HomeMy WebLinkAbout09272025 Birth Choice Gala 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
For Official Use Only
Division,Department,or Region (if applicable)
City Clerk
Designated Agency Contact(Name,Title)
Randi Johl, Director of Legislative Affairs/City Clerk El 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 $ 125
9 Y Yes■ No❑
Event Description: Birth Choice Gala Fundraiser Date(s) 09 27 / 25 _/_�
Provide Tit/el 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 ❑ 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 have -ad:rid understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
with e r.uir-••-• f.
---
a
Director of Legislative Affairs/
Randi Johl City Clerk 09/29/2025
Signa. -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)