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2022 LQ Art Celebration - November - Event TicketsAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions 1, Agency Name City of La Quinta Division, Department, or Region (if applicable) Designated Agency Contact (Name, Title) Jon McMillen, City Manager Area CodelPhone Number E-mail 760-777-7030 1 jmcmillen@laquintaca.gov 2. Function or Event Information Does the agency have a ticket policy? Event Description: LQ Art Celebration A Public Document RECEIVED For Officlal Use Only DEC 12 2022 CITY OF IA QUINTA 'Y Q FRK QPPARTUFAW ❑ Amendment (Must Provide Explanation In Part 3.) Date of Original Filing: Yes ■ No ❑ Face Value of Each Ticket/Pass $ Date(s) 1_j 10 / 22 Provide Titiel Explanation Ticket(s)/Pass(es) provided by agency? Yes ■ No ❑ If no: Was ticket distribution made at the behest Yes ❑ No ® If yes: of agency official? Name of Source Official's Name (Last, First) (month, day, year) 1� 13 , 22 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. Number A. Name of Agency, Department or Unit of Tlcket(s)I Describe the public purpose made pursuant to the agency's policy Passes City Manager's Staff 8 Promotion of City growth & development, tourism, and recognition , visibility and profile, nationally and Public Works Staff 15 Promotion of City growth & development, tourism, and recognition , visibility and profile, nationally and B. Name of Individual Number of Ticket(s)I Identify one of the following: (Last, First) Passes Ceremonial Role ❑ Other ❑ Income ❑ If checking "Ceremonial Role" or "Other describe below: Ceremonial Role ❑ Other ❑ Income ❑ If checking "Ceremonial Role" or "Other' describe below: Name of Outside Organization C. Number of Ticket(s)l Describe the public purpose made pursuant to the agency's policy (include address and description) Passes 4. Verification I have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance h [he requirements. JQr, McMillen City Manager 12/12/22 signature ncy Head or Designee Print Name Title (month, day, year) Comment: FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275.3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions Continuation Sheet California 802 Form A Public Document Agency Name City of La Quinta - LQ Art Celebration 30.00 tickets 3. Recipients • Use Section A to identify the agency's department or unit. • Use Section B to identify an individual. +Jse Section C to identify an outside organization. Number A. Name of Agency, Department or Unit of Ticket(s)1 Passes Describe the public purpose made pursuant to the agency's policy Community Resources Staff 8 Promotion of City growth & development, tourism, and recognition , visibility and profile, nationally and Design and Development Staff 9 Promotion of City growth & development, tourism, and recognition , visibility and profile, nationally and City Clerk Staff 4 Promotion of City growth & development, tourism, and recognition , visibility and profile, nationally and Finance Staff 9 Promotion of City growth & development, tourism, and recognition , visibility and profile, nationally and B. Name of Individual (Last, First) Number of Ticket(s)/ Passes Identify one of the following: McKinney, Bryan Ceremonial Role • Other • Income • If checking "Ceremonial Role" or "Other" describe below: Ceremonial Role • Other • Income • If checking "Ceremonial Role" or "Other" describe below: Ceremonial Role • Other • Income • If checking "Ceremonial Role" or "Other" describe below: Ceremonial Role • Other • Income • If checking "Ceremonial Role" or "Other" describe below: Name of Outside Organization C. Name (include address and description) Number Ticket(s)/ Passes Describe the public purpose made pursuant to the agency's policy Print Clear FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions Continuation Sheet California 802 Form A Public Document Agency Name City of La Quinta - LQ Art Celebration 30.00 tickets 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. Number A. Name of Agency, Department or Unit of Ticket(s)/ Passes Describe the public purpose made pursuant to the agency's policy Code Compliance/Public Safety/Animal Control Staff 7 Promotion of City growth & development, tourism, and recognition , visibility and profile, nationally and B. Name of Individual (Last, First) Number of Ticket(s)/ Passes Identify one of the following: Ceremonial Role • Other • Income • If checking "Ceremonial Role" or "Other" describe below:: Ceremonial Role IN Other il Income • If checking "Ceremonial Role" or "Other" describe below: Ceremonial Role • Other • Income • If checking "Ceremonial Role" or "Other" describe below: