2025 American Express Golf Tournament - Day Tickets - StaffAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of La Quinta
Division, Department, or Region (if applicable)
Designated Agency Contact (Name, Title)
Jon McMillen
Area Code/Phone 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: American Express Golf Tournament
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ❑ No
A Public Document
Date Stamp
RECEIVED
FEE 2 1 2025
CITY OF LA QuINTA
CITY CLERK DEPARTMENT
For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Face Value of Each Ticket/Pass $ ___ 114.00
Dates) 01 1 16 1, 2025 011 19 / 2025
If no: American Express
Name of Source
Was ticket distribution made at the behest Yes ❑ No ■ If yes:
Otlicial'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
City Manager
LQ Resolution No. 2009-015 Section 4
22
City Clerk
LQ Resolution No. 2009-015 Section 4
8
B. Name of Individual
Number
of Ticket(s)I
Identify one of the following:
(Last, First)
Passes
Ceremonial Role ❑ Other ❑ Income ❑
if checking "Ceremonial Role" or "Other"describe below. -
Ceremonial Role ❑ Other ❑ Income ❑
if checln'ng "Ceremonial Role" or "Other" describe below:
Name of Outside Organization
C. g
Number
of Ticket(s)l
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
4. Verification
l have read and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
vith the requirements.
r-- -%. l eA
Sigpa of Agency Head or Designee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions Form
Continuation Sheet A Public Document
Agency Name
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
of Ticket(s)/
Describe the public purpose made pursuant to the agency's policy
Passes
Public Works
LQ Resolution No. 2009-015 Section 4
24
Design and Development
LQ Resolution No. 2009-015 Section 4
43
Finance
LQ Resolution No. 2009-015 Section 4
10
Community Services
LQ Resolution No. 2009-015 Section 4
24
B. Name of Individual
Number
of Ticket(s)l
Identify one of the following:
(Last, 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:
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
Number
of Ticket(s)/
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Amex Golf Tournament 1/16/25-1/19/25 — Continued
Name of Individual, Agency,
Department or Unit
Number of
Ticket(s)/Passes
Describe the public purpose made pursuant to the agency's
policy
Public Safety
16
LQ Resolution No. 2009-15 Section 4