2023 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 (irapplicable)
uesignated Agency Gontact (P1ame,Title)
Jon McMillen, City Manager CI
Area CodelPhone Number E-mail
760-777-7030 jmcmillen@laquintaca.gov
2. Function or Event Information
Does the agency have a ticket policy?
Event Description: LQ Art Celebration
A Public Document
REOBVED , California;
rm
DEC 0 5 2023 For Official Use Only
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) 11 1, 17 / 2023
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
1� 19 1 2023
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 Tlcket(s)l
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Tickst(s)1
Identify one of the following:
(Last, First)
Passes
Ceremonial Role Other ❑ Income ❑
Evans. Linda
1
If checking 'Ceremonial Role"or"Other"describebelow:
LQ Resolution No. 2009-15 Section 4
Ceremonial Role E Other ❑ Income ❑
Sanchez, Steve
1
If checking "Ceremonial Role" or "Other" describe below:
LQ Resolution No. 2009-15 Section 4
Name of Outside Organization
C. (include address and description)
Number
of Ticket(sy
Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
I have read and understand FPPC Regulations 18944.1 and 18942. l have verified that the distribution set forth above, is in accordance
with the requirements. _
1 �/ y /u
� Jon McMillen City Manager
ftnature of Agency Head or Designee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Agency Report of: 'California 80211
Ceremonial Role Events and Ticket/Pass Distributions 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 Sectlon 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
Identify one of the following:
B. Name of Individual
(Last, First)
Number
of Ticket(s)l
Passes
Pena, John
1
Ceremonial Role Other ❑ Income ❑
If checking "Ceremonial Role" or "Other" describe below:
LQ Resolution No. 2009-15 Section 4
Fitzpatrick, Kathleen
1
Ceremonial Role Other ❑ Income ❑
If checking "Ceremonial Role" or "Other" describe below:
LQ Resolution No. 2009-15 Section 4
McGarrey, Deborah
1
Ceremonlal Role N Other ❑ Income ❑
If checking "Ceremonial Role" or "Other" describe below:
LQ Resolution No. 2009-15 Section 4
McMillen, Jon
1
Ceremonial Role N Other ❑ Income ❑
If checking "Ceremonial Role" or "Olher' describe below:
LQ Resolution No. 2009-15 Section 4
C. Name of Outside Organization
(include address and description)
Number
of Ticket(sy
Passes
Describe the public purpose made pursuant to the agency's policy
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 A Public Document
1. Agency Name
City of La Quinta
Division, Oepartment, or Region (ifapplicable) DEC 0 5 2023 For Official Use Only
Designated Agency Contact (Name, Titie)
CITY OF LA QUINTA
CrrY
CLERK DEPARTMENT
Jon McMillen, City Manager
❑ Amendment (Must Provide Explanation in Part 3 )
Area CodelPttane Number E-mail
760-777-7030 jmcmillen@laquintaca.gov
Date of Original Filing:
(month, day, year)
2. Function or Event Information
30.00
Does the agency have a ticket policy? Yes ■ No ❑ Face Value of Each Ticket/Pass $
Event Description: LQ Art Celebration Nov. 2023 Date(s)
111 17 r 2023 11 t 19 1 2023
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 ■ 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 S to identify an individual. Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Ticket(s)I
Describe the public purpose made pursuant to the agency's policy
Passes
City Manager
LQ Resolution No. 2009-15 Section 4
11
Community Servicves
LQ Resolution No. 2009-15 Section 4
6
B. Name of Individual
Number
of Tlcket(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. (Include address and description)
Number
of Tickags)I
Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
I have read and understand FPPC Regulations 18944.1 and 16942. l have verified that the distribution set forth above, is in accordance
with the requirements.
_ Jon McMillen City Manager
Sigrk"of Agency Head or Designee Print Name The (rrnnih, dby,, year)
Comment:
FPPC Form 802 (212016)
FPPc Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Agency Report of: California 802
Ceremonial Role Events and Ticket/Pass Distributions 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.
Number
A. Name of Agency, Department or Unit
of Tlcket(s)l
Passes
Describe the public purpose made pursuant to the agency's policy
Public Safety/Code Compliance
12
LQ Resolution No. 2009-15 Section 4
City Clerk
6
LQ Resolution No. 2009-15 Section 4
Planning/Building
19
LQ Resolution No. 2009-15 Section 4
Public Works
17
LQ Resolution No. 2009-15 Section 4
B. Name of Individual
(Last First)
Number
of Tlcket(s)/
Passes
Identify one of the following:
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.
(Include address and description)
Number
of rs)/
Passe
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
LQ Art Celebration Nov. 2023 — Continued
Name of Agency, Department or
Unit
Number of
Ticket(s)/Passes
9
Describe the public purpose made pursuant to the agency's
policy
Finance
LQ Resolution No. 2009-15 Section 4