Ceremonial Role • Other • Income • If checking "Ceremonial Role"or "Other" describe below: C. Name of Outside Organization (include address and description) Number of Ticket(s)I Passes Describe the public purpose made pursuant to the agency's policy Print Clear FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions 1. Agency Name City of La Quinta Division, Department, or Region (if applicable) A Public Document DEC 12 2022 For Official Use Only Designated Agency Contact (Name, Title) CITY OF LA QUINIA Cl IrY CLERK DEPARTMENT Jon McMillen, City Manager ❑ Amendment (Must Provide Explanation In Part 3.) Area Code/Phone Number E-mail 760-777-7030 jmcmillen@laquintaca.gov Date of Original Filing: (month, day, year) 2. Function or Event Information Does the agency have a ticket policy? Yes ■ No ❑ Face Value of Each Ticket/Pass $ Event Description: LQ Art Celebration Date(s) 11/ 10 i 22 Provide Title/Explanation Tickets)/Pass(es) provided by agency? Yes ■ No ❑ If no: Name of Source Was ticket distribution made at the behest Yes ❑ No m 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. Number A. Name of Agency, Department or Unit of Ticket(s)l Describe the public purpose made pursuant to the agency's policy Passes Number B. Name of Individual of Ticket(s)l Identify one of the following: (Last, First) Passes Ceremonial Role Other ❑ Income ❑ Evans, Linda 1 If checking "Ceremonial Role -or "Other describe below: Promotion of City growth & development, tourism, and re( Ceremonial Role ■ Other ❑ Income ❑ Fitzpatrick, Kathleen 1 If chocking "Ceremonial Role"or"Other'describeWow., Promotion of City growth & development, tourism, and rei Name of Outside Organization Number C. (include address and description) of Ticket(s)l Describe the public purpose made pursuant to the agency's policy Passes 4. Verification have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance I rc requirements. Jon McMillen City Manager 12/12/22 SignauUr ency Hrad or Designee Pnr: Name Title (month, day, year) Comment: 156.00 11/ 13 1 22 FPPC Form 802 (212016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions Continuation Sheet California Q 02 Form v A Public Document Agency Name City of La Quinta - LQ Art Celebration 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. Number A. Name of Agency, Department or Unit of Ticket(s)/ Passes Describe the public purpose made pursuant to the agency's policy B. Name of Individual (Last, First) Number of Ticket(s)/ Passes Identify one of the following: Pena, John 1 Ceremonial Role Other • Income • If checking "Ceremonial Role" or "Other" describe below: Promotion of City growth & development, tourism, and rel Sanchez, Steve 1 Ceremonial Role Other • Income • If checking "Ceremonial Role" or "Other" describe below: Promotion of City growth & development, tourism, and rei Radi, Robert 1 Ceremonial Role Other • Income • If checking "Ceremonial Role" or "Other" describe below: Promotion of City growth & development, tourism, and rei McMillen, Jon 1 Ceremonial Role Other • Income • If checking "Ceremonial Role" or "Other" describe below: Promotion of City growth & development, tourism, and re( Name of Outside Organization C. (include address and description) Number of Ticket(s)/ Passes Describe the public purpose made pursuant to the agency's policy Print Clear FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions Continuation Sheet California 802 Form A Public Document Agency Name City of La Quinta - LQ Art Celebration 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. Number A. Name of Agency, Department or Unit of Ticket(su Passes Describe the public purpose made pursuant to the agency's policy B. Name of Individual (Last, First) Number of Ticket(su Passes Identify one of the following: McKinney, Bryan 1 Ceremonial Role 11 Other • Income • If checking "Ceremonial Role" or "Other" describe below: Promotion of City growth & development, tourism, and rei Castro, Danny 1 Ceremonial Role Other • Income • If checking "Ceremonial Role" or "Other" describe below: Promotion of City growth & development, tourism, and re Radeva, Monika 1 Ceremonial Role Other • Income • If checking "Ceremonial Role" or "Other' describe below: Promotion of City growth & development, tourism, and rel Martinez, Claudia 1 Ceremonial Role III Other • Income • If checking "Ceremonial Role" or "Other" describe below: Promotion of City growth & development, tourism, and re Name of Outside Organization C. (include address and description) Number of Ticket(s)! Passes Describe the public purpose made pursuant to the agency's policy Print Clear FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)