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2020 American Express Golf Tournament - Day Tickets - Council & City Manager1. Agency Name City of La Quinta Division, Dept or Region (If Applicable) Designated Agency Contact (Name, Title) Jon McMillen, Ci I have read and understand FPPC RMWM7Ms4,8944 Signature of Agency Head or Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document Area y Manager I Ema 1 and 18942. 1 have verified that the distribution set forth, is in accordance with the w Print Nam Month, Day, 760-777-7030 n McMillen If Amendment - Date of Original Filing (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 (Provide Title/Explanation) Event Date(s) (Y/N) If no, list Name of Source agency official? (YIN) (Last, First) yes $950.00 American Express 1/15-1/19/20 _ 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)/ (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 City Council I Other Promotion of City growth and development; tourish; and 10 recognition, visibility and Mayor Linda Evans 2 profile on a local, national and worldwide scale Councilmember 2 Promotion of City growth and Kathleen Fitzpatrick 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.tppc.ca.gov Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agencv Name ICity of La Quinta If Amendment - Date of original Filing (Month. Day, Year) 2/6/2020 Division, Dept or Region Area Code/Phone (tfApplicable) Number 760-777-7030 Designated Agency Contact (Nam, Title) Jon McMillen, City Manager Email imcmillen@la I have read and understand FP lotions 18944.1 and 18942. 1 have verified that the distribution set forth. is in accordance with the requirements. Signature of Agency Head or A Print Name Jon McMillen ^ Month, Day, Year 2. Function or Event Information Does the agency Tidket(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 $950.00 (Provide Title/Explanation) American Express Event Date(s) 1/15-1/19/20 (Y/N) yes If no, list Name of Source agency official? (YIN) Last, First 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)/ (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 I Councilmember 1 2 Other I I Promotion of City growth and Robert Radi development; tourish; and recognition, visibility and profile on a local, national and worldwide scale Mayor Pro Tern 2 Promotion of City growth and John Pena development; tourish; and recognition, visibility and profile on a local, national and worldwide scale Promotion or Ury growth ana Councilmember 2 development', tourish; and Steve Sanchez 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 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 I If Amendment - Date of Original Filing (Month. Day, Year). 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 imcmillen@laquintaca.gov I have read and understand FPP 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 s Title City Manager Month, Day, Year 7—lie 1 W (�•� 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) Y/N) If no, list Name of Source agency official? (YIN) Last, First yes $950.00 American Express 1/15-1/19/20 yes No 2/6/2020 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)/ (Ceremonial Role, "Ceremonial Role" or (Include address and Number of Dewri'n 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 City Manager Promotion of City growtn and City Manager Jon 2 Other Promotion of City growth and development; development; tourish; and 2 McMillen tourish; and recognition, visibility and profile ` recognition, visibility and on a local, national and worldwide scale Drofile on a local. national and I FPPC Form 802x (2012) FPPC Toll -Free Helpline: 866/ASK-FPPC www.fppc.ca.gov