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2017 Desert Oasis Music Festival1. Agency Name City of La Quinta DMsion, Dept. or Region (If Applicable) Designated Agency Contact IName, Title) Frank J. SpeVacek 1 have read and understand FPPC Re ulartions V44.1 Signature: of Agency Head or ` Agency Report of: Ceremonial Rale Events and Ticket/Pass Distributions A Public Document Area lerl760-777-7030 1 have verified that the distribution set forth, is in accordonce with the Print Name Frank J. 5p Month, Day, Year 11�8�2017 If Amendment - Date of original Filing (Month, Day, Year) 2. Function or Event Information Does Ine agency Ticket(s)Mass(es) Was ticket di slribut ian have ticket policy Face Value of each Event Description provided by Agency? made at the behest of If yes, list Name of official (YIN) TickeYPass {provide Title/Explanation I Event Date(s) (YIN) If no, list Name of Source agency_officialP (YIN) (Last, First) Desert Oasis Music Yes $105.00 Festival 10/6 & 10/7 Yes 3. Recipients {Use Section A to identify the agency's depa1lment or unit. Use Section B to identify an individual. Use Section C to identify an outside arganixation.} A. B. C. Identify one of the Name of putslde Number of following: Description of organization Number of Describe the public purpose made Name of Individual Ticket(s)I (Ceremonial Role, "Ceremonial Role" or (Inciude address and Number of Describe the public purpose made Mame of Agency, Department or Unit Ticket(s)1 Passes} pursuant to the agency's policy (Last, First) pass(es) other, or Income} "Other, descr[plion] Ticket(sN Pass(as) Dursuani to the aaencv's oolicv Design & Development Dept. Facilities Department Community Resources Dept Promotion of community 46 event, tourism and Coachella Valley recognition Promotion of community 30 event, tourism and Coachella Valley recognition Promotion of community 7$ event, tourism and Coachella Valley recognition FPPC Form 802x(2022) FPPC Toll -Free Helpline: 866/ASK•FPPC www.fppe.ca.gov 1. Agency Name City of La Quinta Division, Dept. or Region (If Applicable) Designated Agency Contact (Name. Titley Frank J. 5pevacek I have read and understand FPPC lations 18944.1 Signature of Agency Head or Designee Title City Manager Agency Report of: Ceremonial Role Events and TicketlPass Distributions A Public Document Area 760-777-7030 I If Amendment - Date of Original Filing (Month, day, Year) Email I Is peva ce k CCU la -p u t I have verified that the distribution set forth, is in accordance with the requirements. Print Name Frank 1. 5peva cek Month, bay, Year 11/8/2017 2. Function or Event Information Does the agency Tick%syPass(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 Off pal (YIN) _Ticket Pass (Provide TinelExpianation) Event Oate(s) (YIN) If no, list Name of Source aganCy �clal? {YINI (Last, First) Desert Oasis Music Yes $105.00 Festival 11716 & 10J7 Yes 3. Recipients (Use Section A to identify the agencys department or unit Use Section 13 to identify an individual, Use Section C to identify an outside organization.) A. B. C. Identify one of the Name of Outside Number dl following: Description of Organization Number of Describe the public purpose made Name of Individual Ticket(s)I (Ceremonial Role, "Ceremonial Rale" or (Include address and Number of Describe the public purpose made Name of Agency, Department or Unit Ticket(s)I Pass(es) pursuant to the agency's policy (Last. First) Passes) Other, or Income) "Other' description) Ticket(s)/Pass(es) pursuant to the agency's policy City Clerk Department Promotion of community 6 event, tourism and Coachella Valley recognition Finance Department Promotion of community 12 event, tourism and Coachella Valley recognition City Manager's Department Prompt vi community 14 event, tourism and Coachella Valley recognition FPPC Form 802x (2012) FPPC Toll -Free Helpline: 866/ASK-FPPC www.fppc.ca.gov