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122718 La Cocina Bar & Grill - Lunch Appreciation 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 ❑ Amendment (Must Provide Explanation in Part 3.) Area Code/Phone Number E-mail 951-694-6421 temeculaca. ov randi.ohl Date of Original Filing: 1 @ 9 (month,day,year) 2. Function or Event Information Does the agency have a ticket policy? Yes ElNo IDFace Value of Each Ticket/Pass$ 20 Event Description:La Cocina Bar&Grill-Lunch Appreciation Date(s) 12 / 27 / 18 Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes❑ No® If no: La Cocina Bar&Grill Name of Source Was ticket distribution made at the behest Yes❑ No El 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 City Manager's Office 3 Enhance employee morale Community Development 4 Enhance employee morale Number B. Name of Individual of Ticket(s)/ Identify one of the following: (Last,First) Passes Ceremonial Role ❑ Other Q Income ❑ If checking"Ceremonial Role"or"Other"describe below: 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 read and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance with th quirements. �_- Director of Legislative Affairs/ Randi Johl City Clerk 01/02/2019 Signptu Agency Head or Designee Print Name Title (month,day,year) Comment: FPPC Form 802(2/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Agency Report of: California Q 02 Ceremonial Role Events and Ticket/Pass Distributions Form v Continuation Sheet A Public Document Agency Name City of Temecula 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 Information Technology/Support Services 1 Enhance employee morale Public Works 1 Enhance employee morale Number B. Name of Individual of Ticket(s)/ Identify one of the following: (Last,First) Passes Ceremonial Role 0 Other ❑ Income ❑ If checking"Ceremonial Role"or"Other"describe below: Ceremonial Role ❑ Other ❑ Income ❑ If checking"Ceremonial Role"or"Other"describe below: Ceremonial Role ❑ Other❑ Income ❑ If checking"Ceremonial Role"or"Other'describe below: Ceremonial Role ❑ Other ❑ Income ❑ If checking"Ceremonial Role"or"Other"describe below: Name of Outside Organization Number C. of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy (include address and description) Passes FPPC Form 802(2/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Subject: La Cocina - Lunch Sent:Wednesday, December 12, 2018 9:14 AM Subject: La Cocina - Lunch We received a call this morning for Aaron from Ron at La Cocina Bar & Grill. He wanted to offer all City employees a free lunch on December 27, 2018 as a thank you to the City. I am not sure that we can accept this but if we can, can you check in with Aaron and call Ron back. Ron (951) 775-5634 17' SAFE Please note that email correspondence with the City of Temecula, along with attachments, may be subject to the California Public Records Act, and therefore may be subject to disclosure unless otherwise exempt. 1