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2025 Ironman - Day TicketsAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions 1. Agency Name City of La Quinta on, uepartment, or Designated Agency Contact (Name, Title) Jon McMillen, City Manager Area Code/Phone Number E-mail 7607777030 1 jmcmillen@laquintaca.gov 2. Function or Event Information Does the agency have a ticket policy? Event Description, I RONMAN 2025 Provide Title/ Explanation Ticket(s)/Pass(es) provided by agency? Yes ❑ No ■ A Public Document Date Stamp RECEIVED For Officlal Use Only HE 0 8 21125 CITY OF LA OUINTA CITY CLERK DEPARTMENT ❑ Amendment (Must Provide Explanation in Part 3.) Date of Original Filing: . (month, day, year) Yes ■ No ❑ Face Value of Each Ticket/Pass $ 155.00 Date(s) 12/07/2025 I fno: IADNMAN Name of Source Was ticket distribution made at the behest Yes ❑ No ■ I fyes: Official's Name (Last, rirst) 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)1 Describe the public purpose made pursuant to the agency's policy Passes B. Name of Individual Number of Ticket(s)l Identify one of the following: (Last, First) Passes Ceremonial Role 0 Other ❑ Income ❑ Pena, John 1 Ifchecking "Ceremonial Role"or'Olher"describe below: LQ Resolution No. 2009-15 Section 4 Ceremonial Role 0 Other ❑ Income ❑ McMillen, Jon 1 lfcheok,rrg'Ceremonia!Role"or'Clher"descnbabelow. LQ Resolution No. 2009-15 Section 4 Name of Outside Organization C. g Number of Tlcket(s)1 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. l have verified that the distribution set forth above, is in accordance ft�u1\requirements. Jon McMillen City Manager gd'ata-re of"r Agency Head or Designee Print Name Title — (month, day, year) Comment: FPPC Form 802 (212016) FPPC Toll -Free Heipline: 8661ASK-FPPC (8661275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions I Fonn Continuation Sheet A Public Document Agency Name City of La Quinta -{�•� ��S 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 B. Name of Individual (Last, First) Number of Ticket(s)I Passes Identify one of the following: Evans, Linda 1 Ceremonial Role Other ❑ Income ❑ If checking "Ceremonial Role" or "Other" describe below: LQ Resolution No. 2009-15 Section 4 McGarrey, Deborah 1 Ceremonial Role 0 Other ❑ Income ❑ If checking "Ceremonial Role"or "Other" describe below: LQ Resolution No. 2009-15 Section 4 Fitzpatrick, Kathleen 1 Ceremonial Role M Other ❑ Income ❑ if checking `Ceremonial Role"or "Other" describe below: LQ Resolution No. 2009-15 Section 4 Sanchez, Steve 1 Ceremonial Role 0 Other ❑ Income ❑ If checking "Ceremonial Role"or "Other" describe below: LQ Resolution No. 2009-15 Section 4 C. Name of Outside Organization (include address and description) Number of Ticket(s)l Passes Describe the public purpose made pursuant to the agency's policy FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)