HomeMy WebLinkAbout07272024 Birth Choice Centers Gala Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name Date Stamp California Q 02
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.johl@temeculaca.gov Date of Original Filing:
(month,day,year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass$ 150
9 Y Yes No❑
Event Description: Birth Choice Centers Gala Date(s) 07/ 27 / 24
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes■ No 0 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
Ceremonial Role ❑ Other ■ Income ❑
Stewart, James 1 If checking"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
C. (include address and description) of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
I have r--. and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
wquirements.
Director of Legislative Affairs/
‘4.0Randi Johl City Clerk 08/01/24
S - • -of Agency Head or Designee Print Name Title (month,day,year)
Comment:
Print Clear FPPC Form 802(2/2016)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)