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041816 Circus Vargas Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name �ate stamp . . . 1 City of Temecula ' � l�i�isivn,�epartn�e��t, or R�gion(riapplicab/e) ForOfficial Use Only City Clerk's Office Des�gna#ed Agency Cvntact(Name,Tit/e) Randi Johl, City Clerk ❑ Amendment (Musf Provide Explanation in Part 3.) Area CaclelF'hone Number E-mail (951)694-6421 randi.johl@cityoftemecula.org �ate of original Filing: 04/18/16 (monfh,day,year) 2. Function or Event Information Does the agency have a ticket policy? Yes� No❑ Face Value of Each Ticket/Pass $ 35.00 Event Description: Circus Vargas Date(s) 04 � 07 � 16 �� Provide Title/Explanafion Ticket(s)/Pass(es) provided by agency? Yes❑ No� If no: Circus Vargas Name of Source Was ticket distribution made at the behest Yes❑ No 0 If yes: O�cial's Name(Last,FirsQ 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 Human Resources 4 Enhance Employee Morale Public Works 6 Enhance Employee Morale Number B, Name of Individual of Ticket(s)/ Identify one of the following: (Last,Firsf) Passes Naggar, Mike Ceremonial Role ❑ other ❑X Income ❑ 2 If checking"Ceremonial Role"or"Other'describe below: Advertise and promote the City of Temecula Ceremonial Role ❑ Other ❑ Income ❑ Ilcfrecking"Ceremonial Role"or"OfheP'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 1 have re�d�rrd understand FPPC Regulafions 18944.1 and 18942, 1 have verified that the distribution set forth above, is in accordance with t i rec� irer��er�ts. r - �� . � t �� ��e�l� � Sig atura o gency Head or Design,ee Print ame Title �{m r�ih,day,yaar] Comment: FPPC Form 802(2/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Agency Report of: • • . . , Ceremonial Role Events and Ticket/Pass Distributions • ' 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 Passea Community Development 2 Enhance Employee Morale Information Technology 4 Ershance Employee Morale Community Services 4 �nhance Employee Morale Police Department 2 Enhance Employee Morale Number B, Name of Individual of Tlcket(s)/ Identify one of the following: (Last,Firsf) Passes - - - Ceremonial Role ❑ Other❑ Income ❑ If checking"Ceremonial Role"o�"Olher'describe below: Ceremonial Role ❑ Other❑ Income ❑ If checking"Ceiemonial Role"or"Ofhel'describe below: Ceremonial Role ❑ Other❑ Income ❑ 1/checking°Ceremonial Role"or"Olher'describe below: Ceremonial Role ❑ Other ❑ Income ❑ lf checking"Ceremonial Role"or"Ofher'describe 6elow: 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 FPPC Form 802(2/2076) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)