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2025 Riverside County Fair & National Date FestivalAgengy Report of: Ceremonial Role Events and Ticket/Pass Distributions 1. Agency Name City of La Quinta , Department, or Region (if applicable) Designated Agency Contact (Name, Title) Jon McMillen, City Manager Area Code/Phone Number I 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 ❑ Was ticket distribution made at the behest Yes ❑ No ■ of agency official? A Public Document Date Stamp RECEIVED For Official Use Only FEB 2 8 2025 CITY OF LA QUINTA CITY CLERK DEPARTMENT ❑ Amendment (Must Provide Explanation in Part 3.) Date of Original Filing: (month, day, year) Face Value of Each Ticket/Pass $ 18.00 Date(s) 02 I 13 / 2025 03 i 02 / 2025 If no: Pic lering Events Name of Source If yes: _ Offi'cial's Name (Last, First) 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. Name of Agency, Department or Unit Number of Ticket(s)l Describe the public purpose made pursuant to the agency's policy Passes B. Name of Individual (Last, First) Number of Ticket(s)l Passes Identify one of the following: Ceremonial Role E Other ❑ Income ❑ Pena, John 4 lfchecking"Ceremonial Role" or"Otherdescribebelow. LQ Resolution No. 2009-15 Section 4 Ceremonial Role 0 Other ❑ Income ❑ Radeva, Monika 2 If checking 'Ceremonial Role" or"Other" describe below. LQ Resolution No. 2009-15 Section 4 Name of Outside Organization C. g (include address and description) Number of Ticket(s)/ Passes Describe the public purpose made pursuant to the agency's policy 4. Verification / have read and understand FPPC Regulations 18944.1 and 18942. l have verified that the distribution set forth above, is in accordance wiffi the requirements. Jon McMillen City Manager Sigwatbre of Agency Head or Designee Print Name Title (month, y, year) Comment: FPPC Form 802 (212016) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions Continuation Sheet Agency Name City of La Quinta California 802 Form 3. Recipients • Use Section A to identify the agency's department or unit. • Use Section H to identify an individual. Use Section C to identify an outside organization. Number A. Name of Agency, Department or Unit of Ticket(s}1 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: Yslas, Delores 4 Ceremonial Role Other ❑ Income ❑ If checking 'Ceremonial Role' or'Oiher describe below: LQ Resolution No. 2009-15 Section 4 Camerena, Reyna 4 Ceremonial Role ® Other ❑ Income ❑ It checking 'Commonlal Role- or'Othet- describe below: LQ Resolution No. 2009-15 Section 4 Hernandez, Susie 4 Ceremonial Role ® Other ❑ Income ❑ If checking Ceremonial Role'ar'Ofher'descffbebelow: LQ Resolution No. 2009-15 Section 4 Bustamante, Mark 4 Ceremonial Role ® Other ❑ Income ❑ if checking 'Ceremonial Role'or'Othef describe below: LQ Resolution No. 2009-15 Section 4 zaton Name of Outside Organization C. (include address and description) Number of Ticket(sy passes Describe the public purpose made pursuant to the agency's policy FPPC Form 802 (212016) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Riverside County Fair Tickets 2/13/25-3/02/25 — Continued Name of Individual, Agency, Department or Unit Number of Tickets)/Passes Describe the public purpose made pursuant to the agency's policy Tania Flores 4 LQ Resolution No. 2009-15 Section 4 Adam Viramontes 4 LQ Resolution No. 2009-15 Section 4 Caroline Doran 4 LQ Resolution No. 2009-15 Section 4 Armando Magallon 4 LQ Resolution No. 2009-15 Section 4 Taylor Tuvell 4 LQ Resolution No. 2009-15 Section 4 Brandy Jimenez 4 LQ Resolution No. 2009-15 Section 4