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022418 Chamber of Commerce Awards Gala Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name Date Stamp r . ' City of Temecula Division,Department,or Region (if applicable) For Official Use Only City Clerk Designated Agency Contact(Name,Title) Randi Johl, City Clerk ❑ Amendment (Must Provide Explanation in Part 3.) Area Code/Phone Number E-mail 03/19/2018 951-694-6421 randi.johl@temeculaca.gov Date of Original Filing: (month,day,year) 2. Function or Event Information Does the agency have a ticket policy? Yes® No❑ Face Value of Each Ticket/Pass $ 145 Event Description: Chamber of Commerce Awards Gala Date(s)__2_J _24—/_18 1 1 Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes❑ No® If no: Temecula Valley Chamber of Commerce Name of Source Was ticket distribution made at the behest Yes❑ No® If yes: Official's Name(Last,First) of agency official? 3. Recipients •Use Section A to identify the agency's department or unit. •Use Section B to identify an individual. •Use Section C to identify an outside organization. Number ,� /\ Name of Agency Department or Unit , ot Tickeys)I' Describe the public purpose matle pursuant to the"agency's policy " City Manager's Office 3 Advertise and Promote the City of Temecula B Name of Individual, ° •„'of Tlekeyey� Identify one of the following: rI (Last Flrst) . Passes „ _ y Matt Rahn El Other [9 Income 11Ceremonial Role 2 1/checkinp'Cemmonial Rde'or'Other'dascdbe below: Advertise and Promote the City of Temecula Jeff Comerchero Ceremonial Role ❑ Other 21 Income El Ifchecking'Cemmonlal Rde”or'Othef tlescdbe below.' Advertise and Promote the City of Temecula I' . Name of Outside Organization Number ,. "- - C• ,(include address and doscription)_,. 'of nckeys)/ Describe the public puipose made pursuant to the agency'a poll 1_. . . .., Passes 4. Verification l have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance with h r quirements. Randi Johl City Clerk 3/19/18 si ature ency Head or Designee Print Name Title (month,day,year) Comment: FPPC Form 802(2/2016) FPPC Toll-Free Helpline:8661ASK.FPPC(866/275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions ' Continuation Sheet A Public Document Agency Name City of Temecula 3. Recipients •Use Section A to identify the agency's department or unit. •Use Section 8 to identify an individual. •Use Section C to identify an outside organization. Number,, .. r A .:--Name of Agency Department or,Unit =of 7lcket(sp Describe.'the public purposemade pursuantto the,agencys policy Passes r� A, .e r-77—. ',`r77-7 Na umber , h'Name of Individual .4i of Tickets)/ , Identify one of the following i (Last First).' _ 'Passes James Stewart Ceremonial Rale ❑ Other ED Income ❑ 1l ccking'Ceremonial Rde'or'Othsr'descnbsbelow: dvertise ahend Promote the City of Temecula Ceremonial Role ❑ Other ❑ Income ❑ It checkng'Ceremonial Rde-or'Other"describe below: Ceremonial Role ❑ Other❑ Income ❑ If checkng'Ceremonial Rde'or'OthW dawnbe below: Ceremonial Role ❑ Other ❑ Income ❑ if checkng'Ceremonial Rde-or'Other describe below.' t Name of Outside Organrsation ".Number' �, '." C•- ot TlcketeU-- Describe the public purpose made pursuant to the agencys policy (include address and description) Passes ' "-• FPPC Form 802(2/2016) FPPC Toll-Free Helpline:8661ASK-FPPC(8661275.3772)