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2016 BNP Paribas Open Tennis TournamentAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document California Form 8021 If Amendment -.Date of Original Filing Month, Day, Year) 1. Agency Name City of La Quinta Division, Dept. or Region Area Code/Phone (KApplicable) Number 760-777-7030 Designated Agency Contact (Name, Title) Frank J. Spevacek Email ispevacek@la-guinta.org I have read and understand FPPC Regula ions 18944.1 and 1P.9Q. I have verified that the distribution set forth, is in accordance with the requirements. Signature of Agency Head or Designee Print Name Frank J. Spevacek Title City Mana (er Month, Day, Year 4/25/2016 2. Function or Event Information Does the agency C. Name of Agency, Department or Unit Number of Ticket(s)/ Pass(es) Tickets)/Pass(es) Name of Individual (Last, First) Was ticket distribution Identify one of the following: (Ceremonial Role, Other, or Income) have ticket policy Face Value of each Event Description Describe the public purpose made pursuant to the agency's policy provided by Agency? 2 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) Franklin, Kristy 2 other same as above Yes $161.00 2016 BNP Paribas Open Tennis 3/7 to 3/20/16 Yes No 3. Recipients (Use Section A to identify the agency's department or unit. Use Section B to identify an individual. Use Section C to identifv an outside oraanization.) A. B. C. Name of Agency, Department or Unit Number of Ticket(s)/ Pass(es) Describe the public purpose made pursuant to the agency's policy Name of Individual (Last, First) Number of Ticket(s)/ Pass(es) Identify one of the following: (Ceremonial Role, Other, or Income) Description of "Ceremonial Role" or "Other" Name of Outside Organization (Include address and description) Number of Ticket(s)/ Pass(es) Describe the public purpose made pursuant to the agency's policy City Manager's Department 2 Promotion of City growth & development; tourism; and recognition, visibility and profile locally, nationally and internationally Evans, Linda 2 other Promotion of City growth & development; tourism; and recognition, visibility and profile locally, nationally and internationally Franklin, Kristy 2 other same as above Radi, Robert 2_ other_ -same Osborne, Lee 2 _ other _asabove same as above John Pena 2 other same as above i 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 California Form 80?1 If Amendment - Date of Original Filing (Month, Day, Year) 1. Agency Name City of La Quinta Division, Dept. or Region Frank J.5pevacek Area Code/Phone City Manager (If Applicable) 4/25/2016 Number 760-777-7030 Designated Agency Contact (Name, Tale) Frank J. Spevacek Email' ispevacek@la-quinta.org I have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth, is in accordance with the requirements. Signature of Agency Head or Designee Does the agency Print Name Frank J.5pevacek Title City Manager Month, Day, Year, 4/25/2016 2. Function or Event Information Does the agency B. C. Number of Describe the public purpose made Name of Agency. Department or Unit Ticket(s)/ Pass(es) , pursuant to the agency's policy Ticket(s)/Pass(es) Name of Outside Organization (Include address and description) 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 Dates) (Y/N) If no, list Name of Source agency official? (Y/N) (Last, First) Yes $161.00 2016 BNP Paribas Open Tennis 3/7 to 3/20/16 Yes No 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. Number of Describe the public purpose made Name of Agency. Department or Unit Ticket(s)/ Pass(es) , pursuant to the agency's policy Identify one of the Number of following: Description of Name of Individual Ticket(s)/ (Ceremonial Role, "Ceremonial Role" or (Last, First) Pass(es) Other, or Income) "Other" Name of Outside Organization (Include address and description) Number of Describe the public purpose made Ticket(s)/ Pass(es) pursuant to the agency's policy I FPPC Form 802x (2012) FPPC Toll -Free Helpline: 866/ASK-FPPC www.fppc.ca.gov