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2015 Hearts for Art GalaAgency Report of: Ceremonial tole Events and Ticket/Pass Distributions . Agency Name City of La Quinta or Kenton uesignateU Agency Contact (Name, Title) Frank.J. Spevacek, City Manager 760-777-7100 I fspevacek@la-quinta.org Function or went Information Does the agency have a ticket policy? Yes ® No ❑ Event Description Hearts for Art Gala Provide Title/Explanation Tickets)/Pass(es) provided by agency? Yes ® No ❑ Date Stamp A Public Document For Official Use Only ❑ Amendment (Must provide explanation in Part 3.) Date of Original Filing: Face Value of Each Ticket/Pass $ 150.00 Date(s) 01 / 17 / 15 1 1 If no: Name of Source Was ticket distribution made at the behest No ❑ Yes® If yes: Spevacek, Frank J. of agency official? Official's Name (Last, First) 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. Evans, Linda Ceremonial Role ❑ Other ® Income ❑ If checking "Ceremonial Role"or "Other' describe below: 2 Promotion of community resources and programs available to City residents including charitable and nonprofit organizations. Ceremonial Role ❑ Other © Income ❑ Franklin, Kristy lfchecking"Ceremonial Role"or"Other'describebelow., 2 Promotion of community resources and programs available to City residents including charitable and nonprofit organizations.. _ 4. Verification h e read and and PPC Regulations 18944.1 and 18942. l have verified that the distribution set forth above, is in accordance with the requirements. Frank J. Spevacek City Manager 02/11/2015 Signe re g cy Head or Designee Print Name Title (Month, bay, Year) Comment: FPPC Form 802 (4112) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-7772) Agency Report of; Ceremonial Role Lvents and Ticket/Pass Distributions Continuation Sheet MW A Public Document Agency Name City of La Quinta 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. Ceremonial Role [I Other ® Income ❑ Osborne, Lee If checking "Ceremonial Role"or "Other'descnbe below: 2 Promotion of community resources and programs available to City residents, including charitable and nonprofit organizations. Ceremonial Role C@ Other ® Income ❑ Peha, John If checking "Ceremonial Role'or"Other'describebelow., 2 Promotion of community resources and programs available to; City residents, including charitable and nonprofit organizations. Ceremonial Role ❑ Other ® Income ❑ Radi, Robert If checking "Ceremonial Role" or "Other' describe below: 2 Promotion of community resources and programs available to City residents, including charitable and nonprofit organizations. Ceremonial Role ❑ Other ❑ Income ❑ If checking 'Ceremonial Role" or `Other' describe below: FPPC Form 802 (4112) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275.7772)