------------------------------------
F PPC For m 802 (2/2016)
FPPC To ll -Free H elplin e: 866/A S K -FPPC (8661275-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
California 802
Form
A Public Document
Agency Name
City of Palm Springs
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section B to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of·Agency, Department or Unit of Ticket(s)/
' Passes '
I. ---Number B. Name of Individual of Ticket(s)I
I (Last, Fif"St) Passes
Ready, David 1
Gamer, Grace 1
Stiles, Scott 1
Blaisdell, Amy 1
I Name of Outside Orgariization Number
C. ,ofTicket(s)J
I (include addre~s-and desCrij>tion) Passes
Describe the public purpose made pursuant to the agency's policy i
-------·--------·-·····-., -.
' Identify one of the·following:
'
Ceremonial Role D Other igj Income D
/!checking "Ceremonial Role• or-Other" deselibe betov,:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)(viii)(ix)
Ceremonial Role D Other li1J Income D
ff checking "Ceremonial Rcie" or 'Other" desclibe be/aw:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(viil(viii)(ix)
Ceremonial Role D Other li1J Income D
ff checking "Ceremonial Role" or "Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (dl(viil(viiil(ixl
Ceremonial Role D Other@ Income D
If checking ·ceremonial ROie" or "Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)(viii)(ix)
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
I
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Form 802 -Additional Tickets for Palm Springs Woman's Club Scholarship Event 03/26/2025
Gallavan, Teresa -1, Public Purpose as defined by PS Resolution No. 22454, Section 1
( d)(vii)(viii)(ix)
Alvarado, Kitty-1, Public Purpose as defined by PS Resolution No. 22454, Section 1
( d)(vii)(viii)(ix)