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2013 Humana ChallengeAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions 1. Agency Name City of La Quinta Division, Department, or Region (IfApplicable) Wanda P. Wise -Latta Area Code/Phone Number E-mail 760-777-7030 wlatta@la-quinta.org 2. Function or Event Information Does the agency have a ticket policy? Yes N No ❑ Event Description Humana Challenge Provide Title/Explanation Date Stamp A Public Document For Official Use Only ❑ Amendment (Must provide explanation in Part 3.) Date of Original Filing: Face Value of Each Ticket/Pass $ Date(s)1/ 14 / 13 Ticket(s)/Pass(es) provided by agency? Yes N No ❑ If no: Name of Source 1 , 20 , 13 Was ticket distribution made at the behest No ❑ Yes ❑ If yes: of agency official? Official's Name (Last, First) 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. Adolph, Don Ceremonial Role El Other N Income ❑ If checking "Ceremonial Role" or "Other" describe below: 2 Promotion of City growth and development; tourism; and recognition, visibility and profile on local and national level. Ceremonial Role ❑ Other N Income ❑ Henderson, Terry If checking"Ceremonial Role" or"Other" describe below: 2 Promotion of City growth and development; tourism; and recognition, visibility and profile on local and national level. FPPC Form 802 (4/12) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-7772) Agency Report of: California Ceremonial Role Events and Ticket/Pass Distributions8021 Form Continuation Sheet A Public Document Agency Name City of La Quinta 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. FPPC Form 802 (4112) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-7772) Ceremonial Role ❑ Other © Income ❑ Franklin, Kristy 2 Ifchecking"Ceremonial Role" or"Other"describebelow., Promotion of City growth and development; tourism; and recognition, visibility and profile on local and national level. Ceremonial Role ❑ Other © Income ❑ Osborne, Lee 2 If checking "Ceremonial Role"or"Other"describebelow., Promotion of City growth and development; tourism; and recognition, visibility and profile on local and national level. Ceremonial Role ❑ Other ® Income ❑ Evans, Linda 2 Ifchecking"Ceremonial Role"or"Other" describe below: Promotion of City growth and development, tourism; and recognition, visibility and profile on local and national level. Ceremonial Role ❑ Other ❑ Income ❑ If checking "Ceremonial Role"or "Other" describe below: - FPPC Form 802 (4112) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-7772)