HomeMy WebLinkAbout2025-03-29 Steve Chase Humanitarian AwardsAgency Report of:
Ceremonial Role Events and TickeUPass Distributions A Public Document ------------------------~------Date Stamp California 802 1. Agency Name
C ity of Palm Spri ngs
D ivision , Department, or Region (if applicable)
Designated Agency Contact (Name, Title)
Uubi Ri os, Executive Services Adm inistrator
Area Code/Phone Number
760-322-8 362
E-mail
Llubi .rios @ palmpspringsca .gov
RECEIVED Form
For Official Use Only
MAY 1 3 2025
OFFIC OF THE CITY C RK
0 Amendment (Must Provide Explanation in Part 3.)
Date of Origin al Filing: ______ _
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes 181 No • Face Value of Each TickeUP ass $ _s_o_o_.o_o _____ _
Event Description : Steve Chase Humanitarian Award s
Provide Title/ Explanation
__J__J __
Ticket(s)/Pass(es) provided by agency? Yes • No~ If no : _D_A_P_H_e_a_lt_h ____________ _
Name of Source
Was ticket distribution made at the behest Yes • No 181 If yes:-------------------Offlciars Name (Last, First)
of agency official?
3. Recipients
• Use Sect ion A to identify the agenc y's department or unit. • Use Sectio n B to id enti fy an individual. • Use Section C t o identify an outside organizatio n .
Number
A . Name of Agency, Department or Unit of Tic ket(s)/ Describe the public pur pose made pu rsuant t o the agency's policy
Passes
Number
B . Name of Individual of Tlcket(s)/ Identify one of the following:
(Last, First) Passes
Ceremonial Role 0 Other IBJ Income D
Stiles , Scott 1 If checkmg ·ceremonial Role" or "Other" descnbe below
Public Purpose as defined by PS Resolution No. 224 54,
Section 1 (d)(vii)/vi ii)(ix)
Cere monial Role 0 Othe r 0 Income 0
If checku,g ·ceremo1>aJ Role· or "Other" describe below
Name of Outside Organization Number
C. of Ticket(s)I Describe the public purpose made pursuant to the agenc y'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 distributi on set forth above, is in accordance
with the require ents. ~
?..,, #~ Scott C. St iles City Manager
Print Name TiUe
Comment:-----------------------------------------
FPPC Form 802 (212016)
FPPC To ll-Free Helpline: 866/ASK-FPPC (866/275-3772)