2025 Palm Springs International Film Festival - Screening PassesAgency Report of:
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1.Agency Name
City of La Quinta
California 802
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 Fltlng: ______ _ (month, day, year)
2.Function or Event Information
Does the agency have a ticket policy? 500.00 Yes II No D Face Value of Each Ticket/Pass$ _______ _
Event Description: PSIFF Screening Passes Date(s) 01/02/2025 __01/13/2025
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 D No II If yes: ---....,,,,,,..,...,,....,,,--...,,.....,..,,....,,-------of/icial'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. tJse Section C to identify an outside organization.
A.Name of Agency, Department or Unit Number of Ticket(s)/ Describe the publlc purpose made pursuant to the agency's policy
Passes
Number B.Name of Individual of Tlcket(s)I Identify one of the following: (Last, First) Passes
Ceremonial Role ■Other D Income D
Evans , Linda 2 If checking "Ceramoniel Role� or "Other" describe below:
LQ Resolution No. 2009-15 Section 4
Ceremonial Role ■ other D Income D
McGarrey, Deborah 2 If checking "Ceromonlal Role� or "Other" describe below:
LQ Resolution No. 2009-15 Section 4
Name of Outside Organization Number C. of Ticket(s)f Describe the public purpose made pursuant to the agency's policy (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 :s;equirements.
L , Jon McMillan City Manager
�aAgency Head or Designee Print Name -----�li�,u�.------(month, day, year)
Commen t: _______________________________________ _
Print Clear FPPC Form 802 (212016)
FPPC Toll-Free Helpllne: 866/ASK-FPPC (8661275-3772)