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042718 Taste of Temecula Valley Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name Date Stamp t City of Temecula WCOfffifcial Division,Department,or Region (if applicable) 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: (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: Taste of Temecula Valley Date(s) 04 t 27 / 18 Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes❑ No® If no: Temecula Education Foundation 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 Number B. Name of Individual of Ticket(s)/ Identify one of the following: (Last,First) Passes James Stewart Ceremonial Role ❑ Other Q 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)/ Describe the public purpose made pursuant to the agency's policy Passes 4. Verification I have read and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance with the'rQuirements. 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)