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060217 - 060417 Temecula Valley Balloon & Wine Festival Agency Report of: Ceremonial Role Events and TickeUPass Distributions A Public Document 1. Agency Name Date Slamp . . , ' City of Temecula • � Division, Department,or Region(i�applicable) ForOf(ual Use Only City Clerk's Office Designated Agency Contact(Name,rne) Randi Johl, City Clerk ❑ Amendment (Musf Prodde Explanafion in Part 3.J Area Code/Phone Number E•mail (951)694-6421 randi.johl@temeculaca.gov Date of original Filing: 06/14/17 (monfh,day,yearJ 2. Function or Event Information Does the a enc have a ticket olic � Face Value of Each TickeUPass$ Z3 Fri/Sun $33 Sat 9 Y P Y Yes� No❑ Event Description: N Balloon &Wine Festival Date(s)���� 0� 04 � 17 Provide Tifle/Explanation Ticket(s)/Pass(es) provided by agency? Yes❑ No� If no: Temecula Valley Balloon &Wine Festival Name o/Source Was ticket distribution made at the behest Yes❑ No� If yes: of agency official? �a�'s Name(Last,First) 3. Recipients �Use Se<tion A to identify[he agency's department or uniL •Use Sec[ion B ro identify an individual. •Use Sectian C[o identi(y an ou[side organization. Number A. Name of Agency,Department or Unit oi ncket�s�/ Describe tAe public purpose made pursuant to the agency's policy Passes Finance 8 Enhance Employee Moral (General Admission + parking Passes) Community Services 1z Enhance Employee Moral (General Admission + parking Passes) Name of IntliviCual Number B. of Tickeqsp Itlentlfy one of the following: (Lasf,First) Pasaes Edwards, Maryann Ceremonial Rde ❑ ane� � Income ❑ z I/c�ecknB'CeremonialRale'ar'Othe/'4esaibe0elow: Advertise/Promote City, Monitor& Evaluate City S onsored Event General Admission + Parkin Pass Naggar, Mike Ceremonial Rde ❑ Olher ❑X Income ❑ z I)checkrq'CeremonialRde'or'Offre('OesmOeDelow: Advertise/Promote City, Monitor& Evaluate City S onsored Event General Admission + parkin Pass Name oi Outsitle Organization Numbar r'' (include adtlress antl tlescription) of 77ckeqs�/ Describe the puDlic purpose matle pursuant to the agency's policy Passes 4. Verification I hav and understand FPPC Regulations 18944.1 and 18942. I have venfied that the distnbution set/orth above, is in accordance wil the uirements. Randi Johl City Clerk 06/14/17 Si gency Head or Designee Pnm Name Ttle (month,day,yearJ Comment: FPPC Form 802(2/2016) � FPPC Toll-Free Helpline:866/ASK-FPPC(666/2753772) 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 identi(y the agency's department or unit. •Use Section B m identi(y an individual. •Use Section C to identify an outside organi�ation. Number A. Name of Agency,Departmant or Unit of Tickeqs�/ Describe the public purpose made pursuant to the agency's palicy Passes Communiry Development 6 Enhance Employee Moral (General Admission + Parking Passes) Information Technology 4 Enhance Employee Moral (General Admission + parking Passes City Clerk 6 Enhance Employee Moral (General Admission + parking Passes Public Works 18 Enhance Employee Moral (General Admission + parking Passes Numbar B, Name of Intlivitlual of Ticket�s�/ Itlentity one of the following: (Las(First) Passes Stewart, James Ceremonial Role ❑ Other � Income ❑ ,z I/c�xWrg'CeremonialRole'or'Ofner'aesrnoeoelow: dvertise/Promote City, Monitor& Evaluate City ponsored Event(General Admission + Parking Pass) Ceremonial RWe ❑ Other ❑ Income ❑ Ilc�eckrg'CeremonialRWe'or'OIhePOescnbe below: Ceremomal Rde ❑ Olher ❑ Income ❑ II checpig'Ceremonial Rale"or'OfheCCescnDe Delow: CerertanialRole ❑ Other ❑ Income ❑ Ilcheckirg'Ceiemonial Role'oi'OmePtlescnoe oelow: Name of Outside O anization Number (�,, � ol7lckai�s�/ Describethepublicpurposematlepursuanttotheagency'spolicy (inclutle atltlreas and description) passes FPPC Form 802(2I2016) FPPC Toll-Free Helpline:866/ASK-FPPC(86612753772)