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020217 CSUSM Report to the Community Agency Report of: Ceremonial Role Events and TickeUPass Distributions A Public Document 1. Agency Name Date Stamp . . . ' City of Temecula • � Division,Departrnent,or Region(ilapp�icabie) For Offidal Usc Only Ciry Clerk's Office Designated Agency Contact(Name.Ttle) Randi Johl ❑ Amendment (Must PmNtle Explana6on in Part 3.) Area CodelPhone Number E-mail (951)694-6421 randi.johl@temeculaca.gov Date of Original Flling: 02/16/17 (month,day year) 2. Function or Event Information Does the agency have a ticket policy? Yes� No❑ Face Value of Each TickeVPass$ zs Event Description: CSUSM Report To The Community Date(s)���� �_J_ Provide TiUe/Explanation Ticket(s)/Pass(es) provided by agency? Yes❑ No� If no: The Alliance to Accelerate Excellence in Education Name o1 Source Was ticket distribution made at the behest Yes❑ No� If yes: of agency official? O/ficial's Narta(Lest,FirsQ 3. Recipients •Use Section A to identily the agency's departmen[or unit •Use Sec[ion 6 to iden[i(y an individual. •Use Section C lo identify an ou[side organiza[ion. � Number � A. Name of Agenry,Department or Unit of Tickeqsp Describe the public purpose made pursuant to the agenty's policy I � Passas ' Numbar I B, Name of Indivitlual of rcket�s�/ Identity one of the following: i (Last,Firsfl Passes � Edwards, Maryann Ceremonial Role ❑ Other ❑X Inwme ❑ ,� I(checkiy'CeremonialRWe'or'OMe!'tlescnbebelow: Advertise and promote the City of Temecula Rahn, Matt Ce�ertronial Rde ❑ Other❑X Income ❑ , Ilcheclvig'Ce2monialftole'ar'OMM'aescnbeGelow' Advertise and promote the City of Temecula C� Name of Outsitle Organization Numb'r) P P P P 9 Y P Y I • (inciutle atltlress antl description) oipTi gk�$s I Describe the ublic ur ose made ursuant to the a enc s olic 4. Verificatlon I have read and understand FPPC Regulations 1H944.1 and 18942. I have verified that the distnbution set/orth above, is in accordance with t � quirements. Randi Johl City Clerk 02/16/17 S ency Head or Designee Pnnt Name Title (month,tlay,year) Comment: FPPC Form 802(92016) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772)