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2023 Old Town Artisan Studios Fundraiser - Arts Gala Color the WorldAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions Public Document 1. Agency Name City of La Quints M Divislon, Department, or Region (ifappilrable) ,BAN 1 8 2023 11IFlorofAdaluseonry Designated Agency Contact (Name,Ti7te) CITY OF LA OUINTA Jon McMillen, City Manager Ci PARTMEN ElAmendment (Must Provide Explanation in Part 3.) Area CodelPhone Number E-mail 760-777-7030 imcmillen@laquintaca.gov Data of Original Filing: (month, day, year) 2. Function or Event Information Does the agency have a ticket olio Face Value of Each Ticket/Pass $ 300.00 9 Y policy? Yes No Event Description: Old Town Artisan Studios Fundraiser Date(s) 011 14 / 23 1 Provide Tdle/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: of agency official? Official's Name (Last, First) 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. A. Name of Agency, Department or Unit Number of Ticket(s)I Describe the public "purpose made Pursuant to•the agency's policy Passes B. Name of individual Number of Ticke4(s)T Identify one of lire following: 04 Fu3t) Passes Ceremonial Role Other ❑ Income ❑ McMillen, Jon 2 - Role•or'OMerdwmbebelow.. Promotion of City growth Adevelppmenr tourism; and recognition, visibility and proft natlonal#y and intemationaily Ceremonial Rple LJ ❑tYer rccme ffdmcking Ceremonial bole' or VMer describe below: Name of outside Organ izatlon C. (include address and description) ['lumber of rcket(sp DescrWe#* pubac purpose made pursuant to the agencyFs policy Passes 4. Verification I have read and understand FPPC Regulations 16944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance uirements. Jon McMillen 7,5;': City Manager 01/18/23 of Agency Head�10..ae Pnnt Name Tice (month, day, year) Comment: FPPC Form 802 (212016) FPPC Toll -Free Helplins: 866/ASK-FPPC (8661275-3772)