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2012 Humana Challenge - Golf TournamentAgency Report of: Ceremonial Role Events and Ticket]Admission Distributions Agency Name City of La Quinta or s 78-496 Calle Tampico, La Quinta, CA 92253 Designated Agency Contact (Name,Title) Mark Weiss, Interim City Manager Area Code/Phone Number I E -mai 760-777-7100 _ 1 mweiss@la-quinta.org 2. Function, Event, or Ceremonial Role Information Title 2012 Humana Chall Description Golf Tournament A Public Document Date Sta FEB 1 3 2012 I J ��IirQF{+4;;IMIA , ;iAG;R S OFT For Official Use Only ❑ Amendment (Must provide explanation in Part 3.) Date of Original Filing: (month, day, year) Face Value of Each Admission $ see attached Date(s) 01 16 12 01 22 22 / 12 Tickets)/Admission(s) provided by agency? Yes ❑ No 0 If no: Humana Challenge Marne of Source Was the distribution to persons identified below made at the behest of an agency official? Yes ❑ No ❑ 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, °r Admission(s)/ Official also provide a description. Organization Ticket(s) • If not Income, describe the public purpose, including (Name, Address, Description) ceremonial roles, performed by an agency official, individual, or or anlzat€on. Yes ❑ Income see attached No ❑ ❑ Yes ❑ Income No ❑ ❑ Yes ❑ Income No ❑ ❑ Yes la Income No ❑ ❑ Yes ❑ Income No ❑ ❑ 3. Verification I have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution of admissions, set forth above, is in accordance with the provisions. YlC'k t� Mark Weiss Interim City Manager 02/13/2012 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 (2111) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) California Form 802 — Attachment (2012 Humana Challenge Golf Tournament) No income. Public purpose for the distribution of the tickets is for the promotion of The Humana Challenge; City recognition; growth and development; and tourism. 3. Receiving Tickets: Last Name First Name Title Ticket Value Number of Tickets Adolph Don Mayor $650 2 Henderson Terry Mayor Pro Tem $650 2 (did not use) Franklin Kristy Council Member $650 2 Evans Linda Council Member $650 2 Osborne Lee Council member $650 2 Franklin Kristy Council Member $25 3 Jonasson Tim Director of Public Works/City Eng. $25 2 Hylton Edie Director of Community Services $25 3 Gray Richard ALRD Member $25 2 McCune Kevin ALRC Member $25 2 Rooker Ray ALRC Member $25 2 Engel Heather Community Services Commission $25 2 Fitzpatrick Kathleen Community Services Commission $25 2 Blakeley Sharrell Communit Services Commission $25 2 Lawrence Michelle Community Services Commission $25 2 Leidner Robert Community Services Commission $25 2 Puente Maria Historic Preservation Commission $25 2 Redmon Peggy Historic Preservation Commission $25 2 Sharp Archie Historic Preservation Commission $25 2 Wilbur Allan Historic Preservation Commission $25 2 La Rocca Teresa Housing Commission $25 2 Leidner Su Housing Commission $25 2 Dorsey Pam Housing Commission $25 2 Blum Frank Investment Advisor Board $25 2 Park David Investment Advisor Board $25 2 Donais Jennifer Investment Advisory Board $25 2 Spirtos Andrea Investment Advisor Board $25 2 Mortenson Kurt Investment Advisory Board $25 2 Alderson Edward Piannin Commission $25 2 Barrows Katie Planning Commission $25 2 Wright Robert Planning Commission $25 2 Weber Mark Planning Commission $25 2 Wilkinson Robert Planning Commission $25 2 Moreno Anthony City Staff $25 1 Alvarado Raphael City Staff $25 1 Arellano Augustine City Staff $25 1 Batten Tim City Staff $25 1 Cabrera Adolfo City Staff $25 1 Castaneda Ruben City Staff $25 1 Gonzales Beto City Staff $25 1 Hamilton Scott City Staff $25 1 Kochell Steve City Staff $25 1 Martinez Alex City Staff $25 1 Pecina Demetrio City Staff $25 1 Rodriguez Alberto City Staff $25 1 Wimmer Ed City Staff $25 1 Sawyer David Staff $25 1 Guzman Hector -..City City Staff $25 1 Lafond Lori City Staff $25 1 Hess Paul City Staff $25 1 Radeva Monika Cit Staff $25 1 Franco Yvonne City Staff $25 1 Deerin er Terry City Staff $25 1 Cululi-Dixon Ann City Staff $25 1 Conrad Debra City Staff $25 1 Mancilla Sandra City Staff $25 1 Guereque Angela CjtV Staff $25 1 Lopez Michelle City Staff $25 1 Howlett Steve City Staff $25 1 Nieto Pare City Staff $25 1 Morris Michael; City Staff $25 1 Zarco Angelica City Staff $25 1 Vella-Finorio Therese City Staff $25 1 Wilson Jean City Staff $25 1 Villalpando Gilbert City Staff $25 1 Larson Tustin City Staff $25 1 Lord Mason City Staff $25 1 Mendoza Missy City Staff $25 1 Campos Carlos City of Coachella $25 4