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2020 American Express Golf Tournament - Day Tickets - B/C & Staff1. Agency Name Division, Dept or Region (If Applicable) Designated Agency Contact (Name, Title) 1 have read and understand Signature of Agency Head or Designee Title Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document City of La Quinta Jon McMillen, Area Code/Phone Number 760-777-7030 Email imcmillen@lai 18944.1 and 18942. 1 have verified that the distribution set forth, is in accordance with the requirements. ..� Print Name Jan McMillen Month, Day, Yearl 2/6/2020 I If Amendment - Date of original Filing (Month, Day. Y.a►) 2/6/2020 2. Function or Event Information Does the agency Ticket(syPass(es) Was ticket distribution have ticket policy Face Value of each Event Description provided by Agency? made at the behest of if yes, list Name of Official (Y/N) TickeUPass (Provide Title/Explanation) Event Date(s) (Y/N) If no, list Name of Source agency official? (Y/N) Last, First yes $35/$50 American Express 1/15-1/19/20 yes No 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. B. C. Identify one of the Name of Outside Number of following: Description of Organization Number of Describe the public purpose made Name of Individual Ticket(s)i (Ceremonial Role, "Ceremonial Role" or (Include address and Number of Describe the public purpose made Name of Agency, Department or Unit Ticket(sy Pass(es) pursuant to the agency's policy (Last, First) Pass(es) Other, or Income) "Other" description) Ticket(s)/ Pass(es) pursuant to the agency's policy Planning Commission Promotion of City growth and Mary Caldwell Other development; tourish; and recognition, visibility and profile on a local, national and worldwide scale Planning Commission Promotion of City growth and development; tourish; and recognition, visibility and profile on a local, national and worldwide scale Michael Proctor I iOther Promotion of City growth and development; tourish; and recognition, visibility and profile on a local, national and worldwide scale Promotion of City growth and development; tourish; and recognition, visibility and profile on a local, national and worldwide scale FPPC Form 802x (20I2) FPPC Toll -Free Helpline: 866/ASK-FPPC www.fppc.ca.gov Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document I IIIAmendment - Date of Original Filing (Month, Day. Yea►) 1. Agency Name City of La Quinta Division, Dept or Region Area Code/Phone (If Applicable) Number 760-777-7030 Designated Agency Contact (Name, Title) Jon McMillen, City Manager I Email imcmillen@lacluintaca.gov I have read and understand FPPC Reg ulo0ons 18944.1 and 18942. 1 have verified that the distribution set forth, is in accordance with the requirements. Signature of Agency Head or Designee Print Name Jon McMillen Title City Manager Month, Day, Year 1 2/6/2020 2. Function or Event Information Does the agency Tickets)/Pass(es) Was ticket distribution have ticket policy Face Value of each Event Description provided by Agency? made at the behest of If yes, list Name of Official (YIN) Ticket/Pass (Provide Title/Explanation) Event Date(s) (YIN) If no; list Name of Source agency official? (YIN) Last, First yes $35/$50 American Express 1/15-1/19/20 yes No 2/6/2020 3. Recipients (w,- Section A to identify the agencys department or unit Use Section B to identify an individual Use Section C to identrty an outside organization.) A. B. C. I Identify one of the Name of Outside Number of following: Description of Organization Number of Describe the public purpose made Name of Individual Ticket(s)/ (Ceremonial Role, "Ceremonial Role" or (Include address and Number of Describe the public purpose made Name of Agency, Department or Unit Ticket(s)/ Pass(es) pursuant to the agency's policy (Last, First) Pass(es) Other, or Income) "Other' description) Ticket(sy Pass(es) pursuant to the agency's policy Planning Commission Kevin McCune Other Promotion of City growth and development; tourish; and 1 recognition, visibility and profile on a local, national and worldwide scale Planning Commission Philip Bettencourt Promotion of City growth and development; tourish; and 1 recognition, visibility and profile on a local, national and worldwide scale Planning Commission development; tourish; and recognition, visibility and orofile on a local. national and Other Stephen Nieto I Other Promotion of City growth and development; tourish; and recognition, visibility and profile on a local, national and worldwide scale Promotion of City growth and development; tourish; and recognition, visibility and profile on a local, national and worldwide scale Promotion of City growth and development; tourish; and recognition, visibility and profile on a local, national and worldwide scale FPPC Form 802x(2012) FPPC Toll -Free Helpline: 866/ASK-FPPC www.fppc.ca.gov Agency Report of: Ceremonial• Role Events and Ticket/Pass Distributions A Public Document 1. Agency Flame lCfty of La Quinta Division, Dept or Region Area Code/Phone (If Applicable) Number 760-777-7030 Designated Agency Contact (Name, Title) Jon McMillen, City Manager Email imcmillen@lal 1 have read and understand IFPPCReaulations 18944-1 and 18942. 