2010 Sinatra Starkey Hearing Foundation Golf TournamentTickets Provided by
Agency Report
1. Agency Name
City of La Quinta
Division, Department, or Region (if applicable)
jtreet Aaaress
78-495 Calle Tampico
lrea Code/Phone Number
A Public Document
760-777-7100 1 tgenoves@la-quinta.org
4gency Contact (name and title)
Date Stamp
TICKETS PROVIDED BY
AGENCY REPORT
For Official Use Only
❑ Amendment (Must explain in Part 5.)
Date of Original Filing: (month, day, year)
Thomas P. Genovese, City Manager
2. Event For Which Tickets Were Distributed
Date(s) of Event: 02 f 19 1 10 Description of Event: Sinatra Starkey Hearing Foundation Golf Tournament
02 t 20 1 10 Face Value of Ticket: $ 10.00
Agency Event ❑ Yes 0 No (Identify source of tickets below.)
Name of Outside Source of Ticket(s) Provided to Agency: Sinatra Starkey Hearing Foundation Golf Tournament
Number of Tickets Received: 28 Ticket(s) Provided to Agency: ❑x Gratuitously ❑ Pursuant to Contract
3. Agency Officials) Receiving Ticket(s) (use a continuation sheet for additional names)
Name of Official Number State Whether the Distribution is Income to the Official or
(Last, First) I of Tickets I Describe the Public Purpose for the Distribution
Lopez, Michelle 1 8
Maysels, Susan 1 4
No income. Promotion of charitable organization
No income. Promotion of charitable organization
4. Individual or Organization Receiving Ticket(s) (Provided atthe behest of an agency official.)
Name of Behesting Agency Official:
Name of Individual or Organization:
Description of Organization:
Thomas P. Genovese, City Manager
Sinatra Starkey Hearing Foundation Tourney
supports the Barbara Sinatra Children's Center
Address of Organization: 39000 Bob Hope Drive
Number and Street
Rancho Mirage
City
Purpose for Distribution: (Describe the public purpose for the distribution to the organization.)
Promotion of community program and charitable organization
Number of Tickets: 28
CA 92270
State Zip Code
5. Verification
ve do
e
r
in t the distribution of tickets set forth above is in accordance with the provisions of FPPC Regulation 98944.1.
Thomas P. Genovese City Manager 02-18-10
r11,221 gnature of Agency Head or Designee Print Name Title (month, day, year)
Comment: (Use this space or an attachment for any additional information including amendment explanation.)
FPPC Form 802 (Feb/09)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)