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051117 2017 State of the City Address Agency Report of: Ceremonial Role Events and TickeUPass Distributions A Public Document 1. Agency Name Date Stamp . . . � ' City of Temecula • � Division,Department,or Region (ilapplicable) ForOfficial UseOnly City Clerk's Office Designated Agency Contact(Name,Tit/e) Randi Johl, City Clerk � qmendment (MustProNdeExplanafioninPart3.J Area CodelPhone Number E-mail (951)694-6421 randi.johl@temeculaca.gov Date of Original Filing: 05/15/17 (monfh,tlay,yea�) 2. Function or Event Information Does the agency have a ticket policy? Yes� No❑ Face Value of Each TickeUPass $ 40/$500 Table Event Description: 2017 State of the City Address Date(s)JJ�� J�_ ProNde Ttle/ExplanaGon Ticket(s)/Pass(es) provided by agency? Yes❑ No� If no: Temecula Valley Chamber of Commerce Name o/Source Was ticket distribution made at the behest Yes❑ No 0 If yes: O/ficia/'s Name(Las(First) of agency official? 3. Recipients •Use Section A to identify[he agenry's department or unit •Ose Section B to idenli(y an individual. •Use Seclion C to identi(y an outside organizalion. � ' Number. ' " ' � A. Name of Agency;Oepartment or Unit of Tickeys)/ Describe the public purpose made pursuant to the agency's policy I Pasaes City Manager's Offce �0 Advertise & Promote the City of Temecula City Clerk's Offce � Advertise& Promote the City of Temecula i � ...,: . - . ,Number . . . .. .. ..-. � . . � ���f B. " � 'Name o(Individual� , � ot.Tickerys)/ .� - Identity one of the following: '- � � _ (Last First) � Passes ' ' � ' Edwards, Maryann ce�mo��ai Roia ❑x omer ❑ i��me ❑ ,Z Ilchecw'ng•CeremoNalRae"or'Otnertlescnbe6elow: Gave State of the City Address/Advertise& Promote the Cit of Temecula Rahn, Matt Ceremonial Role ❑ ONer ❑x Inwme ❑ 1 II cnEtkng'Ce2monial ftde'or'O(he!'tlascnbe Debw: Advertise 8 Promote the City of Temecula � Name'of Outside Organization � �of 7 cket(pl/ Describe the ublic u ose made� ursuant to the a enc s �olic t C. � � - P P �P P � 9 Y� P Y . � (inclutle atltlress.anA tlescription)� ' 'passea- � � . " � 4. Veriflcation I have read and understand FPPC Regulations 18944.1 and 18942. I have venfied that the distribution set forth above, is in accordance with e r quirements. . Randi Johl City Clerk OS/15/17 SiBn ure ofA9ency Head or Oesignee Print Name Ttle (month,tlay yeaQ Comment: FPPC Form 802(212016) � FPPC Toll-Free Helpline:8661ASK-FPPC(86612753772) Agency Report of: . . . . � Ceremonial Role Events and TickeUPass Distributions • ' Continuation Sheet A Public Document Agency Name City of Temecula 3. Recipients •Use Section A to identify lhe agency's departmenl or unit •Use Seclion B to iden[ify an individual. •Use Section C to identify an oulside organization. ' �Number � - �- A. Name of Agency,Department or Unit of�Tickeye�/ �Describe[he public purpose made pursuant to the agency's policy I Pasaes ' Community Services Department � Advertise & Promote the City of Temecula Community Development Department � Advertise & Promote the City of Temecula Finance Department � Advertise & Promote the City of Temecula Human Resources Department 2 Advertise& Promote the City of Temecula _ - — - - -- ---- — - — , . __. -- - — - --- ------ — � Number � - —� B Name of Indivitlual of 7lcket(sp Identify one of[he following: I � ' (Lasf,First) Paesee Naggar, Mike Ceremonial Role ❑ Other � Income ❑ ,� llcbecking'Ce�emonialRWe"or'Other'tlescnDeDelow: dvertise & Promote the City of Temecula Comerchero, Jeff Ceremonial Role ❑ Other � Inwme ❑ ,� I/checking'CeremonialRde'oi'Othe/'tlescnbebelow' Advertise& Promote the Ciry of Temecula Stewart, James Ceremonial Role ❑ Other � Income ❑ 1 It c�ecking'Ceremonial Rde'or'Ofhel'Oescnbe belav: Advertise & Promote the City of Temecula Ceremonial Role ❑ Other ❑ Income ❑ ll chxkinA"Ceremonial Rde"or'Othe/'tlescnbe below' Name of Outsitle Organization Numbar . C, of Tickeqs)/ Describe the pub�ic purpose made pursuant tothe agency's policy i �(include address antl tlescription). � paeaee ' FPPC Form 802(2/2016) FPPC Toll•Free Helpline:866IASK-FPPC(866/275-3772) Agency Report of: . . . . � Ceremonial Role Events and TickeUPass Distributions • ' Continuation Sheet A Public Document Agency Name City of Temecula 3. Recipients •Use Seclion A to identify the egenry's departmenl or unil •Ose$eclion B to iden[ify an individual. •Use SeRion C to identity an outside organization. ! � � Numbar . � � � i A, Name of Agency;Department or Unit � of 7lcket(al/ Describe the publiopurpose made pursuant to the agency's policy ' . . � : � . , , . � 'Pasaee . . .. � . � . .. . , . � Information Technology Department 3 Advertise &Promote the City of Temecula Police Department 3 Advertise & Promote the City of Temecula Public Works Department � Advertise & Promote the City of Temecula - — -- -- _. _ __ _— - ---_ ._ --- - - _ . _ __ ._ �.__,�.�.�-- — . • .�Number ..._"__ . _'_'i B � . Name of Individual �" of.Tickeqe)/ ' - Identify one of.the following: . ' - (Last,First) . � : Pasaes � � . . . I Ceremonial Role ❑ Other ❑ Income ❑ Ilcbecking'Ceremonial Rde'o�'0(he/'tlescnba below: Ceremonial Role ❑ Other❑ Inwme ❑ It checking'Ceremonial Rde'or'Ofhel'CescnDe below: Ceremonial Role ❑ Other ❑ Income ❑ It checlting'Ceremonial RWe"or'Othel'tlescn0e Uelow: Ceremonial Role ❑ Other ❑ Income ❑ 11 cfreckng'Ceremonial Rde'oi"Olhel'tlascnba below: C� Name of Outside Organization of Tlcket a/ Describe the�� ublic ur ose maAe ursuant to the a enc s olic i ' mclude addressand descri 4on ' ( � P P P p 9 ' Yr p Y I ' (� P� ) , Pasaes i FPPC Form 802(2/2016) FPPC Toll-Free Helpline:B66IASK-FPPC(866/275•3772)