2023 American Express Golf Tournament - Day Tickets - StaffAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of La Quinta
or Region (if applicable)
Uesignated Agency Contact (Name, Tillie)
C
Jon McMillen, City Manager
Area Code/Phone Number E-mail
760-777-7010 1 jmcmillen@laquintaca.gov
A Public Document
FEB 0 12023 I For Official Use Only
CITY OF LA QUINTA
Y CLERK DEPARTME
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes N No ❑ Face Value of Each Ticket/Pass $
Event Description: American Express Golf Tournament Date(s) 0� 19 i 2023
Provide itle/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ■ No ❑ If no:
3.
Was ticket distribution made at the behest Yes ❑ No 0 If yes:
of agency official?
Name of Source
Official's Name (Last, First)
=I
01 1 22 / 2023
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
Numbar
AL Name ofAgenc-% Department or Unit of Ticket(sy Describe the publlc purpose made pursuant to the agancyls policy
Passes
City Clerk's Office Staff
City Manager's Office Staff
B. Neme of lndilridual
(Lest, FkU
C. Name of outside Organf 0w
(I"Cluds address and description}
6 1 LQ Resolution No. 2009-015 Section 4
24
Number
otTidce!(sp
Passes
LQ Resolution No. 2009-015 Section 4
Ideritiry one of the fopowing:
Ceremonial Role ❑ Other ❑ Income ❑
IF checking "Ceremonial Role" or'Ofher'descnbe below;
Ceremonial Role ❑ Other ❑ Income ❑
It checking 'Ceremonial Role" or'Olher"descrlbe below:
Number
of T sy Describe tba public purpose made ;mirm nt to to agency's policy
Passes
4. Verification
1 have read and understand FPPC Regulations 18944.1 and 18942. l have verified that the distribution set forth above, is in accordance
rnents.
Jon McMillen City Manager 02/01/2023
ure of Agency Head or Designee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275�3772)
Agency Report of; California
02
Ceremonial Role Events and Ticket/Pass Distributions '
Continuation Sheet A Public Document
Agency Name
City of La Quinta
3. Recipients
• Use Section A to identify the agency's department or unit. 'Use Section B to identify an individual. #Jse Section C to identify an outside organization.
Number
A. Mature of Agency, De partrri®rit or Unit
of Ticket(s)l
Passes
Describe the public purpose made pursuant to the agency's po#icy
City Council
20
LQ Resolution No. 2009-015 Section 4
Community Resources
44
LQ Resolution No. 2009-015 Section 4
Public Safety/Code
20
LQ Resolution No. 2009-015 Section 4
Public Works
20
LC Resolution No. 2009-015 Section 4
B. Name of Individual
(Last, FftO
Number
of Ticket(s)l
Passes
Idantlfy one of the foilewing:
Ceremonial Role ❑ other ❑ corr,e ❑
tlehecking "Ceremonial Role" or'O[her"dewribabcOci -
Ceremonial Role ❑ Other ❑ Income ❑
N checking'Coremonial Rote"or 'Other describe below-
Ceremonial Role ❑ Other ❑ Income ❑
If checking mCarernoniat Rola'nr `O1her"describe below -
Ceremonial Role ❑ other ❑ Income ❑
N checking TeremoniN Rote"or "O(her" describe below:
Name of outside organization
�.,
(include address and description}
Number
of Ticket(s)I
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name REOBVE'
City of La Quinta
or Region (if applicable) FEB 0 12023 1For Icial use only
Designated Agency Contact (Name. Trtfe)
CITY OF LA QUINT
Jon McMillen, City Manager
[IAmendment (Must Provide Explanation in Part 3.)
Area CodelPhane Number
E-mail
760-777-7010
imcmillen@laquintaca.gov
Date of Original Filing:
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 50.00
9 Y P Y� Yes No
Event Description: American Express Golf Toumament Date(s)
00 19 12023 01 / 22023
Provide rtle/ Explanation
Ticket(s)/Pass(es) provided by agency? Yes ■ No ❑ If
no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No ■ If
yes:
of agency official?
Official'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 Agww% Depwirmerrt or Unit
Nurrtfser
ofTII
Pass"
Describe the public Purpose me& pursumd to the agerWe poncy
Planning/Building
32
LQ Resolution No. 2009-015 Section 4
Finance
10
LQ Resolution No. 2009-015 Section 4
B. Name of tndhAduei
Nunb"
sal
1dWrNly one ofthe-hdfovAny:
(l g F
Ceremonial Role ❑ Other ❑ Income ❑
If checking 'Ceremonial Role' or 'Other° deswbe below:
Ceremonial Role ❑ Other ❑ Income ❑
if checking'Ceremonfef Role' or'ofher'desciibe below
Nerm of Outside org�Fzatlon
C. nndudoaddreas and deec►iptian)
Nurrther
of Ttcket(s)1
Passes
Descnbe the public purpose made pursuant to the agency's poNcy
4. Verification
I have read and understand FPPC Regulations 18944.1 and 18942. 1
have verified that the distribution set forth above, is in accordance
requirements.
Jon McMillen
City Manager 02/01/2023
S gns Agency !-lead or Designee £'•rr[ Nam-1
Title (month, day, year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)