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092317 Wines for Canines & Kitties Agency Report of: Ceremonial Role Events and TickeUPass Distributions A Public Document 1. Agency Name Date Slamp . � . . , City of Temecula ' � Divisfon,Department,or Region (ilapplicabk) Fo�on.=,ai use o�iy Ciry Clerk's Office Designated Agency Contact(Name,Taie) Randi Johl, Cily Clerk ❑ Amandment (Must PmNae Expianation in Part 3./ Area Code/Phone Number E-mail 951-694-6421 randi.'ohl temeculaca. ov DateofOrlglnalFlling: ���19��� 1 @ 9 p,m�m,eey�a.� 2. Function or Event Information Does the agency have a ticket policy? Yes� No❑ Face Value of Each TickeUPass$ ��� Event Description: Wines for Canines& Kitties Date(5)���7 _��_ ProNde 7rtle/Explanaeon Ticket(s)/Pass(es) provided by agency? Yes❑ No� If no:Animal Friends of the Valley Name ol Source Was ticket distribution made at the behest yes❑ No� If yes: O!lcial's Name(Las(Firsf) of agency offcial? 3. Recipients •Use$eQion A lo identify l6e agenry's department or unit. •Uu Sectian B�o idenlify an individual. •Use Section C lo identi(y an wlside organi��iun. Numbar A. Name otAgency,Departmant or Unk ot TlekKpy De�crlba the public purpose made punuent lo the agency's policy Pusn Nama of IndNidual Number B, of Tkk�q�y Idently o�e o(Na following: (Lesf.FGat) p�� Maryann Edwards Ceremonial Rok � Other ❑ �ncome ❑ ,� Mdrecpnp'Ceremo��alRde'b�'Ome/tlescnDeDaiow� Advertise and Promote the City Cemmonial Role ❑ Othar ❑ Income ❑ i!c�ecWnA'Ceremomal Rde'o�'Ot�ef tlescnDe Delow Neme ot Oublde Organizedon NumWr C' (Inclutle atltlrass antl tlascriptlon) °�T�k��u �e�criba the public purpose made punuant to tfw agency's poltcy Po�n 4. Verification I hav undersfand FPPC ReguJations 18944.1 and 18942. f have veri(ed that fAe distribu[ion se!/orth above, is in accordance with the re ' ments. Randi Johl City Clerk 10119/17 Sipn cy Head ar Desiqnee Pnnt Name TNe (month,day,yearJ Comment: FPPC Form 802(1/2018) FPPC Toll-Free Helpline: 866lASK-FPPC(66612753772)