HomeMy WebLinkAbout110116 Our Kids Rock Monster Mash 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 OfBaal use Only
City Clerk's Office
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.johl@temeculaca.gov Date of Original Filing: 11/01/16
(month day.year)
2. Function or Event Information
Does the agency have a ticket policy? Yes® No❑ Face Value of Each Ticket/Pass$ 54
Event Description. Our Kids Rock Monster Mash Date(s) 10 l 29 ) 16
Provide Tile/Explanation
Ticket(s)/Pass(es) provided by agency? Yes❑ No EI If no: Boys& Girls Clubs of Southwest County
Name of Source
Was ticket distribution made at the behest Yes❑ No® If yes:
O
of agency official? Official Name(Last First)
3. Recipients
•Use section A to identify the agency's department or unit. •Use Sedion s to identify an individual. •Use Section C to identify an outside organization.
Number
A. Name of Agency,Department or Unit of Tlcket(sp Describe the public purpose made pursuant to the agency's policy
Peasas
Number
B. Name of Individual of Ticket(slf Identify one of the following:
(Last,First) Passes
Edwards, Maryann eeremonaf Note ❑ Other ® Income ❑
2 ll checbrp'Ceremon,al Rae or Omerae.,,ce Below
To advertise and promote the City of Temecula
McCracken, Michael Cerennnial Role ❑ Other ❑% Inwme ❑
2 d checbng Ceremonial Rae"or-Other deuni a below
To advertise and promote the City of Temecula
Name of Outside Organization Nanbw
Ce' (include address and description) of Ticket(ap Describe the Public purpose made pursuant to the agency's policy
PasNs
4. Verification
1 hav and understand FPPC Regulations 18944.1 and 18942 1 have verified that the distribution set forth above, is in accordance
wit the gwements.
Randi Johl City Clerk 11/01/16
4=igsmy or Designee Pnnt Name Ttle (month,day year)
Comment.
FPPC Form 602(2/2016)
FPPC Toll-Free Helpline:6661ASK.FPPC(8661275-3772)