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053119 to 060219 Temecula Valley Balloon & Wine Festival Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name Date Stamp California Q O 2 City of Temecula Form v 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 El Amendment (Must Provide Explanation in Part 3) Area Code/Phone Number E-mail 951-694-6421 randi.johl temeculaca. ov Date of Original Filing: g (month,day,year) v. 2. Function or Event Information Does the agency have a ticket policy? Yes ElNo❑ Face Value of Each Ticket/Pass$ 40 Event Description: Temecula Valley Balloon&Wine Festival Date(s) 05 / 31 / 19 06 / 02 / 19 Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes❑ No E If no: Temecula Valley Balloon &Wine Festival 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)I Describe the public purpose made pursuant to the agency's policy Passes City Manager's Office 6 Enhance Employee Morale (General Admission) Finance Dept. 18 Enhance Employee Morale (General Admission) Number B. Name of Individual of Ticket(s)! Identify one of the following: (Last,First) Passes Mike Naggar Ceremonial Role ElOther ❑X Income ❑ 2 If checking"Ceremonial Role"or"Other'describe below Advertise and Promote the City, Monitor&Evaluate a City Sponsored Event(General Admission) James Stewart Ceremonial Role ❑ Other❑X Income ❑ 2 If checking"Ceremonial Role"or"Other"describe below Advertise and Promote the City, Monitor&Evaluate a City Sponsored Event(General Admission) 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 /have read and understand FPPC Regulations 18944 1 and 18942 I have verified that the distribution set forth above, is in accordance with O." irements. Director of Legislative Affairs/ -. Randi Johl City Clerk 06/04/2019 Signs ure of 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 802 Ceremonial Role Events and Ticket/Pass Distributions Form 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 Community Services Dept. 26 Enhance Employee Morale (General Admission) Community Development Dept. 10 Enhance Employee Morale (General Admission) Public Works Dept. 24 Enhance Employee Morale (General Admission) HR/Risk Management 8 Enhance Employee Morale (General Admission) Number B. Name of Individual of Ticket(s)/ Identify one of the following: (Last,First) Passes Ceremonial Role ❑ Other ❑ Income ❑ If checking"Ceremonial Role"or"Other'descnbe below Ceremonial Role ❑ Other ❑ Income ❑ If checking"Ceremonial Role"or"Other"describe below Ceremonial Role ❑ Other ❑ Income ❑ If checking"Ceremonial Role"or"Other"descnbe 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) 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 City Clerk's Office 2 Enhance Employee Morale (General Admission) Fire 2 Enhance Employee Morale (General Admission) Number B. Name of Individual of Ticket(s)/ 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 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)