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Home My WebLink About09132025 Hospice of the Valleys Fundraiser Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name Date Stamp California 802 City of Temecula Form 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 $ 120 9 Y Yes� No 0 Event Description: Hospice of the Valleys Fundraiser Date(s) 09/ 13 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. 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 Number B. Name of Individual of Ticket(s)/ Identify one of the following: (Last, First) Passes Ceremonial Role El Other Income ❑ Kalfus, Brenden 1 If checking"Ceremonial Role"or"Other describe 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 have r-.d and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance with Egg,equire ts. Director of Legislative Affairs/ 1 Randi Johl City Clerk 09/29/2025 Signa ure 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) Agency Report of: California 802 Ceremonial Role Events and Ticket/Pass Distributions Form A Public Document This form is for use by all state and local government This form must be maintained as a public document. agencies. The form identifies persons that receive admission tickets and passes and describes the public Privacy Information Notice purpose for the distribution. This form was prepared by Information requested by the FPPC is used to administer the Fair Political Practices Commission (FPPC) and is available at www.fppc.ca.gov. and enforce the Political Reform Act. Failure to provide information may be a violation subject to administrative, General Information criminal, or civil penalties. All reports are public records available for inspection and reproduction. Direct questions FPPC Regulation 18944.1 sets out the circumstances to FPPC's General Counsel. under which an agency's distribution of tickets to entertainment events, sporting events, and like occasions Instructions would not result in a gift to individuals that attend the function. In general, the agency must adopt a policy which Part 1. Agency Identification. identifies the public purpose served in distributing the List the agency's name. Provide a designated agency admissions. The Form 802 serves to detail each event contact person, their phone number, and e-mail address. and the public purpose of each ticket distribution. FPPC Mark the amendment box if changing any information on Regulation 18942 lists exceptions to reportable gifts, a previously filed form and include the date of the original including ceremonial events, when listed on this form. filing. When the regulation procedures are followed, persons, Part 2. Function or Event Information. organizations, or agencies who receive admissions Confirm that your agency has a policy for ticket are listed on a Form 802.Agency officials do not report distribution. Unless the ceremonial role or income box in the admissions on the official's Statement of Economic Part 3, Section B, is marked, this form is only applicable if Interests, Form 700, and the value of the admission is not your agency has a policy. subject to the gift limit. Complete all of the other required fields that identify the The Form 802 also informs the public as to whether the ticket value, description of event, date(s) and whether the admissions were made at the behest of an agency official ticket was provided by the agency or an outside source. If and whether the behested tickets were provided to an an agency official behests the tickets, the official's name is organization or to specific individuals. also required. Use the comment field or an attachment to explain in full. Exception Part 3. Ticket Recipients: FPPC This form is not required for admission provided to a This part identifies who uses the tickets. The identification school or university district official, coach, athletic director, requirements vary depending upon who received the or employee to attend an amateur event performed by tickets and are categorized into three sections. Each students of that school or university. section must list the number of tickets received. Use the comment field or an attachment to explain in full. Reporting and Public Posting Section A. Report tickets distributed to agency staff, Ticket Distribution Policies: An agency must post its other than an elected official or governing board member, ticket policy on its website within 30 days of adoption or pursuant to the agency's policy. It is not necessary to list amendment and e-mail a link of the website location to each employee's name, but identify the unit/department for FPPC at form802@fppc.ca.gov. which the employee works. The agency must describe the Form 802: The use of the ticket or pass under the policy public purpose associated with the ticket distribution. A must be reported on Form 802 and posted on the agency's reference to the policy is permissible. website within 45 days of distribution.A link to the website Section B. Report: 1) any agency official who performs location of the forms must be e-mailed to FPPC at a ceremonial role; 2) any agency official who reports the form802@fppc.ca.gov. value as income; or 3)tickets used by elected officials and governing board members (including those distributed The FPPC will post on its website the link to each agency's pursuant to the agency's policy). policy and completed forms. It is not necessary to send an e-mail each time a new Form 802 is posted. It is Section C. Report tickets provided to an organization. only necessary to submit the link if the posting location The organization's name, an address (website url is changes. permissible), and a brief description of the public purpose are required. FPPC Form 802(2/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)