HomeMy WebLinkAbout052017 Denim & Diamonds 15th Anniversary Agency Report of:
Ceremonial Role Events and TickeUPass Distributions A Public Document
1. Agency Name Date Stamp . . . '
City of Temecula • �
Division, Department,or Region (ifapplicable) Forotfcial use only
City Clerk's Office
Designated Agency Contact(nlame,Tine)
Randi Johl, City Clerk
❑ Amendment (MustProvideExplanafioninPart3J
Area Code/Phone Number E-mail
(951)694-6421 randi.johl@temeculaca.gov Date otOriginal Filing; 05/30/17
(month,day,year)
2. Function or Event information
Does the a enc have a ticket olic � Face Value of Each TickeUPass $ 125.00
9 Y P Y Yes� No❑
Event Description: Denim & Diamonds 15th Anniversary Date(s)���� _�J_
Provide Ttle/Explanation
Ticket(s)/Pass(es) provided by agency? Yes❑ No� If no: SAFE Alternatives for Everyone
Nameo/Somce
Was ticket distribution made at the behest Yes❑ No 0 If yes:
O�ficial's Name(Last,First)
of agency official?
3. Recipients
•Ose Section A to identify the agency's department or unit •Use Section B to identify an indlvidual. •Use Section C to identify an outside organiza[ion.
Number ' � � � � I
A. Name ot Agency,Department or Unit of Tickeys�/ Describe the public purpose made pursuant to the agency's policy �
Passes � � ' .
Number . � � ' . � '
B. ,Nameoflntlivitlual ofTlcket�s)/� .Itlentifyoneofthetollowing:. . .. '
(Last,First)� Passes ' . . ' . � . . �
EdWBfdS, Maryann Ceremonial Role ❑ ONer ❑X Income ❑
,Z IlchecWhg'CeremonialRda'or'OtheY'tlentn6ebelow:
Advertise and Promote the City of Temecula
Ceremonial Role ❑ Other ❑ Income ❑
II checkbg'Ceremonial Rde'or'Otl�el'c§ttn6e below:
� Name of Outside Organization . . Numner � +�.. � - . �. � �.; �� �
C• (inciutle atltlress and description) - of Tickeqsp Describe.the public purpose made purauant to the ageney's.policy
Passea
4. Verification
1 have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set/orth above, is in accordance
with uirements.
Randi Johl City Clerk 05I30/17
Si a Agency Heatl or Designee Print Name Ttla (month,day year)
Comment:
� FPPC Form 602(2I2016)
FPPC Toll-Free Helpline:866IASK-FPPC(86612753772)