HomeMy WebLinkAbout102117 Auction for Autism Agency Report of:
Ceremonial Role Events and TickeUPass Distributions A Public Document
1. Agency Name Date Stamp . . . '
City of Temecula ' �
Divislon,Department,or Region (ilepplicabb) For OHicial Use Only
City Clerk's Office
Designated Agency Contact/Neme,rrt�e)
Randi Johl, City Clerk
❑ ARIBOtlfllBnt (Musf Prpntle Explanation in Pert 3.)
Area CodelPhone Number E-mail
951-694-6421 randi.'ohl temeculaca. ov Date of ONglnal Flling: �������
1 @ 9 (monm.aar.Year�
2. Function or Event Information
Does the agency have a ticket policy? Yes� No❑ Face Value of Each TickeVPass$ 95
Event Description: Auction for Autism Date(s)���� ��_
Pro�ide Titla/Explanation
Ticket(s)/Pass(es) provided by agency? Yes O No� If no: Our Nicholas Foundation
Name oI Souice
Was ticket distribution made at the behest Yes❑ No� If yes:
Olficiafs Name(LasC Firsf)
of agency official?
3. Recipients
•Uee SecHon A lo IdenUfy Ihe agency's deperlment or uniL •Use Seclion B to identify an indNidual. •Use Sectian C lo identify en oulaide organizalion.
Number
A. Name o}Agancy,Depanmant or Unit of 7lckat(�)/ Descriha the publlc purposa mede punuent to the agency's policy
Passes
NumWr
B, Name o(IndNidual o«k��y Itlentiy ona o/tha lollowing:
(Last FirstJ Pauef
Mike Naggar Cercmonial Role ❑ Otnar � Income ❑
Z n cnecanp'Ce�emonu�/tae'o�'omer'cescnee oNow.
Advertise and Promote Ihe City
Ceremonial Rde ❑ Other ❑ Incoma ❑
�/cnp�km9'Ceiemoniai Rdebi'Otnei'4s<nDe Delow
Nama of Outside OrBaniraUon NumMr
C'• (includa�ddrvu antl Ewttlptlon) °�Tkk°a�u �eacribe the public purpoaa made punuant to the agency'e policy
Pauaa
4. Verification
1 have re�dar�unders[and FPPC Regufations 18944.1 and 18942. I have venfied[hat the disMbution set lorth above, is in accordance
wifh t �requirdments.
RandiJohl City Clerk 1111/17
Sipna ofApen eW w Dsaqnee Pnnt Name 7Ne /monM,Eay,year)
Comment:
FPPC Form 802(7/2016)
FPPC Toll-Free Helpline:B6WASN•FPPC(8661275-37�2)