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2025 Iron Man - Day TicketsAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document -,--:----.,.,.--------------------..-------1.Agency Name City of La Quinta Division, Department, or Region (if applicable) Designated Agency Contact (Name, Title) Jon McMillen, City Manager Area Code/Phone Number E-mail 7607777030 2.Function or Event Information Does the agency have a ticket policy? Date Stamp California 802 Form For Official Use Only D Amendment (Must Provide Explanation in Part 3.) Date of Original Filing:--;::=;:-:,==:.-­(month, day, year) 155.00 Yes■ No□ Face Value of Each Ticket/Pass $ _______ _ Event Description: IRONMAN 2025 Date(s) 12/07/2025 __ Provide Title/ Explanation Ticket (s)/Pass(es) provided by agency? Yes D No■ If no: --"-IR,_,O::.cN.:..:M!CA�Nc,__ ___________ _ Name of Source Was ticket distribution made 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 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)f Describe the public purpose made pursuant to the agency's pollcy Passes Number B. Name of Individual of Tlcket(s)I Identify one of the following: (Last, First) Passes Ceremonial Role ■ Other D Income D Pena,John 1 If checking "Ceremonial Role" or "Other" describe below: LQ Resolution No. 2009-15 Section 4 Ceremonial Role ■ Other D Income D McMillen, Jon 1 If checking "Ceremonial Rola" or MO/her" describe below: LQ Resolution No. 2009-15 Section 4 Name of Outside Organization Number C. of Ticket(s)I 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 • the requirements. ' Jon McMille n City Manager �---,,,-·g•-a"'"to�o!';f A?gJe::nc::y:;:H;:ea=d;:o::r;De::,;:ig:ne=•=:-'Print Name -----�11"",t'"le______ (month, day, year) Comment: _____________________________________ _ Print Clear FPPC Form 802 (2/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) jmcmillen@laquintaca.gov