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102617 Veteran's Appreciation Event Agency Report of: Ceremonial Role Events and TickeUPass Distributions A Public Document 1. Agency Name Oate Stamp . . . 1 City of Temecula ' � Divislon, Department,or Region (ifappiicabb) Fo�orr=�ai u:e o�iY City Clerk's Office Designated Agency Contact�Neme,7rth) Randi Johl, City Clerk � A11160dRIB0[ (Must PmNda Explana0on in Part 3 J Area Code/Phone Number E-maii 951-694-6421 randi.'ohl temeculara. ov DateofOriginalFlling: ������� 1 @ 9 n��m,aar,r�aa 2. Function or Event Information Does the agency have a ticket policy? Yes� No❑ Face Value of Each TickeUPass $ 35 Event Description: Veteran's Appreciation Event Date(s)���� ��_ �orae rnde.pa�eao� Ticket(s)/Pass(es) provided by agency? Yes❑ No� If no: Veteran's Supplemental Support Network(VSSN) Nameo/Souma Was ticket distribution made at the behest yes❑ No� If yes: Olficial's Name(Las[FirstJ of agency offcial? 3. Recipients •Ose Section A b iJenli(y ihe egency's deparlment or unit. •Uce Section 6lo identify an individual. •Use Section C m identify an outside organizalion. Number A, Name of Agency,Oapartmenl or Unit o171ckatp�l Deacrlbe the pu611c purpoae matla punuent to the ege�cy'a policy Pa�ws Old Town Local Review Board z Advertise and Promote City/Enhance Board and Commission Morale NumGr B Name of IndNidual of Tkkaq�u IAaMify one ot the following: (Last First1 Pasws Cemmonial Role ❑ Other �_ Inwme ❑ il c0ecxing'Ceremomal Rde"oi'Ofher 0.^SrnDe�elow Ceremonial Rde ❑ ONer ❑ Income ❑ II cfrecdng'Caremonral Rde"or'Ofner'Oesrnpe Oeiow� Nama of Outnide Organizatlon NumWr C• (Includ�atlOreu and de�crlpGon) of ikk�y�y Daccribe tha public purpose made pursuant to the agency's policy Passu 4. Verification I have re and understand FPPC Regulations 18944.1 and 18942. I have venfied thaf the distribution set forth above, is in accordance with e re irements. Randi Johl City Clerk 1111l17 Sipn re of q Head ar Daspnee Pnnt Name 7Ne (manth,day,year) Comment: FPPC Form 802(�12016) FPPC Toll-Free Helpline:S6WASK-FPPC(8661275-3772)