HomeMy WebLinkAbout08122023 Birth Choice Centers GalaAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Temecula
or Region (if applicable)
City Clerk
Designated Agency Contact (Name, Title)
Randi Johl, Director of Legislative Affairs/City Clerk
Area Code/Phone Number E-mail
Date Stamp
A Public Document
For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
(951) 694-6421 randi.johI@temeculaca.gov Date of Original Filing:
2. Function or Event Information
Does the agency have a ticket policy? Yes ■ No ❑ Face Value of Each Ticket/Pass $ _
Event Description: Birth Choice Centers Gala Date(s) 08 1 12 / 23
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:
of agency official?
Official's Name (Last, First)
(month, day, year)
125
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(sy Describe the public purpose made pursuant to the agency's policy
Passes
Name of Individual Number
B. of Ticket(su Identify one of the following:
(Last, First) I Passes
Ceremonial Role ❑ Other M Income ❑
Stewart, James 1 Ifchecking"Ceremonial Role"or"Other'describe below
Advertise and Promote the City of Temecula
Ceremonial Role ❑ Other ❑ Income ❑
If checking "Ceremonial Role" or "Other' describe below:
Name of Outside Organization Number
of Ticket(su Describe the public purpose made pursuant to the agency's policy
C. (include address and description)
Passes
4. Verification
/ havemN and understand FPPC Regulations 18944.1 and 18942. / have verified that the distribution set forth above, is in accordance
with e r quirements. Director of Legislative Affairs /
V5�� Randi Johl City Clerk 8/22/23
lure of 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)