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100717 Temecula Valley Music Awards Agency Report of: Ceremonial Role Events and TickeUPass Distributions A Public Document 1. Agency Name Date Stamp . . . / City of Temecula • � Dlvlslon,Departrnent, or Region (i�applicable) For Oificial Use Only City Clerk's Office Designated Agency Cont�ct(Name,riNe) Randi Johl, City Clerk AreaCode/PhoneNumbar E-mail ❑ Amendment (MustPmNdeExplananoninPart3J 951-694-6421 randi.'ohl temeculaca. ov UateofOrlginalFlling: ���19��� 1 @ J (monM,day,year) 2. Function or Event Information �oes the agency have a ticket policy? Yes� No� Face Value of Each TickeUPass $ 50 Event Description: Temecula Valley Music Awards Date(s)���� ��_ Provitle rue�Exaaneaon Ticket(s)/Pass(es) provided by agency? Yes❑ No� If no: Temecula Valley Music Awards Group (NMA) NameolSowce Was ticket distribution made at the behest Yes� No� If yes: Olficial's Name(Last,First) of agency official? 3. Recipients •Use$eclion A to idenli(y the agency's department or unil. •Uu Seclion 8lo identify an individual. •Use Sectian C to identify an outside organizalion. NumEar A, Name of Agency,Department ar Unit ol Tick�q�y Descrlbe the public purpose made punuant to the agency'a policy Pa�taa Neme ol lndivldual Numtwr B. of Tick�y�y Identity ona of tha following: (Lest Firsp Puws Maryann Edwards Ceremonial Role � Other ❑ �ncome ❑ ' ll�necbng'CeremonialRde'bi'O(nei'CescnDeDalow Advertise and Promote the City Cemmonial Role ❑ Other ❑ Inwme ❑ �I cneck�ng'Ceremomal Rde-oi'Oma/'Oaern�e oe�ow. Nama ot OutalAe Or anlraUon Num6ar C, 9 ot Tlckaysy Deacriba the public purpose maAa punuant to the agancy's policy (Inclutle aOdre��antl tlescrlpdon) po��o� 4. Verification !have read and understand FPPC Regulations 18944.1 and 18942. !have ven(ed tha�the distribu[ion sef loKh above, is in accordance wifh e equiremen(s. Randi Johl City Clerk 10/19l17 S eluro ol ency HeM w Deapnee Pnnt Name TNe (month,tlay year) Comment FPPC Form 802(�12016) FPPC Toll•Free Halpllne:B6WASK-FFPC(B8WT75-S772)