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111717 SRCAR 41st Annual Celebration & Installation Agency Report of: Ceremonial Role Events and TickeUPass Distributions A Public Document 1. Agency Name Date Stamp . ' City of Temecula '• � Divislon,Department,or Region (�Iappiicable) For Otficial Use Only City Clerk's Office Designated Agency Conhct/Name,7ine) Randi Johl, City Clerk ❑ AmBndmBnt (Musf Provida Exp/anaEwr in PaR 3.) Area CodelPhone Number E•mail 951-694-6421 fefldl.�Ohl temeculaca. ov Date of Orlginal Filing: ��l20/17 1 @ 9 (month,dey,year) 2. Function or Event Information Does the agency have a ticket policy? Yes� No❑ Face Value of Each TickeUPass $ 45 Event Description: Annual Celebration and Installation Date(s)���� ��_ Provitle Ttle/Explana0on Ticket(s)1Pass(es) provided by agency? Yes❑ No� If no: Southwest Riverside County Realtors (SRCAR) Neme o/Sourca Was ticket distribution made at the behest Yes❑ No� If yes: of agency official? Olficial's Name(Las(FirstJ 3. Recipients •Use Seclion A to identify lhe agenry's deputmml or uniL •Use Section 810 identify an individual. •Use Section C to idenGfy an oulside organixalion. NumDer A, Name of Agency,Dapanmant or Unit oi nck�ysy De�c�i6e the public purpoae made punuant to tM agencya policy Pasaea NameoflndNidual NumWr B. ornckaq.y ItlantNy ona W the lollowing: (iest,First) pa�� Edwards, Maryann Ceremonial Role � Other ❑ Income ❑ � �rcnecwnv'Ceremo��aiade'oronrerdescnoeeeiow Advertise and Promote the City Ceremonial Role ❑ 01har ❑ Income ❑ II c�ecbnp'Ceremonial Rde"or'Olhe/'descnbe�elow Name af Oualda Orgenivtlon NumMr C' (IncluM address�nd d�scrlpHon) otTickaf(s�/ Dascrl6a the pu�li�purpoae mada pursuant to tha egency's policy Pasees 4. Verification I have read and understand FPPC Regulations 18944.1 and 18942. 1 have venlied thaf the distnbution set/orth above, is in accordance with �quirements. Randi Johl City Clerk 11/20l17 Siqna enq Head or Despnee Pnm Name TNe (month,tlay yea�) Comment: FPPC Form 802(YI2016) FPPC Tvll-Frae Helpline: 8667ASK-FPPC(B6W275-3772)