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071318 Cinderella Ballet Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name Date Stamp California Q O2 City of Temecula Form v Division, Department,or Region (if applicable) For Official Use Only City Clerk Designated Agency Contact(Name,Title) Randi Johl, Director of Legislative Affairs/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 the agency have a ticket policy? Yes N No ElFace Value of Each Ticket/Pass$ 25 Event Description: Cinderella Ballet Date(s) 07 / 13 / 18 Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes® No❑ 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 Number B. Name of Individual of Ticket(s)/ Identify one of the following: (Last, First) Passes Matt Rahn Ceremonial Role 1=1Other ❑ Income ❑ 2 If checking'Ceremonial Role"or"Other"describe below: Advertise/Promote City. Monitor and Evaluate City Event and venue. Ceremonial Role ❑ Other ❑ Income El 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 ,uirements. Director of Legislative Affairs/ Randi Johl City Clerk 07/17/18 Signatur ncy 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)