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2015 Humana ChallengeAgency Deport of: Ceremonial hole 8vents and Ticket/Pass Distributions 1. Agency Name City of La Quinta or Region (IfApplicable) Frank J. Spevacek, City Manager 760-777-7100 1 fspevacek@la-quinta.org 2. Function or Event Information Does the agency have a ticket policy? Yes ® No ❑ Event Description Humana Challenge Provide Title/Explanation 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 $ Date(s) I 19 f 15 Ticket(s)/Pass(es) provided by agency? Yes ❑ No ❑ If no: Name of Source 950.00 and 237.50 25 f 15 Was ticket distribution made at the behest No ® Yes ❑ If yes: of agency official? Official's Narne (Last, First) 3. Recipients 0 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. City Manager's DepartmentI ( Promotion of City growth & development; tourism; and 1 recognition, visibility & profile locally, nationally and internationally. Evans, Linda Ceremonial Role [I Other Z Income ❑ If checking "Ceremonial Role' or "Other" describe below: 2 Promotion of City growth & development; tourism; and recognition, visibility & profile locally, nationally and internationally. Ceremonial Role ❑ Other © Income ❑ Franklin, Knsty If checking "Ceremonial Role" or"Other' describe below., 2 Promotion of City growth & development; tourism; and recognition, visibility & profile locally, nationally and internationally. I have read and understan F C Regulations 18944,1 and 18942. / have verified that the distribution set forth above, is in accordance with the requirements. Frank J. Spevacek City Manager 02/11/2015 Signa Head or Des +ee Print Name Title (Month, Day, Year) Comment: FPPC Form 802 (4/12) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-7772) Agency Report of: Ceremonial Role rEvents and Ticket/Pass Distributions California Frm 802 Continuation sheet o 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 organisation. .YNurrt t° 1 m� t t � � rof e �De��ri6e}tFie , �.� z, x �.rs as w " a ; puirr pui�iosemade pursuant to the agency s policy K `i C.'�X� ✓ Z Z B '%: �.. aS i 2.:. � 7•. . � 5€,� deyi M -i6 f' r C t o SV""?sS�i�y P ins a r a h r Ident)lfpione 4f the t�ol(owingt f Ceremonial Role ❑ Other ® Income ❑ Osborne, Lee 2 lfchecking'Ceremonial Role"or"Other'describebelow: Promotion of City growth & development; tourism; and recognition, visibility & profile locally, nationally and internationally. Pena, John 2 Ceremonial Role ❑ Other ® Income ❑ Ifchecking"Ceremonial Role"or'Other"describe below: Promotion of City growth & development; tourism; and recognition, visibility & profile locally, nationally and internationally. Radi, Robert 2 Ceremonial Role ❑ Other ® Income ❑ Ifchecking 'Ceremonial Role* or"Other"describebelow., Promotion of City growth & development; tourism; and recognition, visibility & profile locally, nationally and internationally. Ceremonial Role ❑ Other ❑ Income ❑ If checking 'Ceremonial Role"or "Other' describe below: ✓, r�¢ r z g _ 6ix'r �' 2 3 @ "2vA)��.�.'�+i i .xa 4 �/x� 6 N: ✓a. ,r� � nC� '`L y 5 � : a ,rE'� j � ✓ u��eal�pil3fl�u�p i m� Pursuant to�the ageri�y'a pbllCy FPPC Form 802 (4/12) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-7772)