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2023 Ironman - Day TicketsAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name RE City of La Quinta • Division, Department, or Region (if applicable) DEC 0 5 2023 For Official Use Only Designated Agency Contact (Name, Title) CITY OF LA QUINTA Jon McMillen, City Manager CI EN ❑ Amendment (Must Provide Explanation in Part 3,) Area Code/Phone Number E-mail 760-777-7030 jmcmillen@laquintaca.gov Date of Original Filing: (month, day, year) 2. Function or Event Information Does the agency have a ticket policy? Yes ■ No ❑ Face 162.00 Value of Each Ticket/Pass $ Event Description. IRONMAN 2023 Date(s) 1, 2 1 03 t 2023 i J� Provide Title/ Explanation Ticket(s)/Pass(es) provided by agency? Yes ❑ No ■ If no: Name of Source Was ticket distribution made at the behest Yes ❑ No N 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 Agency, Department or Unit Number of Ticket(sy Describe the public purpose made pursuant to the agency's policy Passes B. Name'of Individual Numbe of Tlcket(rs)l Identify one of the following: (Last, First) Passes Ceremonial Role Other ❑ Income ❑ Evans. Linda 2 If checking *Ceremonial Role"or"Ofher'describebelow: LQ Resolution No. 2009-15 Section 4 Ceremonial Role 0 Other ❑ Income ❑ Pena, John 1 Ifchecking"Ceremonial Role" or"Other' describe below: LQ Resolution No. 2009-15 Section 4 Name of Outside Organization C. (include address and description) Number of Ticket(z)I Describe the public purpose made pursuant to the agency's policy Passes 4. Verification I have read and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance the requirements. �-- - Jon McMillen City Manager Signature of Agency Head or Uesigiiee Print Name Title (th, fty year) Comment: FPPC Form 802 (212016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Agency Report of: California 802' Ceremonial Role Events and Ticket/Pass Distributions Form 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. Use Section C to identify an outside organization. Number A. Name of Agency, Department or Unit of Ticket(s)i 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 following: McGarrey, Deborah 1 Ceremonial Role Other ❑ Income ❑ If checking "Ceremonial Role" or "Other' describe below: LQ Resolution No. 2009-15 Section 4 McMillen, Jon 1 Ceremonial Role N Other ❑ Income ❑ If checking "Ceremonial Role" or "Other' describe below: LQ Resolution No. 2009-15 Section 4 Ceremonial Role ❑ Other ❑ Income ❑ If checking "Ceremonial Role" or "Other' describe below: Ceremonial Role ❑ Other ❑ Income ❑ If checking "Ceremonial Role"or "Other" describe below: C. Name of Outside Organization (include address and description) Number of Ticket(s)f Passes Describe the public purpose made pursuant to the agency's policy FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)