HomeMy WebLinkAbout09092023 Delta Sigma Theta Sorority, Inc. - Annual Breakfast FundraiserAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Temecula
or Realon
City Clerk
Designated Agency Contact (Name, Title)
Randi Johl, Director of Legislative Affairs/City Clerk
Area Code/Phone Number E-mail
(951) 694-6421 1 randi.johI@temeculaca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes No ❑
Delta Sigma Theta Sorority, Inc. -
Event Description: Annul; Rraakfast Filnriraicar
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ■ No ❑
3
Date Stamp
A Public Document
For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Face Value of Each Ticket/Pass $
Date(s) 091 09 / 23
If no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No ■ If yes:
of agency official?
Recipients
• Use Section A to identify the agency's department or unit. • Use Section B to identify an individual
Number
A. Name of Agency, Department or Unit of Ticket(s)I 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
Ceremonial Role ❑ Other Q Income ❑
Schwa n k, Zak 1 If checking "Ceremonial Role" or "Other' describe below:
Advertise and Promote the City of Temecula
Official's Name (Last, First)
85
Name of Outside Organization
C. (include address and description)
Use Section C to identify an outside organization.
Ceremonial Role ❑ Other N Income ❑
If checking "Ceremonial Role" or "Other' describe below:
Number
of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
/ have nd understand FPPC Regulations 18944.1 and 18942. / have verified that the distribution set forth above, is in accordance
wit the rq6uirements. Director of Legislative Affairs /
Randi Johl City Clerk 9/19/23
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)