2024 American Express Golf Tournament - Day Tickets - StaffAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name
City of La Quinta
0 9
JAN 3 2024 For Official Use Only
Division, Department, or Region tit app/icab/e)
CITY OF LA QUINTA
Designated Agency Contact (Name, 7711e)
C
CLERK DEPARTME
Jon McMillen
❑ Amendment (Must Provide Explanation in Part 3.)
Area Cade1P one Number E-mail
760-777-7030 jmcmillen@laquintaca.gov
Date of Original Filing'
(month, day, year)
2. Function or Event Information
60.00
Does the agency have a ticket policy? Yes E No ❑ Face Value of Each Ticket/Pass $
Event Description: American Express Golf Tournament Date(s)
01 1. 18 1 2024 01 t. 21 1 2024
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes 0 No ❑ If
no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No E If
yes:
of agency official?
O(ficiars 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 Tlcket(s)/
Describe the public purpose made pursuant to the agency's policy
Passes
City Manager Department
LQ Resolution No. 2009-015 Section 4
27
City Clerks Department
LQ Resolution No. 2009-015 Section 4
12
B. Name of Individual
Number
of Ticket(s)l
Identify one of the following:
(Lest, First)
Passes
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)l
Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
1 have read and understand FPPC Regulations 18944.1 and 18942. 1
have verified that the distribution set forth above, is in7corldance
M the requirements.
Jan McMillen
City Manager
Si of Agency Head or Designee Print Name
Title IT th. da year)
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275.3772)
Agency Report of: California 802
Ceremonial Role Events and Ticket/Pass Distributions Form
Continuation Sheet A Public Document
Agency Name
City of La Quinta AMEX Tickets Cont.
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)/
Passes
Describe the public purpose made pursuant to the agency's policy
Public Works Department
22
LQ Resolution No. 2009-015 Section 4
Design and Development Department
37
LQ Resolution No. 2009-015 Section 4
Finance Department
10
LQ Resolution No. 2009-015 Section 4
Community Services Department
25
LQ Resolution No. 2009-015 Section 4
B. Name of Individual
(Last, First)
Number
of 7ickat(su
Passes
Identify one of the following:
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:
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
FPPC Form 802 (2/2016)
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 AMEX Tickets Cont. 60.00
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)l
Passes
Describe the public purpose made pursuant to the agency's policy
Public Safety/Code Department
10
LQ Resolution No. 2009-015 Section 4
B.
Name of Individual
(Last, First)
Number
of Ticket(s)/
Passes
Identify one of the following:
Ceremonial Role ❑ Other ❑ Income
If checking "Ceremonial Role" or "Other" describe below:
❑
Ceremonial Role ❑ Other ❑ Income
If checking "Ceremonial Role" or "Other" describe below.
❑
Ceremonlal 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)I
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)