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022319 Temecula Valley Chamber of Commerce Awards Gala Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name Date Stamp California Q 02 City of Temecula Form Q Division, Department,or Region (if applicable) For Official Use Only 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 randi.johl@temeculaca.gov Date of Original Filing: (month,day,year) 2. Function or Event Information Does the agency have a ticket policy? Yes ElNo ElFace Value of Each Ticket/Pass $ 155 Event Description:Temecula Valley Chamber of Commerce Date(s) 02 / 23 / 19 I Hwaras gala Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes❑ No® If no: Temecula Valley Chamber of Commerce 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 City Manager's Office 5 Advertise and Promote the City of Temecula Number B. Name of Individual of Ticket(s)/ Identify one of the following: (Last,First) Passes James Stewart Ceremonial Role ElOther ❑X Income El 1 If checking"Ceremonial Role"or"Other"describe below: Advertise and Promote the City of Temecula Matt Rahn Ceremonial Role 0 Other l] Income ❑ 2 If checking"Ceremonial Role"or"Other"describe below: Advertise and Promote the City of Temecula 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 if-quirements. Director of Legislative Affairs/ Randi Johl City Clerk 03/04/2019 Sig: _• 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)