2023 LQ Art Celebration - March - Event TicketsAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of La Quinta
, Department, or Region (if applicable)
(Name,Tille)
Jon McMillen, City Manager
760-777-7030 J jmcmillen@laquintaca.gov
2. Function or Event Information
Does the agency have a ticket policy?
Event Description: LQ Art Celebration
Provide Tft/e/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ❑ No
A Public Document
Date Stamp Californiae
Form
•
RECEIVED For Official Use Only
MAR 212023
orrY of LA ou *
CITY CLERK DEPARTMENT
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Yes ® No ❑ Face Value Of Each Ticket/Pass $
Date(s) 03/02/2023
If no: SCOPE Events
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes: Official's Name (Last. First)
of agency official?
156.00
03/05/2023
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.
Number
A. Name of Agency, Department or Unit of Ticket(s}1 Describe the public purpose made pursuant to the agency's policy
Passes
Name of Individual Number
B. ofTickegs)l Identify one of the following:
(Last, Firsf) Passes
Ceremonial Role ® Other ❑ Income ❑
Evans, Linda 1 If checking 'Ceremonial Role"or'Other'describebelow.,
LQ Resolution No. 2009-15 Section 4
Ceremonial Role ® Other ❑ Income ❑
Pena, John 1 If checking 'Ceremonial Role"or"Ofhar"describe below:
LQ Resolution No. 2009-15 Section 4
C. Name of Outside Organization Number.
of Ticket(s)l Describe the public purpose made pursuant to the agency's policy
(include address and description) Passes
4. Verification
1 have read and understand FPPC Regulations 18944.1 and 18942. i have verified that the distribution set forth above, is in accordance
wit a requirements.
Jon McMillen City Manager
Signature of Agency Head or Designee Print Name Title _...__ (month, day, year)
Comment:
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 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 Ticket(s)i
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last, First)
Number
of Ticket(sy
Passes
Identify one of the following:
Fitzpatrick, Kathleen
1
Ceremonial Role other ❑ Income ❑
If checking 'Ceremonial Role' or'other` descdbe below:
LQ Resolution No. 2009-15 Section 4
Sanchez, Steve
1
Ceremonial Role ® Other ❑ Income ❑
if checking "Ceremonial Role' or'Other' descdbe below.,
LQ Resolution No. 2009-15 Section 4
McGarrey, Deborah
1
Ceremonial Role N other ❑ Income ❑
If checking 'Ceremonial Role"or'other descdbe below.
LQ Resolution No. 2009-15 Section 4
McMillen, Jon
1
Ceremonial Role N Other ❑ Income ❑
If checking 'Coremonial Role"or "otherdescdbe below.
LQ Resolution No. 2009-15 Section 4
Name of Outside Organization
C. g
(include address and description)
Number
of ricket(s)1
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of La Quinta
or
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: LQ Art Celebration
A Public Document
Date Stamp
RECEIVED I For Official Use Only
ypq % 12023
Ctt'r OF to f1U1NiA
qTy t t ERK .PAFIT W
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Yes ® No ❑ Face Value of Each Ticket/Pass $
Date (s)03/02/2023
Provide Tillel Explanation
Ticket(s)/Pass(es) provided by agency? Yes ❑ No
Was ticket distribution made at the behest Yes ❑ No
of agency official?
If no: SCOPEEvents
!Name of Source
If yes: Official's (Name (Last, first)
03/05/2023
3. Recipients
• Use Section Ato 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, g y. Department or Unit of Ticket(s)l Describe the public purpose made pursuant to: the agency's policy
Passes
City Manager 14 LQ Resolution No. 2009-15 Section 4
Commun
12
LQ Resolution No. 2009-15 Section 4
number
B. Name of Individual of ncket(s)/ Identify one of the following:
(Last, First) Passes
Ceremonial Role ❑ Other ❑ Income ❑
It checHng'Ceremonial Role' or'Other'describebelow;
Ceremonial Role ❑ Other ❑ Income ❑
If checking Toremonial Role' cr "Other' describe below:
Number
Name of Outside Organization
C. of Ticket(s)1 Describe the public purpose made pursuant to the agency's policy
(include address and description) passes
4. Verification
1 ha ead and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requi
won McMillen City Manager
Signature of Agency Head or Designee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275.3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
Agency Name
City of La Quinta
A Public Document
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)t
Passes
Describe the pubiicpurpose made pursuant to the agency's policy
Finance
10
LQ Resolution No. 2009-15 Section 4
Public Works
10
LQ Resolution No. 2009-15 Section 4
Public Safety
5
LQ Resolution No. 2009-15 Section 4
Design and Development
24
LQ Resolution No. 2009-15 Section 4
B. Name of Individual
(Last, First) .
Number.
of Ticket(sy
Passes
Identify one of the following:
Ceremonial Role ❑ Other ❑ Income ❑
If checking "Coromonlat Role" or °Other" describe below:
Ceremonial Role ❑ other ❑ Income ❑
If checking "Ceremonial Role"or "Other" describe below:
Ceremonial Role ❑ Other ❑ Income ❑
ff checking "Ceremonial Role"or "Ofher" describe below.,
Ceremonial Role ❑ Other ❑ Income ❑
If checking 'Ceremonial Rolo'or-Ofher describe below.,
Name of Outside Organization
C,
(Include address and description)
Number
of Tleket(s)l
passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Art Celebration March 2-March 5, 2023 -- Continued
Name of Individual, Agency,
Department or Unit
Number of
Tickets)/Passes
Describe the public purpose made pursuant to the agency's
policy
City Clerk
4
LQ Resolution No. 2009-15 Section 4