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100319-100616 Temecula Theater - Temecula Presents' 15th Season 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 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 ❑ Amendment (Must Provide Explanation in Part 3.) Area Code/Phone Number E-mail (951)694-6407 randi.johl@temeculaca.gov Date of Original Filing: 10/09/19 (month,day,year) 2. Function or Event Information Does the agency have a ticket policy? Yes® No❑ Face Value of Each Ticket/Pass$40 Temecula Theater's-Temecula Presents' 10 03 19 10 06 19 Event Description: 15th Season Date(s) / Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes IR] No❑ If no: 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 Public Works Dept. Enhance Employee Morale 5 Community Services Dept. Enhance Employee Morale 4 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 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 equirements. Director of Legislative Affairs/ Randi Johl City Clerk 10/09/19 Signatmr t gency 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 Community Development Dept. 6 Enhance Employee Morale Information Technology/Support Services 2 Enhance Employee Morale Dept. Police Dept. 2 Enhance Employee Morale Number B. Name of Individual of Ticket(s)! Identify one of the following: (Last. First) Passes Ceremonial Role ❑ Other❑ Income El If checking"Ceremonial Role"or"Other"describe below: Ceremonial Role ❑ Other❑ Income ❑ If checking"Ceremonial Role"or"Other"describe below: Ceremonial Role ❑ Other El Income El If checking"Ceremonial Role"or"Other"describe below: Ceremonial Role ❑ Other El Income El 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)