HomeMy WebLinkAbout042217 An Evening Under the Stars Agency Report of:
Ceremonial Role Events and TickeUPass Distributions A Public Document
1. Agency Name DateStamp . . . � '
City of Temecula • �
Dlvlslon�Departrnent, or Region(ilapplicableJ For OK�cial Use Only
City Clerk's Office
Deslgnated Agency Contact(Name.ra�e/
Randi Johl, City Clefk � ARIBOdRIBflt (MustProWdeEzp/ana0oninPart3)
Area Code/Phone Number E-mail
Oate of Original Flling: 04/24/17
951-694-6421 randi.johl@temeculaca.gov (monM,dag year)
2. Function or Event Information
Does the a enc have a ticket olic � Face Value of Each TickeUPass$ 80.00
9 Y P Y Yes� No❑
Event Description: An Evening Under the Stars Date(s)���� ��_
Provide TiNe/Exp/anatlon
Ticket(s)/Pass(es) provided by agency? Yes❑ No� If no: Birth Choice of Temecula
Name o/5ource
Was ticket distribution made at the behest Yes❑ No� If yes:
of agency official? OHinafs Name(lasG First)
3. Recipients
•Use Seaian A to identity the agmcy's depanment or uniL •Use Sectian 8 ro identify an indiridual. •Ux Section C lo identi(y an aulcide organivtion.
Num6ar
A� Name of Agency,Department or Unit of nckat(aN Deacribe the public purpoae mada punusnt to Ne agenry'a poliey
Passa�
NumWr
B. Name of IndNidual otTkkaqsy Idently ona of th�fdlowing:
(Last,First) Pauw
Edwards, Maryann Ceramonial Role � Omer ❑ inwma ❑
,� ncnecWng'Ceremonia�ftde"w'OtMI'tlescnDeDNav
Speaker/Advertise and promote the City of Temecula
CeremoNal Rde ❑ OMer ❑ Incoma ❑
ncnecWnB'CeremanrelRdebr'Ot�ei Descnbehaav
Name ot Oulstae Organaadon numwr
C' (I�Iude address and description) °TTKk��N �escribe tha public purposa made pursuant to tha agencyr's polley
Paasea
4. Verification
I have read and understand FPPC Regulations 18944.1 and 18942. 1 have venfied that the distnbution set forth above, is in accordance
with h equirements.
Randi Johl City Clerk 04/24/17
g of ABenty Head or Desgnee Pdnt Name TNe (marM.Oay,yearJ
Comment:
FPPC Form 802(Z2076)
FPPC Toll-Free Helpline:8661ASK•FPPC(668l2763772)