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032218 Xenia Hospitality Awards 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 (if applicable) For Official Use 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 Date of Original Filing: 03/26/18 951-694-6421 randi.johl@temeculaca.gov (month,day,year) 2. Function or Event Information Does the agency have a ticket policy? Yes® No❑ Face Value of Each Ticket/Pass$ 10 Event Description: Xenia Hospitality Awards Date(s) 03 / 22 / 18 _ f Provide Title/Explanation Visit Temecula Valley Ticket(s)/Pass(es) provided by agency? Yes ElNo® If no: 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 1 Advertise and Promote 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'descnbe 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)f Describe the public purpose made pursuant to the agency's policy Passes 4. Verification l have read and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance with equirements. Randi Johl City Clerk 03/28/18 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(8661275-3772)