2011 Restaurant WeekAgency Report of:
Ceremonial Role Events and
Ticket/Admission Distributions
Agency Name
City of La Quinta
Division, Department, or Region (if applicable)
ress
78-495 Calle Tampico, La Quinta, CA 92253
Designated Agency Contact (Name, Title)
Thomas P. Genovese, City Manager
Area CodelPhone Number E-mail
760-777-7100 1 tgenoves@la-quinta.org
2. f=unction, Event, or Ceremonial Role Information
Title 2011 Restaurant Week
Description Certificates for Dinner for Two
A Public Document
Date -Stamp. cawornia oij
Form •
g For Official Use Only
15 2011 `=
rilY Of LA 4UNTA
❑ Amendment (Must provide explanation in Part 3.)
Date of Original Filing:
(month. day, year)
Face Value of Each Admission $ 24.00 & $34.00
Date(s) 6 _-_ f 3 1 11 6/121 11
Ticket(s)/Admission(s) provided by agency? Yes ❑ No I] If no: PSDB Convention & Visitors Authority
Name of Source
Was the distribution to persons identified below made at the behest of an agency official?
Yes ❑ No p If yes:
Official's Name (Last, First) and Title
The identity of recipient(s) and the explanation:
Name
• Check the income box if the agency official claims admission as
(Last, First)
Number of
Agency
taxable income. If the agency official performed a ceremonial role,
orAdmission(s)1
Official
also provide a description.
Organization
Ticket(s)
• If not income, describe the public purpose, including
(Name, Address, Description)
ceremonial roles, performed by an agency official, individual, or
organization.
Yes
p
Income
Henderson, Terrry
2
No
❑
Promotion of business activity within the City
❑
Yes
Income
Evans, Linda
2
No
❑
Promotion of business activity within the City
❑
Yes
p
Income
Franklin, Kristy
2
No
❑
Promotion of business activity within the City
❑
Yes
Q
Income
Adolph, Don
2
No
[3Promotion
of business activity within the City
❑
Yes
❑
1
Income
No
❑
❑
3. Verification
I have read and understand FPPC Regulations 18944.1 and 18942. i have verified that the distribution of admissions, set forth above,
is in accordance with the pCovisions.
Thomas P. Genovese City Manager 06/15/2011
Signature of Agency Head or Designee Print Name Title (month, day, year)
Comment: (Use this space or an attachment for any additional information including amendment explanation.)
FPPC Form 802 (2111)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)