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051917 - 052117 Temecula Fashion Week Agency Report of: Ceremonial Role Events and TickeUPass Distributions A Public Document 1. Agency Name Date Stamp . . ' City of Temecula � Division, Department, or Region (i/app�icab�e) ForOf�cial Usa Only City Clerk's Office Designated Agency Contact(Name,Tine) Randi Johl, City Clerk AreaCode/PhoneNumber E-mail ❑ AmBndrtlB�t (MustProvideEzplanab'oninPart3.) Date of Original Filing: �5/30/17 (951)694-6421 randi.johl@temeculaca.gov (month,day,year) 2. Function or Event Information Does the agency have a ticket policy? Yes� No❑ Face Value of Each TickeUPass$ 85.00 Event Description: Temecula Fashion Week Date(s)�� �� �� 21 � 17 Provide TNe/Explanatlon Ticket(s)/Pass(es) provided by agency? Yes❑ No� If no: Inland Valley Business and Community Foundation Name o/Source Was ticket distribution made at the behest Yes❑ No� If yes: Official's Name(Lasf,FirstJ of agency official? 3. Recipients 'Use Section A to identify the agency's department or uniL •Use Section B lo identi(y an individual. •Use Section C to identify an outside organization. Number � A, Name of Agency,Department or Unit of Tickeys�/ Dascribe the pu6tic purpose matle pursuant to the agency's policy � Passee . . . .- � Numbar B. Name o(Individual � of Tckerys)I identity one of the following: ' �� � - � (Last First) Passea � ' ' Rahn, Matt Ceremonial Role 0 Otner ❑ Inwme ❑ ,� IlchecknB"CeiemonialRde"or'Ofher�scnpebelow: Event Judge/Advertise & Promote the City of Temecula Stewart, James Ceremonial Role ❑X Other ❑ Income ❑ .� ll cnecking"ceremonial Raebi•otner tlescnae aelow: Event Judge/Advertise& Promote ihe City of Temecula Name of Outside Organization Number � ' � � � J C'' (includeaddressantltlescription) ofTiekat{s�/ Deacribethepu6licpurpose.madepureuanttotheagency's,policy 1 Pa8688 � 4. Verification 1 have re �d understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set(orth above, is in accordance with e re elirements. Randi Johl City Clerk 05I30/17 Sign gency Head or Designee Print Name Ttle (month,dag yearJ Comment: FPPC Form 802(2I2016) FPPC Toll-Free Helpline:866IASK-FPPC(866/275-3772)