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080417 TV Balloon & Wine Festival Sponsor Appeciation Dinner Agency Report of: Ceremonial Role Events and TickeUPass Distributions A Public Document 1. Agency Name Date Stamp . . ' Ciry of Temecula • � Division, Department,or Region (ilapplicable) Fo�on�c�xi u:e ooiy City Clerk's Office Designated Agency Contact(Name,ritle) Randi Johl, City Clerk � qmendment lM�sta�ordee.p�anaeo�maarts) Area Code/Phone Number E-mail �ate of Orfglnal Flling: 08/17l17 951-694-6421 randi.johl@temeculaca.gov (monM,day,yeaq 2. Function or Event Information Does the agency have a ticket policy? Yes� No❑ Face Value of Each TickeUPass $ �40 Event Description: SponsorAppreciation Dinner Date(s)���� _�_�_ ProWtle Ttte/ExplanaMon Ticket(s)/Pass(es) provided by agency? Yes❑ No� If no: Temecula Valley Balloon and Wine Festival Assoc. Name a/Source Was ticket distribution made at the behest Yes❑ No� If yes: of agency official? Ol�icial's Name(Last Firsq 3. Recipients •Use Seclion A to identi(y the egency's depurlmenl or uniL •Use Sectian 6 lo identify an inJividual. •Use Seaion C tu idemify an outside orgeniznlion. NumMr /�, Name of Agency,Department or Unit of Tkkeqsy Uescriba tha publlc puryosa mada punuant to the agency'a policy Pasaes City Managers Office � Advertise and Promote the City of Temecula Nama of Individual NumMr B. oi Tkk�y�u Identily one M the following: (Leif,FirstJ Passa� Maryann Edwards Ceremaniai ao�e ❑ Otner Q inwme ❑ Z IfcneCk�n9'CeremomalRoleb�"OMei'tlescn0e0elow Advertise and Promote the City of Temecula Ceremonial Rde ❑ Ot�er ❑ Income ❑ ll cneckmg'Ceremonia�Rde�or'OtOer'CescnOe pelow Name ot OuLide Organiratlon M�mMr C' (IncluOe adtlreas and descrlptlon) or nck•y.y Oescribe the pu611c purposa made punuant to the agancy'a policy P�sset 4. Verification !have read and understand FPPC Regulations 18944.1 and 18942. !have verified that the dis[nbution set/orth above, is in accordance wit quirements. Randi Johl City Clerk 08/17/17 ip ure of enty Head or Designee Pnnt Name Title (monfh,day,year) Comment: FPPC Form 802(2li016) FPPC Toil•Free Helpline:866lASK•FPPC(86W275-3772)