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101417 Greek Festival Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name Date Stamp � ' City of Temecula � Division, Department,or Region (ilapplicable) For on�aai use o�iy Ciry Clerk's Office Designated Agency Contact(n/ame,rn�e) Randi Johl, City Clerk ❑ Amendmant (Musf Prodde Explanation in Part 3.) Area CodelPhone Number E-mail 951-694-6421 randi.'ohl temeculaca. ov DateofOrlglnalFiling: 10/19��� 1 @ 9 (monm,eay,year) 2. Function or Event Information Does the agency have a ticket policy? Yes� No❑ Face Value of Each TickeUPass $ z Event Description: Greek Festival Date(s)���� ��_ Provitle Tt/e/ExplansCon Ticket(s)/Pass(es) provided by agency? Yes❑ No� If no: St. Nicholas Greek Orthodox Church Name o!Souice Was ticket distribution made at the behest Yes❑ No� If yes: of agency offcial? Olficial's Name(Last,First) 3. Recipients •Use Seclion A lo identify ihe egcncy i depanment ar unil. •Use Section�la identily en individuel. •Use Section C to identify an ou�side organi�lion. NumMr A, Name of Agancy,Dapsrtment or Unit ot Tkk�y�y Descrlbe the public purposa made pursuant to Ne agency's policy Paaaw Nama af Individual Numhar B (Last,Firsp °}P�uH�N Identlfy ona of the following: Maryann Edwards Cammanial ftole � Omer ❑ Income ❑ ,� ncr,«lunv'ca�e�w�w�Wae�o.�orner�aescnceoe�av Advertise and Promote the Ciry Ceremonial Role ❑ Other ❑ Incoma ❑ II cnecxing'Ceremomal ade"or'Otner tlesrnce beiow Nama of Outaide Organization NumWr C' (includa atlAreee and tleacripUon) otTkk�qs)I �eecribe[ha public purpose made punuantto the egency's policy Pa��e� 4. Verification I have re d and understand FPPC Regulations 18944.1 and 18942. I have vertfied that the disMbution set lorth above, is in accordance wifh 1 e r quirements. Randi Johl City Clerk 10/19/17 pn enty Head or DesiBnee Print Name Title (month,Oay,yeaq Comment: FPPC Form 802(2I2016) FPPC Toll-Frea Helpline:866lASN-FPPC(B8612753772)