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2022 Ironman - Day TicketsAgency Keport OT: Ceremonial Role Events and Ticket/Pass Distributions 1. Agency Name City of La Quinta Division, Department, or Region (inapplicable) Designated Agency Contact (Name, Title) Jon McMillen, City Manager Area CodelPhone Number E-mail 760-777-7030 1 jmcmillen@laquintaca.gov 2. Function or Event Information Does the agency have a ticket policy? Yes ! No ❑ Event Description: IRONMAN Sporting Event Provide Titlel Explanation Tickets)/Pass(es) provided by agency? Yes ® No ❑ A Public Document RE TIVED California Form 802 DEC 12 2022 For Offlcial Use Only CITY OF LA QUINTA ❑ Amendment (Must Provide Explanation in Part 3.) Date of Original Filing: (month, day, year) Face Value of Each Ticket/Pass $ 162.00 Date(s) 12 ; 04 , 22 If no: Name of Source Was ticket distribution made at the behest Yes ❑ No X If yes: Official'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. Use Section C to identify an outside organization. Number A. Name of Agency, Department or Unit of Tlcket(s)l Describe the public purpose made pursuant to the agency's policy Passes B. Name of Individual Number ofs)1 Identify one of the following: (Last, F1rsi) Passes Ceremonial Role 0 Other ❑ Income ❑ Evans, Linda 2 If checking 'Ceremonial Role" or "Other" describe below: Promotion of City growth & development, tourism, and re, Ceremonial Role ® Other ❑ Income ❑ Fitzpatrick, Kathleen 1 If checking 'Ceremonial Role" or"Olher•descdbebelow., Name of Outside Organization C. Number of Mcket(s)l Describe the public purpose made pursuant to the agency's poNcy (include address and description) Passes 4. Verification 1 have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance e regtlirernents. • _N?cMkllen City Manager �� Signature of A y Head or Designee Print Name Title fm 111. y. year) Comment: FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275.3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions Continuation Sheet California 802 Form A Public Document Agency Name City of La Quinta - IRONMAN Event 3. Recipients • Use Section A to identify the agency's department or unit. • Use Section B to identify an individual. 1Jse Section C to identify an outside organization. Number A. Name of Agency, Department or Unit of Ticket(s)/ Passes Describe the public purpose made pursuant to the agency's policy B. Name of Individual (Last, First) Number of Ticket(s)/ Passes Identify one of the following: Pena, John 2 Ceremonial Role Other Income • If checking "Ceremonial Role" or "Other" describe below: Promotion of City growth & development, tourism, and rei Radi, Robert 3 Ceremonial Role Other • Income • If checking "Ceremonial Role" or "Otherdescribe below: Promotion of City growth & development, tourism, and rei McMillen, Jon 2 Ceremonial Role IIII Other • Income • If checking "Ceremonial Role" or "Other" describe below: Promotion of City growth & development, tourism, and ret McKinney, Bryan 2 Ceremonial Role II Other • Income • If checking "Ceremonial Role" or "Other" describe below.. Promotion of City growth & development, tourism, and rei Name of Outside Organization C. address and Include description) ( p ) Number of Ticket(s)/ Passes Describe the public purpose made pursuant to the agency's policy Print Clear FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions Continuation Sheet California 802 Form A Public Document Agency Name -�1-0.44a4/v 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. Number A. Name of Agency, Department or Unit of Ticket(s)/ Passes Describe the public purpose made pursuantto the agency's policy B. Name of Individual (Lest, First) Number of 7icket(s)/ Passes Identify one of the following: Calderon, Christina 1 Ceremonial Role I. Other • Income • If checking "Ceremonial Role" or "Other' describe below: Promotion of City growth & development, tourism, and rei Calderon, Michael 1 Ceremonial Role El Other lid Income ■ If checking "Ceremonial Role" or "Other" describe below: Promotion of City growth & development, tourism, and rei Radeva, Monika 1 Ceremonial Role II Other MI Income l• If checking "Ceremonial Role" or "Other" describe below: Promotion of City growth & development, tourism, and rei Mendez, Martha 1 Ceremonial Role ElOther • Income l• If checking "Ceremonial Role" or "Other" describe below: Promotion of City growth & development, tourism, and re Name of Outside Organization C. (include address and description) Number of Ticket(s)/ Passes Describe the public purpose made pursuant to the agency's policy Print Clear FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275.3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions Continuation Sheet California Q O2 Form v A Public Document Agency Name uQ LG !QLtI`i : -JJP )21,V A.A) Erzei')j 3. RecijSients • 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. Number A. Name of Agency, Department or Unit of Tlcket(s)f Passes Describe the public purpose made pursuant to the agency's policy B. Name of Individual (Last, First) Number of Ticket(s)t Passes Identify one of the followings Lagunas, Dana 1 Ceremonial Role I. Other • Income • If checking "Ceremonial Role" or "Other" describe below: Promotion of City growth & development, tourism, and rel Ceremonial Role • Other • Income • If checking "Ceremonial Role" or "Other" describe below: Ceremonial Role • Other • Income • If checking "Ceremonial Role" or "Other" describe below: Ceremonial Role • Other • Income • If checking "Ceremonial Role" or "Other" describe below: Name of Outside Organization C. (Include address and description) Number of Ticket(s)/ Passes Describe the public purpose made pursuant to the agency's policy Print Clear FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)