2023 LQ Art Celebration - March - Event TicketsAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document -------"'!""--------------------------------1. Agency Name California 802 City of La Qui nta
Division, Department, or Region (if applicable)
Designated Agency Contact (Name, Title)
Jon McMillan, City Manager
Area Code/Phone Number E-mail
Date Stamp
Form
For Official Use Only
D Amendment (Must Provide Explanation in Part 3.)
760-777-7030 jmcmillen@laquintaca.gov Date of Original FIiing: ------(month, day, year)
2.Function or Event Information
Doe s the agency have a ticket policy?
Event Description: LQ Art Celebration
Yes ■ No □156.00 Face Value of Each Ticket/Pass $ _______ _
Date(s) 03/02/2023 __03/05/2023
Provide Title/ Explanation
Ticket(s)/Pass(es) provided by agency? Yes □ No ■If no: _S....,..C_O_P_E_E_v_e_n_ts ___________ _
Name of Source
Was ticket distribution made at the behest Yes D No ■If yes: -----,,_.,.,-....,,___,.......,. _______ _ Official's Name (Last, FirsQ of agency official?
3.Recipients
•Use Section A to identify the agency's department or unit. • Use Section B to identify an individual. tlse Section C to identify an outside organization.
A.
B.
• Name of Agencyi �epartm�nt or Unit·••·.·.
· ..... Naill� oUndi;ldual
(Last, First) ·.
Evans, Linda
Pena, John
c. ·Name of Outside Organi:zatlon. · .. •·· (include address and description)•·
4.Verification
�f�:::�)/ · . Describe the publl� purpose m�de pursuant to the agency's policy · •· •Passes··
•Number·· .. ·of Tlcket(s)I .··Passes
1
1
Ceremonial Role ■ Other D Income D
If checking •ceremoniel Role" or 'Other" describe below:
LQ Resolution No. 2009-15 Section 4
Ceremonial Role ■ other D Income D
If checking •ceromonlal Role" or 'Other" describe below:
LQ Resolution No. 2009-15 Section 4
<•••·of�:::(�)/•·· .. ··. '·Describe the publlc purpo11� made pu�oant to the agency's policy·····
····· ·Passes
I have read and understand FPPC Regulations 18944. 1 and 18942. I have verified that the distribution set forth above, is in accordance
w,�riequirements.
__/.., r----___Jon McMillan City Manager -------=""'"" _____ _ --Signature of Agency Head or Deslgnee Print Name litle (month, day. year)
Comment: _______________________________________ _
Print Clear FPPC Form 802 (2/2016) FPPC Toll•Free Helpllne: 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, Department, or Region (if applicable)
Designated Agency Contact (Name, Title)
Jon McMillan, City Manager
Area Code/Phone Number E-mail
760-777-7030 jmcmillen@laquintaca.gov
2.Function or Event Information
Date Stamp California 802 Form
For Official Use Only
D Amendment (Must Provide Explanation In Part 3.)
Date of Original FIiing: --,-...,.,.-=----.(month, day, year)
30.00 Does the agency have a ticket policy?Yes ■ No □ Face Value of Each Ticket/Pass $ _______ _
E vent Description: LQ Art Celebration Date(s) 03/02/2023 __
Providr, Tille/ Explanation
03/05/2023
Ticket(s)/Pass(es) provided by agency? Yes □ No ■ If no: _S_C_O_P_E_E_v_e_n_ts ___________ _
Name of Soun;e
Was ticket distribution made at the behest Yes □ No ■ If yes: -------.,.,..,...,,..-.--...,....-----------oflic:iat'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.
A.
City Manager
Community Services
B.
c.
· . Name oflndlvldual •
· (Last,. First) . · · · · ·
Name of Outside Organization . ·(Include address and description).··
4.Verification
: Number
· • . of .Ticket(s )/
Passes ·
14
12
.:· · Number ...
· of Ticket(s)/ ·
. Passes.·
Number of Tlcket(s}I
· · ·Passes··
LQ Resolution No. 2009-15 Section 4
LQ Resolution No. 2009-15 Section 4
.. Jdentify one <>ftlle following:
Ceremonial Role D Other D Income D
If chocking •ceromonis/ Role' or "Other' describe below:
Cr,remonial Role D Other D Income D
If chocking 'Coromonial Rola' or "Other' describe below:
.iDescrlbethe public purpose made pui'suantto the agency•s pollcy
I d UQderstand FPPC Regulations 18944. 1 and 18942. I have verified that the distribution set forth above, is in accordance
WJ
Signature of Agency Head or Designee
on McMillen City Manager
Print Name litle (month, day, year)
Comment: ________________________________________ _
Print Clear FPPC Form 802 (2/2016)
FPPC Toll-Free Helpllne: 866/ASK-FPPC (866/275,3772)