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2025 Palm Springs International Film Festival - Opening NightAgency 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 Date Stamp California 802 Form For Official Use Only D Amendment (Must Provide Explanation in Part 3,) 760-777-7030 jmc millen@laquintaca.gov Date of Original Filing:--,--....,--,-­(month, day, year) 2.Function or Event Information 130.00 Does the agency have a ticket policy? Yes II No □Face Value of Each Ticket/Pass$ _______ _ Event Description: PSIFF Opening Night Movie Date (s) 01/02/2025 __ Provide Title/ Explanation Ticket(s)/Pass(es) provided by agency? Yes D No II If no: Palm Springs International Film Festival Name of Source Was ticket distribution made at the behest Yes □ No II 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. llse 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 B. Name of Individual Number of Tlcket{s)I Identify one of the following: (Last, First) Passes Ceremonial Role ■ Other D Income 0 Evans, Linda 2 ff checking "Ceremonial Role� or "Other" describe bafow; LQ Resolution No. 2009-15 Section 4 Ceremonial Role ■ other D Income D McGarre y, Deborah 2 If chocking "Coromonlaf Rote� or "Other" describe below: LQ Resolution No. 2009-15 Section 4 Name of Outside Organization Number c. of Tlcket(s)/ Describe the public purpose made pursuant to the agency's pollcy (Include address and description) Passes 4.Verification I have read and understand FPPC Regulations 18944. 1 and 18942. I have verified that the distribution set forth above, is in accordance with the requirements. � � r I'--• Jon McMillan City Manager � Agency Head or Designee Print Name -----"""""'TI",tl;-e------(month, day, year) Comment: _______________________________________ _ Print Clear FPPC Form 802 (212016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)