HomeMy WebLinkAbout03292025 SAFE - A Night at the Derby Fundraiser Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name Date Stamp California Q 02
City of Temecula Form v
Division, Department,or Region (if applicable)
For Official Use Only
City Clerk
Designated Agency Contact(Name,Title)
Randi Johl, Director of Legislative Affairs/City Clerk ❑ Amendment (Must Provide Explanation in Part 3.)
Area Code/Phone Number E-mail
951-694-6421 randi.johl@temeculaca.gov Date of Original Filing:
(month,day,year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass$ 250.00
9 Y Yes No❑
Event Description: SAFE-A Night at the Derby-Fundraiser Date(s) 03 / 29 / 25
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes■ No❑ If no:
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. tise 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
Number
B. Name of Individual of Ticket(s)/ Identify one of the following:
(Last,First) Passes
Ceremonial Role ❑ Other ■ Income ❑
Stewart, James 1 If checking"Ceremonial Role"or'Other"descnbe below:
Advertise and Promote the City of Temecula
Ceremonial Role ❑ Other❑ Income ❑
If checking"Ceremonial Role"or"Other"describe below:
Name of Outside Organization Number
C. (include address and description) of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
I hav- . and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
wit .uirements.
Director of Legislative Affairs/
Randi Johl
City Clerk 04/11/2025
7; (,rr of Agency Head or Designee Print Name Title (month,day,year)
Comment:
Print Clear FPPC Form 802(2/2016)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)