Form-802_Cinema West Ticket Distribution - 2025Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of El Segundo
Division, Department, or Region (if applicable)
Community Development Department
Designated Agency Contact (Name, Title)
Michael Allen, Community Development Director
Area Code/Phone Number E-mail
310-524-2345 1 mallen@elsegundo.org
2. Function or Event Information
Does the agency have a ticket policy? Yes N No ❑
Event Description: Grand Opening, movie screening
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ❑ No N
Date Stamp
A Public Document
For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Face Value of Each Ticket/Pass $
Date(s) 06/ 10 / 25
If no: Cinema West
Name of Source
21.50
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 Ticket(s)/
Describe the public purpose made pursuant to the agency's policy
Passes
City of El Segundo, Community Development
Promoting local events, tourism, or public facilities, per
Department
110
Resolution No. 4642.
B. Name of Individual
Number
of Ticket(s)/
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.
Name of Outside Organization
C.
Number
of Ticket(s)/
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
4. Verification
1 have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
_;)�I'th the r ulreme
,4&4,Michael Allen Community Development Direct 06/10/2025
Signature of Agency Head or Designee Print Name Title (month, day, year)
NA
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)