Form 802 - California Smash -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
310-524-2345 1 mallen@elsegundo.org
2. Function or Event Information
Does the agency have a ticket policy? Yes ■ No ❑
Event Description: Grand opening friends and family
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ❑ No ■
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A Public Document
Date Stamp
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) 08/28/2025
If no: California SMASH
Was ticket distribution made at the behest Yes ❑ No N If yes:
of agency official?
Name of Source
Official's Name (Last, First)
$25
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
Number
of Ticket(s)l
Describe the public purpose made pursuant to the agency's policy
Passes
City of El Segundo, City staff
Promoting local events, tourism, or public facilities, per
125
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
�''
Number
ofPTic s)l
Describe the public purpose made pursuant to the a en s olic
p p p agency's policy
(include address and description)
4. Verification
/ have read and understand FPPC Regulations 18944.1 and 18942. / have verified that the distribution set forth above, is in accordance
with the requirements.
AG(V404V Michael Allen Community Development Direct 8/21/225
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)