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042619 Taste of Temecula Valley Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name j Date Stamp California 802 City of Temecula Form 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.'ohl temeculaca. ov Date of Original Filing. g (month,day,year) 2. Function or Event Information Does the agency have a ticket policy? Yes E1 No ElFace Value of Each Ticket/Pass$ 100 Event Description:Taste of Temecula Valley Date(s) 04 / 26 / 19 Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes❑ No® If no: Taste of Temecula Valley Name of Source Was ticket distribution made at the behest Yes❑ No El If yes of agency official? Official's Name(Last,First) 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)I Describe the public purpose made pursuant to the agency's policy Passes City Manager's Office 4 Advertise and Promote the City of Temecula City Clerk's Office 2 Advertise and Promote the City of Temecula Name of Individual Number B. of Ticket(s)i Identify one of the following: (Last,First) Passes Matt Rahn Ceremonial Role ❑ Other Q Income El 2 If checking"Ceremonial Role"or"Other'describe below Advertise and Promote the City of Temecula Ceremonial Role ❑ Other C. Income ❑ If checking"Ceremonial Role"or"Other'describe below Name of Outside Organization Number C. (include address and description) of Ticket(s)I Describe the public purpose made pursuant to the agency's policy Passes 4. Verification I have rea. and understand FPPC Regulations 18944 1 and 18942 I have venfled that the distribution set forth above, is in accordance with tulrements. Director of Legislative Affairs/ Randi Johl City Clerk 05/01/2019 Signs t*cy 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 O2 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 Police Department 1 Advertise and Promote the City of Temecula Fire Department 2 Advertise and Promote the City of Temecula Number B. Name of Individual of Ticket(s)I Identify one of the following: (Last, First) Passes 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 Ceremonial Role ❑ Other ❑ Income ❑ If checking"Ceremonial Role"or"Other"describe below Number Name of Outside Organization C. of Ticket(s)I 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)