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2022 LQ Art Celebration - March - Event TicketsAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions 1. Agency Name City of La Quinta Dl�ision, Department, orReglon (lfappllcable) Designated Agency Contact (Name, rills) Jon McMillen, City Manager 760-777-7030 1 imemillen@laquintaca.gov 2. Function or Event Information Does the agency have a ticket policy? Event Description: LQ Art Celebration A Public Document REOEWE : Mi MAR 101022 1 For OHlcfal Use Only CITY OF LA ❑ Amendment (Must Provide Explanation in Part 3.) Date of Original Filing: (month, day, year) Yes ■ No ❑ Face Value of Each Ticket/Pass $ __ Date(s) 03 1 03 r 22 Provide Tlfle/Explanation Ticket(s)/Pass(es) provided by agency? Yes ■ No ❑ If no: Name of Source 25 DO 03 . 06 . 22 Was ticket distribution made at the behest Yes ❑ No ■ If yes: Ofrtdal's Name (Lest, First) of agency official? 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(sl/ Describe the public purpose made pursuant to the agency's policy Pas"" City Manager Staff 8 Promotion of City growth &development; tourism; and recognition, visibility and profile, nationally and internationally Public Works Staff 5 I Promotion of City growth & development; tourism; and recognition, Il visibility and profile, nationally and internationally B. Name of Individual (Last, First) C. Name of OuWds organization (Include address and description) Number of Tlckat(sy Passes Identify one of:the following: Ceremonial Role ❑ Other ❑ Income ❑ Uchecking "Ceremaniai Role' or "Other describe below: Ceremonial Role ❑ Other ❑ Income ❑ If checking Ceremonial Role"ar'01her" describe below.' Number of Tickegojl Describe the public purpose made pursuant to the agency's policy Pass as 4. Verification 1 have read and understand FPPC Regulations 18944.1 and 18942. l have verified that the distribution set forth above, is in accordance av ments ,. _ lcMillen City Manager Si (Agency Head or Oesigree Print Name Title (month, day, year) Comment: FPPC Form 802 (212016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866127"772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions Continuation Sheet California 802 Form A Public Document Agency Name 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)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 internationally Design and Development Staff 9 Promotion of City growth & development; tourism; and recognition, visibility and profile, nationally and internationally City Clerk Staff 2 Promolion of City growth & development; tourism; and recognition, visibility and profile, nationally and internationally Finance Staff 9 Promotion of City growth & development; tourism; and recognition, visibility and profile, nationally and internationally B. Name of Individual (Last, First) Number of Tlcketlajl Passes Identify one of the following: Ceremonial Role 0 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 III Income ■ If checking "Ceremonial Role" or "Other" describe below: Ceremonial Role 1 Other II Income ❑ If checking "Ceremonial Role" or "Other" describe below: C. Name of Outside Organization (include address and description) Number of Ticket(s)1 Passes Describe the public purpose made pursuant to the agency's policy Print Clear FPPC Form 802 (212016) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions Continuation Sheet California 802 Form A Public Document Agency Name 3. Recipients • Use Section A to identify the agency's department or unit. • Use Section 8 to identify an individual. Use Section C to identify an outside organization. Number A. Name of Agency, Department or Unit of Tlcket(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 internationally B. Name of Individual (i_ast, First) Number of Tlckettsu Passes Identify one of the following: Ceremonial Role • Other • Income • If checking "Ceremonial Role" or "Other' describe below: Ceremonial Role 0 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. (include address and description) Number of Tirket(a)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) Designated Agency Contact (Name, Title) Jon McMillen, City Manager CI Area Code/Phone 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 READ 9�0* For Official Use Only MAR 10 ZOZZ CITY OF LA QUINTA ❑ Amendment (Must Provide Explanation In Part 3.) Date of Original Filing: (month, day, year) Yes ■ No ❑ Face Value of Each Ticket/Pass $ Date(s) 03 if 03 / 22 Provide Title/ Explanation Ticket(s)/Pass(es) provided by agency? Yes ■ No ❑ If no: Name of Source Was ticket distribution made at the behest Yes ❑ No ■ If yes: Official's Name (Last, First) of agency official? 156.00 03 1 06 / 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. A. Name of Agency, Department or Unit Number of Ticket(s)f Passes Describe the public purpose made pursuant to the agency's policy B. Name of Individual (Last, First) Number of Ticket(s)f Passes Identify one of the following: Evans, LlijeAC), 1 Ceremonial Role ® Other ❑ Income ❑ If checking "CeremonialRole"or"Other" describe below: Fitzpatrick, Kathleen 1 Ceremonial Role I■ Other ❑ Income ❑ Ifchecking"Ceremonial Role" or"Otherdescribe below: Name of Outside Organization C. (include address and description) Number of Ticket(s)I Passes Describe the public purpose made pursuant to the agency's policy 4. Verification I have read and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance uirements. Jon McMillen nalure of Agency Head or Designee Print Name isle (month, day, year) Comment: FPPC Form 802 (212016) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions Continuation Sheet California 802 Form A Public Document Agency Name 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: Sanchez, Steve 1 Ceremonial Role Other • Income • If checking "Ceremonial Role" or "Other" describe below: Radi, Robert 1 Ceremonial Role II Other • Income • If checking "Ceremonial Role" or "Other" describe below: McMillen, Jon 1 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)1 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)