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100317 Annual Chamber Legislative Summit Agency Report of: Ceremonial Role Events and TickeUPass Distributions A Public Document 1. Agency Name Date Slamp . . . ' Ciry of Temecula • � Division, Department,or Region (i�appiicab/e) For OHcial Use Only City Clerk's Office Designated Agency Contact(Name,7it/e) Randi Johl, City Clerk � Amendment (Must ProNde Explanation in Part 3.J Area CodelPhone Number E-mail 951-694-6421 randi.johl@temeculaca.gov Date of Original Filing: �O/05/17 /month,day,year) 2. Function or Event Information Does the agency have a ticket policy? Yes� No❑ Face Value of Each Ticket/Pass $ 50 Event Description: Annual Chamber Legislative Summit Date(s)���� ��_ Provide THe/Explanafion Ticket(s)/Pass(es) provided by agency? Yes❑ No� If no: Temecula Chamber of Commerce Name o/Source Was ticket distribution made at the behest Yes❑ No� If yes: of agency official? o�c�ars mame��as�,F�rsr� 3. Recipients •Use Se<tion A lo idenlify the agency's deparlment or unil. •Use Section B to idenlify an indiviJual. •Use Seaion C lu idenli[y an outside organizalion. Number A. Name of Agency,Department or Unit of Tlckeqa�/ Desc�ibe the pu6lic purpose made pursuant to the agency's policy Passes City Manager's Office 3 Enhance Employee Morale Community Services 3 Enhance Employee Morale Numbe� B. Name of Individual o171ckeUs)/ Itlentify one o(the following: (Las( Firsp Passee Maryann Edwards Ceremonial Role ❑ Other Q Income ❑ ,� Ilc�ecN�ng'CeremonialRole'or'O(heY'descn�e�elow: Advertise and Promote the City James Stewart Ceremonial Role ❑ Other ❑x Income ❑ .� Ilchecking"CeremonialRole'or'Olhe/'descnbebelow' Advertise and Promote the City Name of Outside Organization Numbar r'' (include address antl tlescription) of Ticket(s)I Describe the public purpose made pursuan[to the agency's policy Pa85Be 4. Verification I have read and understand FPPC Regulations 18944.1 and 18942. 1 have venfied that the distribution set foRh above, is in accordance with h q�irements. Randi Johl City Clerk 10/05/17 Si nalure o gency Head or Designee Print Name TiUe (month,day,yaaQ Comment: FPPC Form 802(2/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866I275•3772) Agency Report of: . . . . , Ceremonial Role Events and TickeUPass Distributions • ' Continuation Sheet A Public Document Agency Name City of Temecula 3. Recipients •Uu Seainn A to identify the agency's departinenl nr unil. •Usc Seaion P�o identity an individual. •Use Seclion C to identi(y an outside organizalion. NumMr A� Name o(Agency,DepaAment or Unit or nckey.�r Daacribe tha puDllc purposa made punuant to[he agency's policy Paa�ea City Clerk's Office � Enhance Employee Morale Police Department � Enhance Employee Morale NameoFlndivldual Number B. of TlcksUs�/ �danUfy one of the followfng: (Last, First) P��us Ceremonial Role ❑ Other ❑ Income ❑ II checbng'Ceiamonial Rde'or'Olne(dBscnpe pelow Ceremonial Rde ❑ Otl�er ❑ Income ❑ n cMcbrp'Ceremoniel Hab'a'Ofne/tbscnCe Eebw Cercmonid Rde ❑ Other ❑ I�ome ❑ n cMckl^V'Caemonw�Rde'a"Ofner doscn0a Debw� Ceremonial Role ❑ Other ❑ Inwme ❑ Il cnecbng'Garemomal Rde"or'Of�e/'tleun0e Oe�ow Name of Outside OlgantraUon NumMr C' (include adaress and descriotlon) °�Tkk��u Dascriba the publlc purpose made punuant to the agency'a policy Puna FPPC Form 902(Y12U76) FPPC Toll-Ffee Helpllne:B661ASK-FPPC(8661275-3772)