HomeMy WebLinkAbout2025-04-11 Cocktails on the PageAgency Report of:
Ceremonia l Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable)
Designated Agency Contact (Name, Title)
Date Stamp
RECEIVED
MAY 2 1 2025
California 802
Form
For Official Use Only
Llubi Rios, Executive Services Administrator
------,-----,--'"""=-----------__.,~(CEl('i)F,cf+i@ ef'TVoet.~•~on ,n Part 3.)
A rea Code/Phone Number E-mail "
760-322-8362 Llub i.rios@palmp springsca.gov Date of Original Filing:--,-----,.--,-----,-
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes 181 No • Face Value of Each Ticket/Pass $ _1_5_0 _.o_o _____ _
Event Description : Cocktails on th e Page ___J__J __
Provide Title/ Explanation
Ticket( s )/Pass ( es) provided by agency? Yes~ No D If no: ________________ _
Name of Source
Was t icket distribution made at the behest Yes • No ~ If yes: -----,,--,-,----,---,---------
Official's Name (Last, First)
of agency official?
3. Recipients
• Use Section A to ide ntify the agency's d epartme nt or unit. • Use Section B lo identify an individual. • Use Section C t o identify an outside organization.
Number
A. Name of Agency, Department or Unit of Tlcket(a)/ Describe the public purpose made pursuant to the agency's policy
P•aSff
Number B. Name of Individual of Tlcket(a)/ Identify one of the following:
(Last, First) PHSff
Ceremonial Role D Other ~ Income D
Ready, David 1 If checking 'Ceremonial Role' or "Other" descnbe below
Public Purpose as defined by PS Resol ution No. 22454,
Section 1 (d)(vii)(viii)(ix)
Ceremonial Role D Other ~ Income D
Gamer, Grace 1 If checking 'Ceremonial Role ' or 'Other" describe below
Public Purpose as defined by PS Resolution No. 22454 ,
Section 1 (d)(vii)(viii)(ix)
Name of Outside Organization Number
C. of Tlcket(a)/ Describe the public purpose made pursuant to the agency's policy (include address and description)
P•-
4 . Verification
I have read and understand FPPC R egulations 18944 .1 and 18942. I have verified th at the distribution set fo rth above, is in accordance
with the re irements.
Scott C. Sti les City Manager
Print Name TiUe
Comment:-----------------------------------------
FPPC Form 802 (2/2016)
FPPC Toll-Free He lpline: 866I ASK-FPPC (8661275-3772)