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060118-060318 Temecula Valley Balloon & Wine Festival 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 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.•ohl temeculaca. ov Date of Original Filing: � � g (month,day,year) 2. Function or Event Information Does thea enc have a ticket policy? Face Value of Each Ticket/Pass$ Fri. $25/Sat. $35/Sun. $25 agency P Y• Yes® No Event Description: Temecula Valley Balloon &Wine Festiva bates) 06 / 01 / 18 06/ 03 / 18 Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes❑ No El If no: Temecula Valley Balloon &Wine Festival 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 Finance 14 Enhance Employee Moral (General Admission + Parking Pass) Community Services 4 Enhance Employee Moral (General Admission + Parking Pass) Number B. Name of Individual of Ticket(s)/ Identify one of the following: (Last,First) Passes Mike Naggar Ceremonial Role El Other ZIncome 1:12 If checking`Ceremonial Role"or"Other'describe below: Advertise and Promote City, Monitor& Evaluate City Sponsored Event General Admission + Parkin Pass Maryann Edwards Ceremonial Role ❑ Other ❑X Income ❑ 2 if checking"Ceremonial Role"or"Other"describe below: Advertise and Promote City, Monitor& Evaluate City S onsored Event General Admission + Parkin Pass 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. I have verified that the distribution set forth above, is in accordance with t r quirements. Randi Johl City Clerk 06/11/18 Sigrfature 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: California 021 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 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 Community Developement 6 Enhance Employee Moral (General Admission + Parking Pass) Information Technology/Support Services 2 Enhance Employee Moral (General Admission + Parking Pass City Clerk 8 Enhance Employee Moral (General Admission + Parking Pass Public Works 4 Enhance Employee Moral (General Admission + Parking Pass Name of Individual Number N B. of Ticket(s)/ Identify one of the following: (Last,First) Passes James Stewart Ceremonial Role ❑ Other ® Income ❑ 2 If checking"Ceremonial Role"or"Other'describe below: Advertise and Promote City, Monitor& Evaluate City Sponsored Event(General Admission + Parking Pass) Ceremonial Role ❑ Other ❑ Income ❑ If checking"Ceremonial Role"or"Other'describe below: Ceremonial Role ❑ Other ❑ Income ❑ If checking"Ceremonial Role"or"Other'describe below: Ceremonial Role ❑ Other❑ Income ❑ If checking"Ceremonial Role"or"Other'describe below: Name of Outside Organization Number C. of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy (include address and description) Passes FPPC Form 802(2/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Agency Report of: a a . . ' 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 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 2 Enhance Employee Moral (General Admission + Parking Pass) Human Resources 6 Enhance Employee Moral (General Admission + Parking Pass) Fire 8 Enhance Employee Moral (General Admission + Parking Pass 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 ❑ If checking'Ceremonial Role"or"Other'describe below Ceremonial Role ❑ Other ❑ Income ❑ If checking'Ceremonial Role"or"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 FPPC Form 802(2/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)