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022920 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 802 City of Temecula Form Division,Department,or Region(d appkcable) For official Use Only City Clerk Designated Agency Contact(Name,'bile) Randi Johl, Director of Legislative Affairs/City Clerk 0 Amendment (must Provide Explanation In Part 3) Area Code/Phone Number E-mail 951-694-6421 randi Johl@temeculaca goy Data of Original Filing: (monM,day year) 2. Function or Event Information Does the agency have a ticket policy? Yes® No❑ Face Value of Each Ticket/Pass$ 155 Temecula Valley Chamber of Commerce Event Description Awards Gala Date(s) 02 / 29 / 20 _i_i Provide Tiitle/Explanaton Ticket(s)/Pass(es) provided by agency? Yes 0 No® If no Temecula Valley Chamber of Commerce Name of Source Was ticket distnbution made at the behest Yes❑ No❑ If yes offioara Name(Last.First) of agency official? 3. Recipients •Use Section A to identify the agency's department or unit. •Use Section B m identify an individual. •Use Section C to identify an outside organization. Number A. Name of Agency,Department or Unit of Tkket(sy Describe the public purpose made pursuant to the agency's policy Paaav City Managers Office 3 Advertise and promote the City of Temecula Number B. Name of Individual of TkkelleN Identify one of the following: (Lest,First) Passes Ceremonial Role 0 Other® Income ❑ James Stewart 2 eaecang'Ceremonial Role"or'Oter descnb.beaw Advertise and promote the City of Temecula Ceremonial Role ❑ Other p Income 0 Maryann Edwards 1 Itr nic'oere+iunisfRole or'Other oescnoe tea. Advertise and promote the City of Temecula Name of Outside Organization Number C' (include address end descnpeon) olPass..N Describe the public purpose made pursuant to the agency's policy Paves 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 the requirements Rand'JOM Director of Legislative Affairs/City Clerk 0 311 0/2 0 2 0 Si ii€of Agency Head or Designee Print Name Title (monM day year) Comment FPPC Form 802(2I2018) FPPC Toll-Free Nelpline:866/ASK-FPPC(866/275-3772) 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 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❑ Face Value of Each Ticket/Pass $ 155 Temecula Valley Chamber of Commerce Event Description: Awards Gala Date(s) 02 / 29 / 20 � I 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 Managers Office 3 Advertise and promote the City of Temecula Number B. Name of Individual of Ticket(s)! Identify one of the following: (Last.First) Passes Ceremonial Roie ❑ Other ❑X Income 0 James Stewart 2 If checking'Ceremonial Role'or'Other describe below Advertise and promote the City of Temecula Ceremonial Role ❑ Other Q Income ❑ Maryann Edwards 1 It checkmg'Ceremomal 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 the requirements Randi Johl Director of Legislative Affairs/City Clerk 03/10/2020 rank Si.•RIM'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)