HomeMy WebLinkAbout2025-04-17 Riv County State of the 4th DistrictAgency Report of:
Ceremonial Role Events and TickeUPass Distributions
1. Agency Name
City of Palm Springs
Di vision , Department, or Region (if applicable)
MAY 2 9 2025 For Official Use Only
OFFI E OF THE CITY C ERK .,,,--,---,---:-:------::,---,---,---..,,,,.,-,------------------t Designated Agency Contact (Name, Title)
Ll ubi Rios, Execu t ive Services Adm inistrator
Area Code/Phone Number
760-322-8362
E-mail
Liu bi. rios@pal m pspring sca .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 ~ No • Fa ce Value of Each TickeUPass $ _5_o_.o_o _____ _
Event Descript ion : Ri v.Co unty State of the 4th Di stri ct
Provide Title/ Explanation
___J___J __
Ti ck et(s)/Pass (es ) provided by agency? Yes ~ No • lfno: ________________ _
Name of Source
Was t ick et dist ribution made at the behest Yes • No 181 If yes : -----,-,-,....,,...,..,.....--,-...,,,...-,---------
Officiar s Name (L ast, First)
of agency official?
3. Recipients
• Use Section A to identify the agency's department or unit. • Us e Sect ion B to identify an individual. • Use Section C to id entify an outs id e organization.
Number
A. Name of Agency, Department or Unit of Ticket(sV Describe the public purpose made pursuant t o the agency's policy
Passes
Number
B . Name of Individual of Ticket(sV Identify one of the following:
(Last, First) Passes
Ceremon ial Role D Other 1B) Income D
deHarte, Ron 1 If checking ·ceremorral Ro1e· or -Other" descnbe below
Publi c Purpose as defined by PS Re solution No. 22454,
Section 1 (d)(vi i)(viii)(ix)
Ceremonial Role D Other (gj Income D
Ready , Da vid ' If checking ·ceremorral Role· or -Other" descnbe below
Publi c Purpose as defined by PS Resolu tion No. 22454 ,
Section 1 (d)(vii)(viii)(ix)
Name of Outside Organization Number
C. of Tic ket(sV Desc ribe the publ ic purpose made pursuant to the agency's policy (include address and description) Passes
4 . Verification
gu/ations 18944. 1 and 18942. I have verified that the distribution set forth above, is in a ccordance
Scott C. Stiles
Signal Print Name
City Manager , dA-1 /';) ~ ---------=Ti=-itl""e ______ 7'o;;ifi: day, year)
Comment:-----------------------------------------
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/27 5-3772)
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 ofTlcket(s)/
I Passes
I --------. --------------Number B. Name of Individual ofTicket(s)/
I (Last, First) Passes
Soto, Naomi 1
Garner, Grace 1
Bernstein, Jeffrey 1
Stiles, Scott 1
NUITlber
C. Name of Outside Organization ofTicket(s)/ (include address and description) Passes
Describe-the public purpose made pursuant to the agency's policy
-----------------1 Identify one of the following:
Ceremonial Role D Othe, 181 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 Olhe, 181 Income D
If checking •ceremonial Rote· or -Other" desctfbe below:
Public Purpose as defined by PS Resolution No_ 22454,
Section 1 (dl(vii)(viii)Cix)
Ceremonial Role D Other~ Income D
I/checking "Ceremonial Role" or -Other" describe below:
Public Purpose as defined by PS Resolution No_ 22454,
Section 1 (dl(viil(viiil(ix)
Ceremonial Role D Olhe,@ 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 p1:1rpose made pursuant.to the agency's policy
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
'
i
I
Form 802 -Additional Tickets for the Riverside County State of the 4th District and CV
Economic Update 04/17 /25
Olson, Wayne -1, Public Purpose as defined by PS Resolution No. 22454, Section 1
( d)(vii)(viii)(ix)
Grubl, Dean -1, Public Purpose as defined by PS Resolution No. 22454, Section 1 {d)(vii)(viii)(ix)
Mooney, Kristopher-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)
Barrett, Harry-1, Public Purpose as defined by PS Resolution No. 22454, Section 1
( d )(vii)(viii)(ix)
Carpenter, Victoria -1, Public Purpose as defined by PS Resolution No. 22454, Section 1
( d)(vii)(viii)(ix)
Keating, Jeremy-1, Public Purpose as defined by PS Resolution No. 22454, Section 1
( d)(vii)(viii)(ix)
Daley, Trevor -1, Public Purpose as defined by PS Resolution No. 22454, Section 1
(d )(vii)(viii)(ix)
Waier, Mark-2, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(vii)(viii)(ix)
Corcoran, Kevin -1, Public Purpose as defined by PS Resolution No. 22454, Section 1
( d)(vii)(viii)(ix)
Berri man, Robert -1, Public Purpose as defined by PS Resolution No. 22454, Section 1
( d )(vii )(viii)( ix)
Keihl, Geoffrey-1, Public Purpose as defined by PS Resolution No. 22454, Section 1
( d )(vii )(viii)( ix)