1 have verified that the distribution set forth. is in accordance with the reauirements. It Amendment - Date of original Filing (Month. Day, Y«►) 2/6/2020 Signature of Agency Head or Designee Tole � Print Name Jon McMillen City Manager D Year Month, ay, 2/6/2020 2. Function or Event Information Does the agency Ticket(s)/Pass(es) Was ticket distribution have ticket policy Face Value of each Event Description provided by Agency? made at the behest of If yes, list Name of Official (Y/N) Ticket/Pass (Provide Title/Explanation) Event Dates) (YIN) If no, list Name of Source agency official? (Y/N) (Last, First) yes $35/$50 American Express 1/15-1/19120 yes No 3. Recipients (Use Section A to identify the agencys department or unit. Use Section B to identify an individual. Use Section C to identify an outside organization) A. B. C. Identify one of the Name of Outside Number of following: Description of Organization Number of Describe the public purpose made Name of Individual Ticket(s)I (Ceremonial Role, "Ceremonial Role" or (Include address and Number of Oesuibe the public purpose made Name of Agency Department or Unit Ticket(s)/ Pass(es) pursuant to the agency's policy (Last, First) Pass(es) Other, or Income) "Other" description) Ticket(s)/ Pass(es) pursuant to the agency's policy Community Serivices Commission Promotion of City growth and Gail Biondi development; tourish; and recognition, visibility and profile on a local, national and Housing Commission Promotion of City growth and Gias Casto development; tourish; and recognition, visibility and profile on a local, national and Housing Commission Promotion of City growth and Michelle development; tourish; and McDonough recognition, visibility and profile on a local, national and Promotion of City growth and development; tourish; and recognition, visibility and profile on a local, national and worldwide scale Promotion of City growth and development; tourish; and recognition, visibility and profile on a local. national and worldwide scale Other Promotion of City growth and development; tourish; and recognition, visibility and profile on a local, national and worldwide scale FPPC Form 802x(2012) FPPC Toll -Free Helpline: 866/ASK-FPPC www.fppc.ca.gov Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name I City of La Quinta Division, Dept or Region Area Code/Phorm (If Applicable) Number Designated Agency Contact (Name, Tine) Jon McMillen, City Manager Email 1 have read and understand FPPC kegulations 18944.1 and 18942. 1 have verified that the distribution set forth, is in accordance with the I Signature of Agency Head or 777-7030 Designee I � 1 Print Name Jon McMillen City Manager Month, Day, Year 2/6/2020 If Amendment - Date of Original Filing (North, Day, Yew) 2/6/2020 2 Function or Event Information Does the agency Ticket(s)/Pass(es) Was ticket distribution have ticket policy Face Value of each Event Description provided by Agency? made at the behest of If yes, list Name of Official (Y/N) Ticket/Pass (Provide Title/Explanation) Event Date(s) (YIN) If no, list Name of Source agency official? (Y/N) (Last, First) yes $35/$50 American Express 1/15-1/19/20 yes No 3. Recipiertts (Use Section A to identity the agencys department or unit. Use Section B to identify an individual. Use Section C to identify an outside organization.) A. B. C. Identify one of the Name of Outside Number of following: Description of Organization Number of Describe the public purpose made Name of Individual Ticket(s)/ (Ceremonial Role, "Ceremonial Role" or (Include address and Number of iDeanrihe the public purpose made Name of Agency Department or Unit Ticket(s)/ Pass(es) pursuant to the agency's policy (Last, First) Pass(es) Other, or Income) "Other" description) Ticket(s)/ Pass(es) I pursuant to the agency's policy City Clerk's Office Staff Promotion of City growth and development; tourish; and 6 recognition, visibility and profile on a local, national and worldwide scale Community Resources Department Staff Promotion of City growth and development; tourish; and 60 recognition, visibility and profile on a local, national and worldwide scale Promotion of City growth and development; tourish; and recognition, visibility and profile on a local, national and worldwide scale Promotion of City growth and development; tourish; and recognition, visibility and profile on a local. national and worldwide scale FPPC Form 802x (2012) FPPC Toll -Free Helpline: 866/ASK-FPPC www.fppc.ca.gov Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name City of La Quinta Division, Dept or Region (ff Applicable) Designated Agency Contact (Name, Title) Jon McMillen, City Manager Email imcmillenl 1 have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth, is in accordance with the requirements. Signature of Agency Head or I t:t Title nager Area 760-777-7030 Print Name Jon McMillen Month, Day, Ii amendment - Date of original Filing (Month. Day. Yw►) 2. Function or Event Information Does the agency Ticket(syPass(es) Was ticket distribution have ticket policy Face Value of each Event Description provided by Agency? made at the behest of If yes, list Name of Official (YIN) Ticket/Pass (Provide Title/Explanation) Event Date(s) (WIN) If no, list Name of Source agency official? (Y/N) tLast,. First) yes $35/$50 American Express 1/15-1/19/20 yes No 3. Recipients ( Use Section A to identifv the aaencv s department or unit. Use Section B to identifv an individual. Use Section C to identify an outside organization.) 