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032418 Pechanga Expansion Grand Opening Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name Date Stamp City of Temecula ;M 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 951-694-6421 randi.johl@temeculaca.gov Date of Original Filing: 03/19/2018 (month,day,year) 2. Function or Event Information Does the agency have a ticket policy? Yes® No❑ Face Value of Each Ticket/Pass $ 279 Event Description: Pechanga Expansion Grand Opening Date(s) 03 / 03 18 _J� Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes❑ No El If no: Pechanga Tribal Council 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 A. Name of Agency,Department or Unit of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy Passes City Manager's Office 2 Advertise and Promote the City of Temecula Number B. Name of Individual of Ticket(s)/ Identify one of the following: (Last,First) Passes Ceremonial Role ❑ Other ❑ Income ❑ if checking"Ceremonial Roleor Other describe below Ceremonial Role ❑ Other ❑ Income ❑ If checking'Ceremonial Role"or'Other describe below. Name of Outside Organization Number C. (include address and description) of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy Passes 4. Verification I have read an understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance with the'req ements. Randi Johl City Clerk 05/15/18 Signature of Agency Head or Designee Print Name Title (month.day year) Comment: FPPC Form 802(2/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name Date Stamp City of Temecula WcialUse ' Division, Department,or Region(if applicable) rForOnly City Clerk Designated Agency Contact(Name.Title) Randi Johl, City Clerk ® Amendment (Must Provide Explanation in Part 3) Area Code/Phone Number E-mail 951-694-6421 randi.johl@temeculaca.gov Date of Original Filing: 03/19/2018 (month,day,year) 2. Function or Event Information Does the agency have a ticket policy? Yes® No❑ Face Value of Each Ticket/Pass$ 281 Event Description: Pechanga Expansion Grand Opening Date(s) 03 / 031 18 Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes❑ No El If no: Pechanga Tribal Council 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 A. Name of Agency,Department or Unit of Ticket(s)f Describe the public purpose made pursuant to the agency's policy Passes City Manager's Office 1 Advertise and Promote the City of Temecula Number B. Name of Individual of Ticket(s)/ Identify one of the following: (Last,First) Passes Ceremonial Role ❑ Other❑ Income ❑ if checking'Ceremonial Role"or"Other"describe below Ceremonial Role ❑ Other ❑ Income ❑ Ifchecking'Ceremonial Role or"Other-describebelow. Name of Outside Organization Number C. (include address and description) of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy Passes 4. Verification /have read and understand FPPC Regulations 18944.1 and 18942. l have verified that the distribution set forth above, is in accordance with Ke r quirements. Randi Johl City Clerk 05/15/18 Si e of Agency Head or Designee Print Name Title (month,day,year) Comment: FPPC Form 802(2/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name Date Stamp "ForOfffificial City of Temecula Division, Department,or Region(if applicable) e Only City Clerk's Office Designated Agency Contact(Name.Title) Randi Johl, City Clerk ® Amendment (Must Provide Explanation in Part 3) Area Code/Phone Number E-mail (951)694-6421 randi.johI@temeculaca.gov Date of Original Filing: 03/19/2018 (month,day year) 2. Function or Event Information Does the agency have a ticket policy? Yes® No❑ Face Value of Each Ticket/Pass$ 438 Event Description: Pechanga Expansion Grand Opening Date(s) 03 / 03 18 Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes❑ No® If no: Pechanga Tribal Council 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 A. Name of Agency,Department or Unit of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy Passes City Manager's Office 2 Advertise and Promote the City of Temecula Number B. Name of Individual of Ticket(s)l Identify one of the following: (Last,First) Passes James Stewart Ceremonial Role ❑ Other 0 Income ❑ 2 If checking Ceremonial Role or Other describe below Advertise and Promote City of Temecula Ceremonial Role ❑ Other ❑ Income ❑ If checking'Ceremonial Role or Other describe below Name of Outside Organization Number C. (include address and description) of Ticket(s)i Describe the public purpose made pursuant to the agency's policy Passes 4. Verification /have read and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance with the,,�: ements. Randi Johl City Clerk 05/15/18 Signat a of 'cy Head or Designee Print Name Title (month,day.year) Comment: FPPC Form 802(2/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name Date Stamp "ForOfffificial . ' City of Temecula Division, Department,or Region(if applicable) e 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 951-694-6421 randi.johI@temeculaca.gov Date of Original Filing: 03/19/2018 (month,day,year) 2. Function or Event Information Does the agency have a ticket policy? Yes® No❑ Face Value of Each Ticket/Pass$ 244 Event Description: Pechanga Expansion Grand Opening Date(s) 03 / 03 18 Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes❑ No El If no: Pechanga Tribal Council 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 A. Name of Agency,Department or Unit of Ticket(s)l Describe the public purpose made pursuant to the agency's policy Passes Number B Name of Individual of Ticket(s)/ Identify one of the following: (Last,First) Passes Matt Rahn Ceremonial Role ❑ Other ❑x Income ❑ 2 If checking'Ceremonial Role"or'Other'describe below: Advertise and Promote the City of Temecula Maryann Edwards Ceremonial Role ❑ Other ❑ Income ❑ 2 If checking'Ceremonial Role"orOther describe below Advertise and Promote the City of Temecula Number Name of Outside Organization of Ticket(s)I Describe the public purpose made pursuant to the agency's policy C. (include address and description) 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 th�nirements. v� Randi Johl City Clerk 05/15/18 Sigrk ency Head or Designee Print Name Title (month,day year) Comment: FPPC Form 802(2/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)