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2024 Riverside County Fair & National Date FestivalAgency Report of: Coerfionial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name Date Stamp City of La Quinta RECEIVED 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? Event Description; _Riverside County Fair Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes ❑ No ■ Yes ■ No ❑ For Official Use Only APR 17 2024 OTY OF LA QUINTA C TY CLERK DEPAM-MBJT ❑ Amendment (Must Provide Explanation in Part 3.) Date of Original Filing: (month, day, year) Face Value of Each Ticket/Pass $ Date(s) 02 J, 16 / 24 If no: Pickering Ffents Name of Source 20.00 021 25 / 24 Was ticket distribution made at the behest Yes ❑ No ■ If yes: Official's Name (Last, 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(s)i Describe the public purpose made pursuant to the agency's policy Passes City Manager 9 LQ Resolution No. 2009-15 Section 4 Finance LQ Resolution No. 2009-15 Section 4 7 Number B. Name of Individual of Ticket(s)/ 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: Number Name of Outside Organization (,, g of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy (include address and description) Passes 4. Verification l have read and understand FPPC Regulations 18944.1 and 18942. l have verified that the distribution set forth above, is in accordance with tl'0L.�;quirements. � �� �h Jon McMillen City Manager Siff Agenov Head or Designee _,.=== Print Name Title (m nth, day, year) Comment: FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Agency Report of: Ma • A" Ceremonial Role Events and Ticket/Pass Distributions 0 ° 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. tise Section C to identify an outside organization. Number A. Name of Agency, Department or Unit of Ticket(s)l Passes Describe the public purpose made pursuant to the agency's policy Design & Development $ LQ Resolution No. 2009-15 Section 4 Community Services 16 LQ Resolution No. 2009-15 Section 4 Public Works 8 LQ Resolution No. 2009-15 Section 4 City Clerk 3 LQ Resolution No. 2009-15 Section 4 B, Name of Individual (Last, Ffrstj Number of Ticket(s)f: Passes Identify one of the following: Ceremonial Role ❑ Other ❑ Income ❑ ff checking "Ceremonial Rola" or "Other describe below. - Ceremonial Role ❑ Other ❑ Income ❑ If checking 'Ceremonial Role"or -OtheY descdbo below., Ceremonial Role ❑ Other ❑ Income ❑ ff 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 Ticket(s)1 Passes Describe the public purpose made pursuant to the agency'spolicy FPPC Form 802 (212016) FPPC Toll -Free Nelpline: 8661ASK-FPPC (866/275-3772) Riverside County Fair —Continued Name of Individual,Agency, Department or Unit Number of Tickets)/Passes Describe the public purpose made pursuant to the agency's policy Public Safety/Code 4 LQ Resolution No. 2009-15 Section 4