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061617 Wine Country Classic Agency Report of: Ceremonial Role Events and TickeUPass Distributions A Public Document 1. Agency Name Date Stamp . . . ' City of Temecula ' � Division, Department, or Region (if applica6le) ForOffcial Use Only City Clerk'Office Designated Agency Contact(Name,Title) Randi Johl, City Clerk ❑ AmentlmBnt (Must Provitle Explanatlon in Part 3.) Area CodelPhone Number E-mail (951)694-6421 randi.johl@temeculaca.gov oate ororiginai Fiiing: 07/05/17 (month,day,year) 2. Function or Event Information Does the agency have a ticket policy? Yes� No❑ Face Value of Each TickeUPass $ 175 Event Description: Wine Country Classic Date(s)�� �� ��_ Provitle Title/Explanation 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 p If yes: Olficial's Name(Lasf,First) of agency official? 3. Recipients •Use$ection A lo idenlify ihc agency's depaAment or uniL •Use Section 6 to identi(y an individual. •Ose Section C to idenlify an outside organization. Num6er A, Name of Agency,Department or Unit of 7icket(s�/ Describe the public purpose matle pursuant to the agency's policy - Passes ' City Manager's Office 2 Advertise & Promote the City of Temecula/Enhance Employee Moral Community Development � Advertise & Promote the City of Temecula/Enhance Employee Moral Number ' B Name of Individual otTicket(s�/ Identify one ot[he following: ' (LasC Firsfl Passes Ceremonial Role ❑ Other ❑ Inwma ❑ II cbeckng'Ceremonial Rde'o�'Olhe/'tleScnDa below: Ceremonial Role ❑ Other ❑ Income ❑ I/checkng'Ce2monial RWe'oi'OIheC tlescnbe below: Name of Outsitle Organiza[ion Numbar � I C'' (inclutle atltlress antl tlescription) ofTicket(e)/ Describe the public purpose made pursuant to the agency's policy Pa938s � 4. Verification I hav d and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set/orth above, is in accordance �t th requirements. � Randi Johl City Clerk 07/05/17 i of Agenq Head or Uesignee Print Name 7tle (month,day,yearJ Comment: FPPC Form 802(2I2016) FPPC Toll-Free Helpline:866/ASK-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[o identify the agenry's depar[ment or unit •Use SeRion B to identify an individual. •Use Sec[ion C[a identify an ou[side organization. Number A Name of Agency,Department or Unit of Tickeys�/ Describe the public purpose made pursuant to the agency's policy Passes Public Works � Advertise& Promote the City of Temecula/Enhance Employee Moral Name af InAivitlual Number B. of TickM�s�/ Itlentiry one of the following: (Las(First) Passes Ceremonial Role ❑ Other ❑ Income ❑ Ilcheclnng"Ceremonial Role"or"Othe/'tlesrn0e Delow: Ceremonial Role ❑ Other ❑ Inwme ❑ I{checking"Ceremonial Role"or`OMeC tlascnba below: Ceremonial Role ❑ Other ❑ Income ❑ 1I c�eclvrg'Ceremonial RWe'oYOfhePGesrnDe Gelow' Ceremonial Rde ❑ Other ❑ Income ❑ Ilchecprg'Leremonial Role'or'Ome�Casrnee celow: Name of OuLaide Organization Number C'' inclutle atltlress and tlescn hon olTickM�s�/ Describe the public purpose matle pursuant lo[he a9ency's policy ( p � Passes FPPC Form 802(2I2016) FPPC Toll-Free Helpline:B661ASK-FPPC(86612753772)