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021716 Stars of the Valley 2016 Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name Date Stamp . . . ' City of Temecula • � D'Ivislon,Dep�rtrrlernt, or Region [if appricatr�e� For Of�cial Use Only City Clerk's Office ❑esignated Agency Cor�tact (Name,Title) Randi Johl, City Clerk ❑ Amendment (Musf Provide Explanation in Part 3.) Area Cad�rPhane Numher E-mail (951)694-6421 randi.johl@cityoftemecula.org Date of Original Filing: 02/17/16 (monfh,day,year) 2. Function or Event Information Does the a enc have a ticket olic � Face Value of Each Ticket/Pass$ �00.00 9 Y P Y• Yes� No❑ Event Description: Stars of the Valley 2016 Date(s) 02 � 06 / 16 �� Provide Title/Explanafion Ticket(s)/Pass(es) provided by agency? Yes❑ No� If no:Charity for Charity 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 Name of Individual Number B. of Ticket(s)I Identify one of the following: (Last,First) Passes Mike Naggar Ceremonial Role ❑X Other ❑ Income ❑ 2 Present�Gi�y��°ponsore�°�wa°r`��Adc�v�ertise and promote the City of Temecula Ceremonial Role ❑ Other ❑ Income ❑ Ilchecking"Ceremonial Role"or"Olher"describe below: Name of Outside Organizatlon Number C' (include address and description) of Ticket(s)I Describe the public purpose made pursuant to the agency's policy Passes 4. Verification 1 have� nd understand FPPC Regulations 18944.1 and 18942. I have verified that the distribufion set forth above,is in accordance w+lh �re ir ents. Randi Johl City Clerk 02/17/16 Si atur y Hoad or Dasignc�� Print Name Title (month,day,year) Comment: FPPC Form 802(2/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)