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2024 Old Town Artisan Studios Fundraiser - Arts Gala Color the WorldAgency 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 Code)Phone Number E-mail 760-777-7030 1 jmcmillen@laquintaca.gov 2. Function or Event Information Does the agency have a ticket policy? Yes ■ No ❑ Face Value of Each Ticket/Pass $ Event Description: Old Town Artisan Studio Fundraiser Date(s) 011 13 / 2024 Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes ■ No ❑ If no: A Public Document For Official Use Only JAN 16 2024 CITY OF LA QUINTA ❑ Amendment (Must Provide Explanation in Part 3.) Date of Original Filing: (month, day, year) Was ticket distribution made at the behest Yes ❑ No ■ of agency official? Name of Source If yes: Official's Name (Last, First) 350.00 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 ricket(sy Describe the public purpose made pursuant to the agency's gency' policy Passes B. Name of Individual Number of 1 ssy Identify one of the following (Last Fiat) passes Ceremonial Role ❑ Other ❑ Income ❑ McMillen, Jon 2 If checking "Ceremonial Role"or "Other' describe below: LQ Resolution No. 2009-15 Section 4 Ceremonial Role ❑ Other ❑ Income ❑ If checking "Ceremonial Role"or "Other' describe below: Name of Outside Organization C. (include address and description) Number of Tleket(sjf Describe the public purpose made pursuant to the agencyrs policy 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 'th the requirements. - Jon McMillen City Manager 1 iU202 Si of Agency Head or Designee Print Name Title (month, day, y®ail Comment: FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)