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2014 Humana ChallengeAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions 1. Agency Name City of La Quinta I Wanda P. Wise -Latta or Region (IfApplicable) 760-777-7030 1 wlatta@la-quinta.org 2. Function or Event Information Does the agency have a ticket policy? Yes ❑x 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 / 16 / 14 Ticket(s)/Pass(es) provided by agency? Yes ® No ❑ If no: 850.00 Name of Source 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 ❑ Other ❑X 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 © 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. 4. Verification I have read nd understaP��gulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance with the requirements. PPP re ofAi7 He r Designee% Print Name I Title (Month, Day, Year) Comment: FPPC Form 802 (4/12) FPPC Toll -.Free Helpline: 866/ASK-FPPC (866/275-7772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions California 802 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. Ceremonial Role ❑ Other ❑X Income ❑ Franklin, Krlsty If checking "Ceremonial Role"or"Other"describebelow., 2 Promotion of City growth and development; tourism; and recognition, visibility and profile on local and national level. Ceremonial Role [I Other ® Income ❑ Osborne, Lee 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 ® Income ❑ Evans, Linda 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 ❑ Income ❑ If checking "Ceremonial Role" or "Other' describe below: FPPC Form 802 (4112) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-7772)