HomeMy WebLinkAbout2025-04-30 PS Speaks Mary Louise KellyAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document ----------------------------,..---------California 802 1. Agency Name REeEN'ED
Form City of Palm Springs
Division, Department, or Region (if applicable) MAY 1 5 2025 For Official Use Only
Designated Agency Contact (Name, Title)
Llubi Rios, Executive Services Adm inistrator
Area Code/Phone Number
760-322-8362
E-mail
Llubi.rios@palmpspringsca .gov
E OF THE CITY C ERK
0 Amendment {Must Provide Explana tion in P art 3.)
Date of Original Filing :--,--,,---,----,,-
(month. da y, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes 181 No • Face Value of Each Ticket/Pass$ _5_5_.o_o _____ _
Event Description: PS Speaks Mary Lou ise Kelly
Provide Title/ Explanation
___J___J __
Ticket(s)/Pa s s(es) provi ded by agency? Yes ~ No O If no : ________________ _
Name o f Source
Was ticket distribution made at the behest Yes • No 181 If yes :-------,,.,.,,..,...,,....,.,....___,,,.-..,,,.....,....--------
Officiar s Name (Last, First)
of agency official?
3. Recipients
• Use Section A lo i dentify the agency's dep artment or unit. • Use Section B to identify an individual. • Us e Section C to identify an o ut side organization.
Number
A . Name of Agen cy, Department or Unit of Ticket(s)/ Desc r ibe the public purpose made pursuant to the agency's policy
Passes
Number
B . Name of Individual of Ticket(s)/ Identify one of the following:
(Last, First) Passes
Ce remonial Role 0 Oth er [BJ Income 0
Bernstein , Jeffrey 2 If checklflg "Ceremot>a/ Role" or "Other" descnbe below
Pub lic Purpose as defined by PS Resolution No. 22454 ,
Section 1 ( d)(vii)(viii)(ix)
Ceremonial Role 0 Other [8] Incom e 0
Ready, David 1 If checklflg "Cerernot>al Role' or "Other" descnbe below
Publ ic Purpose as defined by PS Resolution No. 22454 ,
Section 1 ( d)(vii)(vii i)(ix)
Name o f Outside Organization Number
C. ofTicket(s)/ Describe the public purpose made pursuant to the agency's policy (inc lude address and descriptio n) 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 req irem ents .
Scott C. Stiles City Manager 5';'/~ zs-
Si Print Name TiUe <mon1 , day, year)
Comment:-----------------------------------------
FPPC Form 802 (212016)
FPPC Toll-Free He lpline: 866IASK-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 idenlify an outside organization.
Number
A. Name of Agency, Department or Unit ofTlcket(s)/
I Passes
i ----•->••-----------·------··-·--Nllfllber'
!=I-Name of Individual of Ticket(s)/
'
(Last, First) Passes
Stiles, Scott 2
Name of Outside Org.:il'liiation Number
C. ofTlcket(s)/
(include address and descriptiori) Passes
Describe the public purpose made· pursuant to the agency's policy I
,
. ----------------------. ----I Identify one of the following:
I
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)
Ceremonial Role D Other D Income D
If checking •ceremonial Rote• or "Other" describe below:
Ceremonial Role D Other D Income D
It checking ·ceremonial Role" or "Other" describe below:
Ceremonial Role D Other D Income D
If checking "Ceremonial Role" or -Other" describe be/ow:
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)
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