HomeMy WebLinkAbout093017 Temecula Tedx Event Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name Date Stamp . . . � ,
City of Temecula ' �
Division,DepaRment,or Region (i�applicab�e) For OH¢ial llse Only
City Clerk's Office
Deafgnated Agency ConWct(Name,Tdle)
Randi Johl, City Clerk
❑ Am90dm@nt (Mus!Provitle Esp/anaeon in Part 3)
Area CodelPhone Num6er E-mail
951-694-6421 randi.'ohl temeculaca. ov �ateotOng�na�F���ng: 1D/D5l17
� @ 9 (monM,day.yeer)
2. Function or Event Information
Does the agency have a ticket policy? Yes� No� Face Value of Each TickeUPass$ $35
Event Description: Temecula Tedx Event Date(s)���� ��_
Provide T/t/e/Exp/enefion
Ticket(s)/Pass(es) provided by agency7 Yes❑ No� If no: �im McLaughlin -Tedx Facilitator
Name o/Sourca
Was ticket distribution made at the behest Yes❑ No� �f Yes:
Dlficial's Name(LasL firsf)
of agency official?
3. Recipients
•U�e SeAion A lo idenli(y the agency's deparlment or unil. •Uce Section B lo idenlify an indiWdual. •Use Section C to identify an outside organi�ation.
NumWr
A, Name of Agency,Departmant or Unit of Tkkey�u Dettri6e tha publi[purposa mada punuant to tM agency's policy
Puws
City Clerk's Office 2 Enhance Employee Morale
Community Services 2 Enhance Employee Morale
NumMr
B. Name of IndNidual o{7kp�y�y Identity ane of Na Following:
(Last,Firsq paw�
Cemmonial Role ❑ ONer ❑ Inwme ❑
ll cnBLkmq'Gerertro��al Rde'or'Otnei tlescnpe�elow
Caremonial Role ❑ OUer ❑ Inwme ❑
!I clreckmg'Ceiamomal Rde'oi'Ol�e�tle5en0e 4elow�
Name of Outaitle OrganireUon Numbar
C' (in�luda address antl tlescNption) ol7kkayN Das�rl6a[ha public purpose made punuant to tha apency's Oolicy
P�aat
4. Verification
I have read and understand FPPC Regulations 18944.1 and 18942. /have ven(ed lhat the distrtbution sef forth above, is in accordance
with th u ments.
Randi Johl City Clerk 10/05/17
SiOnetum penq HeaC ar Desgnee Pnnt Nama TNe (marfh,tlag yeaiJ
Comment:
FPPC Form 802��M016)
FPPC Toll-Free Helpline:866lASK-FPPC(866f275-3774)