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060817 Southwest Regional Economic Forecast Agency Report of: Ceremonial Role Events and TickeUPass Distributions A Public Document 1. Agency Name Date Stamp . . 1 City of Temecula • � Division,Department,or Region (il applicable) Fororraa�use oniy City Clerk's Office Designated Agency Con W ct(Name,ntle) Randi Johl, City Clerk ❑ Amendment /Musf Provitle Explanation in Part 3.J Area CodelPhone Number E-mail (951)694-6421 randi.johl@temeCulaca.gov Date ot Original Filing: 06/12/17 (monlh,day,yearJ 2. Function or Event Information Does the a enc have a ticket olic � Face Value of Each TickeUPass$ 50.00 9 Y P Y Yes� No❑ Event Description: SW Regional Economic Forecast Date(s)�J�� ��_ Piovitle TiUe/Explanafion Ticket(s)/Pass(es) provided by agency? Yes❑ No� If no: The Temecula Valley Chamber of Commerce Name o/Source Was ticket distribution made at the behest Yes O No� If yes: of agency official? ���'s Name(Las(FirsQ 3. Recipients •Use Section A to identify the agenty's depar[ment or uni[. •Use Section B to iden[ify an individual. •Use Section C ta identify an outside organization. Number A, Name o(Agency,Department or Unit of 77ckat�s�/ Describe the puDlic purpose made pursuant to the agency's policy Passes City Manager 4 Advertise and Promote the City of Temecula Finance � Advertise and Promote the City of Temecula Name of Intlivitlual Number B. of Ticket�s�l Iden[ify ane of the following: (Last,First) Pesses EdWefdS, M8fy8flfl Ceremonial Rola ❑ Other� Inwme ❑ ,� IlcM1ecqnq'CeremonialRolabr`OPoefCescnbebelow: Advertise and Promote the City of Temecula Comerchero, Jeff Ceremonial Role ❑ ane� ❑O i��me ❑ ' I{c6ecpiy-CeremonialRde'or'OfneY'tlesaioe0elow: Advertise and Promote the City of Temecula Name of Outsitle Organization Number C'' (inclutle address and description) of Ticket�s�/ Describe the public purpose made pursuant[o the agency's policy Passas 4. Verification I have 2ad and understand FPPC Regu/ations 18944.1 and 18942. I have venfied that the distnbution sel forth above, is in accordance with th irements. , Randi Johl City Clerk 06/12/17 Signat re cy Head or Desiqnee Pnnt Name Ttle (month,tlay,year) Comment: FPPC Form 802(Y12016) FPPC Tall-Free Helpline:866/ASK-FPPC(B66/275-3772) 1 Agency Report of: . . . . ' Ceremonial Role Events and TickeUPass Distributions • ' Continuation Sheet A Public Document Agency Name City of Temecula 3. Recipients •Use Section A[o identi(y Ihe agenty's departmen[or uniL •Use Se<tion B to identify an individual. •Use Seciion C to iden[ify an outside organization. Number A. Name of Agency,Department or Unit of Tickeys�/ Describe the public purpose matle pursuant to the agency's policy PasseS Community Development � Advertise and Promote the City of Temecula Human Resources � AdveRise and Promote the City of Temecula Number B Name of Individual of nckat�s�/ Identiy one of the following: (Last,FirstJ Passes Stewart, James ce�e�„o���Raa ❑ o�ner � Income ❑ ,� Ilc�ecla0g"CeremonlalRole"or"OfheYaescd0e0elow: dvertise and Promote the City of Temecula Ceremonial Rde ❑ Other ❑ Inmme ❑ Il checloig'Ceremorual Role'o�'O@e('EescnOe Oelow: Ceremonial Role ❑ Other ❑ Income ❑ II c6eckrq"Ceremonial RWe"oi`Ofhe/tlespibe below' Cerertanial Role ❑ Other❑ Income ❑ II checking'Ceremonial Role"or"Ofhe/'Oescnbe Delow' Name of Outside Oryanization Number C, of Ticket(s�/ Oescrlbe[he public purpose matle pursuant to the agency's policy (inclutle atltlress antl tlescription) Passes FPPC Form 802(2/2076) FPPC Toll-Free Helpline:8661ASK-FPPC(866/2753772)