2/6/2020 A. B. C. Identify one of the Name of Outside Number of following: Description of Organization Number of Describe the public purpose made Name of Individual Ticket(s)/ (Ceremonial Role, "Ceremonial Role" or (Include address and Number of 17"glb0 the public purpose made Name of Agency, Department or Unit Ticket(s)/ Pass(es) pursuant to the agency's policy (Last, First) Pass(es) Other, or Income) "Other' description) Ticket(s)/ Pass(es) pursuant to the agency's policy Design & Development Dept Staff her Promotion of City growth and development; tourish; and Promotion of City growth and development; 32 recognition, visibility and tourish; and recognition, visibility and profile profile on a local, national and on a local, national and worldwide scale worldwide scale Other Public Works/Engineering Promotion of City growth and development; tourish; and Promotion of City growth and development; 50 recognition, visibility and tourish; and recognition, visibility and profile profile on a local, national and on a local, national and worldwide scale worldwide scale City Manager's Office Staff Promotion or city growth and Other Promotion of City growth and development; 20 development; tourish; and tourish; and recognition, visibility and profile recognition, visibility and on a local, national and worldwide scale profile on a local, national and FPPC Form 802x 12012) FPPC Toll -Free Helpline: 866/ASK-FPPC www.fppc.ca.gov Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name ICity of La Quinta If Amendment - Date of Original Filing (Month, Day, Year) 2/6/2020 Division, Dept or Region Area Code/Phone (If Applicable) Number 760-777-7030 Designated Agency Contact (Name, Title) Jon McMillen, City Manager Email mCmlllen la uintaca. ov I have read and understand Fill"PCBeaulations 18944.1 and 18942. 1 have verified that the distribution set forth, is in accordance with the requirements. Signature of Agency Head or Designee ' Print Name Jon McMillen Tine City Manager Month, Day, Year 2/6/2020 2. Function or Event information Does the agency Ticket(syPass(es) Was ticket distribution have ticket policy Face Value of each Event Description provided by Agency? made at the behest of If yes, list Name of Official (Y/N) Ticket/Pass (Provide Title/Explanation) Event Date(s) (YIN) If no, list Name of Source agency official? (YIN) No (Last, First) yes $35/$50 American Express 1/15-1/19/20 yes 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. B. C. Identify one of the Name of Outside Number of I following: Description of Organization `I Number of Describe the public purpose made Name of Individual Ticket(s)/ t (Ceremonial Role, "Ceremonial Role" or (Include address and Number of (Describe the public purpose made Name of Agency, Department or Unit Ticket(s)/ Pass(es) pursuant to the agency's policy (Last, First) Pass(es) Other, or Income) "Other' description) Ticket(s)/ Pass(es) PI pursuant to the agency's policy Finance Dept Staff Promotion of City growth and Other 18 development; tourish; and recognition, visibility and profile on a local, national and Council Promotion of City growth and Mayor Evans 4 16 development; tourish; and recognition, visibility and profile on a local, national and Mayor Pro Tern I 2 Pena 2 Fitzpatrick Promotion of Cdy growth and development, tourish; and recognition, visibility and profile on a local, national and worldwide scale Promotion of City growth and development; tourish; and recognition, visibility and profile on a local, national and worldwide scale Promotion of City growth and development; I tourish; and recognition, visibility and profile I on a local, national and worldwide scale Promotion of City growth and development; tourish; and recognition, visibility and profile on a local, national and worldwide scale FPPC Form 802x(2012) FPPC Toll -Free Helpline: 866/ASK-FPPC www.fppc.ca.gov Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document if Amendment - Date of Original Ring 1111i Day, Year) 2/6/2020 1. Agency Name City of La Quinta Division, Dept. or Region Area Code/Phone (If Applicable) Number 760-777-7030 Designated Agency Contact (Name, Title) Jon McMillen, City Manager Email jmcmilien�a7laquintaca.>;av I have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth, is in accordance with the requirements. Signature of Agency Head or Designee Print Name Jan McMillen Title City Manager Month, Day, Year 2/6/2020 2. Function or Event Information Does the agency Ticket(s)/Pass(es) Was ticket distribution have ticket policy Face Value of each Event Description provided by Agency? made at the behest of If yes, list Name of Official (Y/N) Ticket/Pass ket/Pass (Provide Title/Explanation) American Express Event Dates) 1/15-1/19/20 (Y/N) yes If no, list Name of Source agency_ official? (Y/N) No (Last, First) yes $35/$50 3. Recipients (Use Section A to identify the agencys department or unit. Use Section B to identity an individual Use Section C to identify an outside organization.) A. B. C. Identify one of the Name of Outside Number of following: Description of Organization Number of Describe the public purpose made Name of Individual Ticket(s)/ (Ceremonial Role, "Ceremonial Role" or (Include address and Number of Describe the public purpose made Name of Agency, Department or Unit Ticket(s)/ Pass(es) pursuant to the agency's policy (Last, First) Pass(es) Other, or Income) "Other" description) Ticket(s)/ Pass(es) pursuant to the agency's policy Councilmember 4 Promotion of City growth and development; Radi tourish; and recognition, visibility and profile on a local, national and worldwide scale Promotion of City growth and development; Councilmember 4 Sanchez tourish; and recognition, visibility and profile on a local, national and worldwide scale FPPC Form 802m(2012) FPPC Toll -Free Helpline: 866/ASK-FPPC www.fppc.ca.gov