2024 Ironman - Day TicketsAgency Report of:
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1. Agency Name
City of La Quinta
Division, Department, or Region (if applicable)
Designated Agency Contact (Name, Title)
Jon McMillan, City Manager
Area Code/Phone Number E-mail
760-777-7030 jmcmillen@laquintaca.gov
2.Function or Event Information
Date Stamp California 802 Form
For Official Use Only
D Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:--,..-....,,.-,----,,(month, day, year)
Does the agency have a ticket policy? 155.00 Yes ■ No D Face Value of Each Ticket/Pass $ _______ _
E t D . t · IRONMAN 2024ven escrip ,on: ______________ _
Provide Title/ Explanation
Date(s) 12/08/2 024 __
Ticket(s)/Pass(es) provided by agency? Yes O No ■If no: _IR_O_N _M_A_N ____________ _
Name of Source
Was ticket distribution made at the behest Yes □ No ■If yes: ------:::=-::-::-:----::---:--:::,--::--------officia/'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 Ticket(s)/ Describe the public purpose made pursuant to the agency's policy
Passes
Number B. Name of Individual of Tlcket(s)I Identify one of the followlng: (Last, First) Passes
Ceremonial Role ■ Other D Income D Evans, Linda 2 If checking .. Ceremonial Role" or "other" describe below:
LQ Resolution No. 2009-15 Section 4
Ceremonial Role ■ other D Income·□
Pena, John 2 If checking "Ceremonial Role" or "Other" describe below:
LQ Resolution No. 2009-15 Section 4
Name of Outside Organization Number C. of Ticket(&)/ Describe the public purpose made pursuant to the agency's policy (Include address and description) 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
with.the requirements.':Se-,-r--' ----Jon McMillen City Manager I 1-10 202.4
Print Name Title (mo th, da , year)
�
of Agency Head or Designee
Comment:-----------------------------------------
, Print Clear FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866IASK-FPPC (866/275-3772)