2025 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 Quint a
Division, Department, or Region (if applicable)
Designated Agency Contact (Name, Title)
Jon McMillan
Area Code/Phone Number E-mail
760-777-7030 jmcmillen@laquintaca.g ov
2.Function or Event Information
Does the agency have a ticket policy? Yes ■ No □
E t D . t· American Express Golf Tourn ament ven escnp ,on: ______________ _
Provide Title/ Explanation
Date Stamp California 802Form
For Official Use Only
D Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:--,---,,.--,----,,(month, day, year)
114.00 Face Value of Each TickeUPass $ _______ _
Date (s) -�2-L .. !� 2025
Ticket(s)/Pass(es) provided by agency? Yes D No ■ If no: _A _m_e_r _ic_a _n _E_x_p_re_s_s ___________ _
Name of Source
Was ticket distribut ion m ade at the behest Yes □ No ■ If yes: -----------------Official's Name (Last, First) of agency official?
3.Recipients
•Use Section A to identify the agency's depar tment or unit. • Use Section 8 to identify an individual. lJse 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 22 LQ Resolution No. 2009-015 Section 4
City Clerk LQ Resolution No. 2009-015 Section 4 8
B. Number Name of Individual of Tlcket(s)/ Identify one of the following:
(Last, First) Passes
Ceremonial Role D Other D Income D
If checking "Ceremonial Role" or "Other" describe below:
Ceremonial Role D other D Income D
If checking "Ceromonlal Role' or 'Other" describe below:
Number Name of Outside Organization c.of Ticket(s)/ Describe the publlc 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
.wjth the requirements.
� t---• "' , )o o Mt /J.1 I le.ra 6,,� J/ M.ctj/7 /
�
�y Head or Designee Print Name JTitle J z_.Lw!?r;-(month, day, year)
Co mment: _______________________________________ _
I Print Clear FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)