HomeMy WebLinkAbout2025-03-27 Senior Inspiration AwardsAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
p California 802
Form
1. Agency Name
City of Palm Springs
"'"o.,..iv .... is""'io-n-,'""'o,...e_p_a_rt_m_e_n.,...t,-o-r-=R,....e_g,...io-n-(1--, a-p-p-lic-a-bt-e)------------M-fl y O 8 2025 For Official Us e Only
-=o-es--:i-gn_a...,t-ed-=-A-=-g_e_n_c_y-:::C:-o-n.,...ta_c.,...t (...,.N,...am-e-.=Ti,.,.tle..,..) --------....U.&:+~._..JWf' THE CITY CLER
Llubi Rios , Executive Services Administrator
Area Code/Phone Number
760-322-8362
E-mail
Llubi .ri os@palmpspringsca.gov
D Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:--,---,,.-,----,-
(month, day, year)
2. Function or Event Information
Does the agency have a ticket pol icy? Yes 181 No • Face Value of Ea ch TickeUPass $ _4_5_.o_o _____ _
Event Description: Senior Inspirat ion Awards Date( s) __.!}]___j_E_;__l2 __J__J __
Provide Title/ Explanation
Ticket(s)/Pass(es) provided by agen cy? Yes~ No D If no: ________________ _
Name of Source
Was t icket distribution made at th e behest Yes • No ~ If yes: ------,----,------=--,--------
offlcial's Name (Las t, First) of agency official?
3. Recipients
• Use Section A to identify the agency's departmen t 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)/ Describe the public purpose made pursuant to the agency's policy
Pa sses
Number B. Name of Individual of Ticket(s)/ Identify one of the following:
(Last, First) PaHes
Ceremo nial Role D Oth er [81 Income D
deHarte, Ron 1 If checkmg ·ceremonial ROie • or "Other" descnbe below
Public Purpose as defined by PS Resolution No. 22454 ,
Section 1 (d)(vii)(viii)(ix)
Ceremonial Role D Oth er [81 Income D
Stiles, Scott 1 If checking ·ceremon,al ROie• or •other" descnbe below.
Public Purpose as defined by PS Re solution No. 22454,
Section 1 ( d)(vii)(viii)(ix)
Name of Outside Organization Number C. of Ti cket(a)/ Describe the public purpose made pursuant to the agency's policy (include address and description) Pasan
4. Verification
I have read and understand FPPC Re ulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
with the require
Scott C. Stiles City Manager
Print Name Title
51?: /q5-
(month, day, year)
Comment:-------------------------------------------
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
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 i_ndividual, • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit of Ticket(s)/
i Passes
I Number
B. Name of Individual of Ticket(sV
I (Last, First) Passes
Gallavan, Teresa 1
Pree, Brenda 1
Blaisdell, Amy 1
Alvarado, Kitty 1
I Name of Outside Organization Number
f· of Ticket(s)I (include address and description) Passes
Describe the public purpose made pursuant to the agency's policy
Identify one of the following:
!
Ceremonial Role D Othec 18] Income D
If checking ·ceremonial Role" or 'Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)(viii)(ix)
Ceremonial Role D Other@ Income D
If checking ·ceremonial Role" or 'Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 /d)/viil/viii)/ixl
Ceremonial Role D Othec@ Income D
If checking 'Ceremonial ROie" 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 ROle"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 Fonn 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
Form 802 Additional Tickets for Senior Inspiration Awards 03/27/2025
Alvarado, Paul-1, Public Purpose as defined by PS Resolution No. 22454, Section 1
( d)(vii)(viii)(ix)
Mills, Andrew-1, Public Purpose as defined by PS Resolution No. 22454, Section 1
( d )(vii)( viii )(ix)
Virata, Jay-1, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(vii)(viii)(ix)
Goolsby, Denise -1, Public Purpose as defined by PS Resolution No. 22454, Section 1
( d )(vii )(viii)( ix)
Rios, Llubi-1, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(vii)(viii)(ix)
Ayala, Nora -1, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(vii)(viii)(ix)
Chavez, Alyssa -1, Public Purpose as defined by PS Resolution No. 22454, Section 1
( d)(vii)(viii)(ix)
Bradley, Kendall -1, Public Purpose as defined by PS Resolution No. 22454, Section 1
( d)(vii)(viii)(ix)
Roberts, JR-2, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(vii)(viii)(ix)
Prescott, Brad -1, Public Purpose as defined by PS Resolution No. 22454, Section 1
(d )(vii)(viii)(ix)
Nagel, Doug-1, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(vii)(viii)(ix)
Baker, Steve -1, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(vii)(viii)(ix)