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2015 Riverside County Fair & National Date FestivalAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document of La Quinta Frank J. SDevacek. Citv Ma 777-7100 I have read and understand FPPC RgWiations 18944.1 and 18942. 1 havw—verijied that the distribution set forth, is in accordance with the requirements. California Form 802 Signature of Agency Heed or Designee = .'� �" — --- 0dritName' Frank J. Spevacek Title City Mana rr Month, Day Year 13/9/2015 2. Function or Event information Does the agency A. B. C. Ticket(s)/Pass(es) Was ticket distribution have ticket policy Face Value of each Event Description Name of Outside provided by Agency? made at the behest of If yes, list Name of Official (YIN) Ticket/Pass (Provide Title/Explanation) Event Date(s) (Y/N) If no, list Name of Source agency official? (YIN) (Last, First) Number of Riverside County Fair & Feb. 13-22, Ticket(s)/ (Ceremonial Role, "Ceremonial Role" or (Include address and Yes $9.00 Nat. Date Festival 2015 Yes (Last, First) Pass(es) Other, or Income) 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.) A. B. C. Identify one of the Name of Outside Number of following: Description of Organization Number of Describe the public purpose made Name of Individual Ticket(s)/ (Ceremonial Role, "Ceremonial Role" or (Include address and Number of Describe the public purpose made Name of Agency, Department or Unit Ticket(s)/ Pass(es) pursuant to the agency's policy (Last, First) Pass(es) Other, or Income) "Other" description) Ticket(s)/ Pass(es) pursuant to the agency's policy City Manager's Department Promotion of City -Sponsored Other Promotion of City - 2 Community Event Evans, Linda four Sponsored Community Event City Clerk's Department Promotion of City -Sponsored Osborne, Lee ten Other Promotion of City - 3 Community Event Sponsored Community Event Community Services Department Promotion of City -Sponsored Pena, John four Other Promotion of City - 2 Community Event Sponsored Community Event Community Development Promotion of City -Sponsored Radi, Robert five Other Promotion of City - Department 9 Community Event Sponsored Community Event Public Works Department Promotion of City -Sponsored 8 Community Event FPPC Form 802x(2012) FPPC Toll -Free Helpline: 866/ASK-FPPC www.fppc.ca.gov Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document of La Quinta 760-777-7100 California Form 802 Designated Agency Contact "" (Name, rale> Frank J. Spevacek, City Manager EmaiC fspevacek@la-quinta.or I have read and understand FPPC Reaulations 18944.1 and -1-8942. I have verified that the distribution set fnrth_ is in arrardanrp with the rPnWrPmPntc signature` of Agency Head: or, - Designee-.PrintName Frank J. Spevacek Title City Manage Montri; Day, Year, 13/9/2015 2. Function or Event Information Does the agency Ticket(s)/Pass(es) Was ticket distribution have ticket policy Face Value of each Event Description provided by Agency? made at the behest of If yes, list Name of Official (Y/N) Ticket/Pass (Provide Title/Explanation) Event Date(s) (Y/N) If no, list Name of Source agency official? (Y/N) (Last, First) Riverside County Fair & Feb. 13-22, Yes $9.00 Nat. Date Festival 2015 Yes 3. Recipients: (Use Section A tolidentify the agency's department or unit. Use Section B to identify an individual Use Section C to identify an outside organization.) A. B. C. Identify one of the Name of Outside Number of following: Description of Organization Number of Describe the public purpose made Name of Individual Ticket(s)/ (Ceremonial Role, "Ceremonial Role" or (Include address and Number of Describe the public purpose made Name of Agency, Department or Unit Ticket(s)/ Pass(es) pursuant to the agency's policy (Last, First) Pass(es) Other, or Income) "Other" description) Ticket(s)/ Pass(es) ,pursuant to the agency's policy Finance Department Promotion of City -Sponsored 3 1 Community Event FPPC Form 802x (2012) FPPC Toll -Free Helpline: 866/ASK-FPPC www.fppc.ca.gov