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2012 La Quinta Arts Festival - Artists Awards ReceptionAgency Report of: Ceremonial Role Events and Ticket/Admission Distributions Agency Name City of La Quinta Division, Department, or Region (if a! Street Address 78-495 Calle Tampico Designated Agency Contact (Name,Ti Mark Weiss, Interim City Manager Area Code/Phone Number E-mail _ 7620-777-7100 1 mweiss@la-quinta.org 2. Function, Event, or Ceremonial Role Information Title 2012 La Quinta Arts Festival Date Stamp A Public Document For Official Use Only ❑ Amendment (Must provide explanation in Part 3.) Date of Original Filing: (month, day, year) Face Value of Each Admission $ 25.00 Description Artists Awards Reception Date(s)-22—J08 12 I J Ticket(s)/Admission(s) provided by agency? Yes 0 No ❑ If no: La Quinta Arts Foundation Name of Source Was the distribution to persons identified below made at the behest of an agency official? Yes ❑ No Q 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)l 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 organization. Yes ❑ Income see attached No ❑ ❑ Yes ❑ Income No ❑ ❑ Yes ❑ Income No ❑ ❑ Yes ❑ Income No ❑ ❑ Yes ❑ Income No ❑ 1 ❑ 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. E _v4— ---. Mark Weiss Interim City Manager 04-05-12 Signature of Agency Head or Designee Print Name Title (month, day, year) Com meat: (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 La Quinta Arts Festival Artists Appreciation Event) 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 a City -sponsored community program, promotion of City tourism, and promotion of City recognition. 3. Agency Officials Receiving Tickets; $25 Last Name First Name Title Number of Wickets Adolph Don Mayor 2 Henderson Mayor Pro Tem 2 Franklin _Terry Kristy Council Member 2 Evans Linda Council Member 2 Osborne Lee Council Member 2 ....Engel Heather Community Services Commissioner 1 Fitzpatrick Kathleen Community Services Commissioner 1 Blakeley Sharrell Community Services Commissioner 1 Lawrence Michelle Community Services Commissioner 1 Leidner Robert Community Services Commissioner 1 Hylton Edie Community Services Director 1 Howlett Steve Golf/Park Landscape Manager 1 Ceja Eric City Staff 1