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2011 Riverside County Fair & National Date FestivalAgency Report of: Ceremonial Role Events and Ticket/Admission Distributions 1. Agency Name City of La Quinta Division, Department, or Region (if applicable) 78-495 Calle Tampico, La Quinta, CA 92253 Designated Agency Contact (Name, Title) Thomas P. Genovese, City Manager Area CodelPhone Number �igenoves@la-quinta.org -mail 760-777-7100 2. f=unction, Event, or Ceremonial Role Information Title 2011 Riverside County Fair Description A Public Document „DatStamp,, • • ' • • For Official Use Only FFB 2 2 2011 diy( 1p 4UINiA I `''r'. MANhCEN 5 Upf ❑ Amendment (Must provide expfanation in Part 3.) Date of original Filing: (month, day, year) Face Value of Each Admission $ 8.00 Date(s) 118 1 11 � 27 1 11 Ticket(s)/Admission(s) provided by agency? Yes ❑ No Il If no: Riverside County EDA Name of Source Was the distribution to persons identified below made at the behest of an agency official? Yes ❑ No p If yes: Official's Name (Last, First) and Title The identity of recipient(s) and the explanation: Name • Check the income box if the agency official claims admission as (Last, First) Number of Agency taxable income. If the agency official performed a ceremonial role, or Admission(s)t Official also provide a description. Organization Ticket(s) • If not income, describe the public purpose, including (Name, Address, Description) ceremonial rotes, performed by an agency official, individual, or or anization. Yes ❑ Income see attached No ❑ ❑ Yes ❑ Income No ❑ ❑ Yes ❑ Income No ❑ ❑ Yes ❑ Income No ❑ ❑ Yes ❑ Income No ❑ ❑ 3. Verification I have read and understand FPPC Regulations 18944.1 and 98942. t have verified that the distribution of admissions, set forth above, is in accordance with the p visions. i Thomas P. Genovese City Manager 02/22/2011 Signature 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 (2/11) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) California Form 802 -- Attachment (2011 Riverside County Fair & National Date Festival) State below whether the Distribution is Income to the Official or Describe the Public Purpose for the distribution: No income. Public purpose for the distribution is for promotion of City -sponsored community program. 3. Agency Officials Receiving Tickets: (ticket value - $8.00175 received) Last Name First Name Title Number of Tickets Evans Linda Mayor Pro Tem 4 Ferry Council Member 4 _Henderson Franklin Kristy Council Member 2 Plumlee Bret Assistant City Manager —M.S. 2 Johnson Les Planning Director 2 Jonasson Tim Public Works Director 2 Montecino Veronica City Clerk 2 Casillas Maria Economic Dev, Project Manager 1 Cululi-Weaver Ann Management Analyst 1 Lord Mason City Staff 1 Ce'a Eric City Staff 1 Frane Karen City Staff 1 Orrantia Vianka City Staff 1 Mantilla Sandra City Staff 1 Ortiz Anna City Staff 1 Titone Alma City Staff 1 Fischer Kim City Staff 1 Larson Tustin City Staff 1 Wilson Jean City Staff 1 Ambriz Robert City Staff 1 Fuson Paul City Staff 1 Guereque Angela City Staff 1 Juarez Phillip City Staff 1 Lafond Lori Staff 1 Lopez Michelle ...City City Staff 1 Pearl Debra City Staff 1 Maysels Susan City Staff 1 Khatami Stephanie City Staff 1 Kirkland Kirk City Staff 1 Sanchez Tommi City Staff 1 Yu Amy City Staff 1 Calderon Christina City Staff 1 Doran Caroline City Staff 1 Wyman Shell.ey. City Staff 1 Villalpando Gilbert City Staff 1 Castaneda Ruben City Staff 1 Hamilton Scott City Staff 1 Cabrera Adolfo City Staff 1 Kochell Steve City Staff 1 Gonzales Beto City Staff 1 Rodriguez Alberto City Staff 1 Martinez Alex City Staff 1 Batten Tire City Staff 1 Radeva Monika City Staff 1 Wise -Latta Wanda City Staff 1 Mendoza Missy City Staff 1 Rodarte Moises City Staff 1 Traxel Steve City Staff 1 Hensel Kay City Staff 1 Gunterson Kris City Staff 1 Valenzuela Daniel City Staff 1 Manley Phyllis City Staff 1 Blondell Krystena City Staff 1 Sto€anovici Toma City Staff 1 Lopez Yolanda City Staff 1 Morris Michael City Staff 1 Zarco Angelica City Staff 1 Misuraca Jackie City Staff 1 Guzman Hector City Staff 1 Moreno Anthony City Staff 1 Munoz George City Staff 1 Nieto Pam City Staff 1 Franco Yvonne City Staff 1 Alvarado Raphael City Staff 1 California Form 802 - Attachment (2011 Riverside County Fair & National Date Festival) continued page 2