HomeMy WebLinkAbout030818-031918 Annual Autism Event at Circus Vargas Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name Date Stamp . 1
City of Temecula
Division,Department,or Region (if applicable) For Official Use Only
City Clerk
Designated Agency Contact(Name,Title)
Randi Johl, City Clerk ❑ Amendment (Must ProvideExplanation inFad3J
Area Code/Phone Number E-mail
951-694-6421 ov randi.'ohl temeculaca. Date of original Filing: 03/19/2018
9 (month,day,year)
2. Function or Event Information
Does the agency have a ticket policy? Yes® No❑ Face Value of Each Ticket/Pass$ 37
Event Description: Annual Autism Event at Circus Vargas Date(s)1__8_J 18 1 19 / 18
Provide Ttle/Explanabon
Ticket(s)/Pass(es) provided by agency? Yes❑ No El If no: Circus Vargas
Name or Source
Was ticket distribution made at the behest Yes❑ No® If yes:
Official's Name(Lest,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,
/� Name of Agency Department or Umb ;of Tckeyey Descnbe the public purpose made pursuant to the agency s policy
o- t'. L
$`. _Pasaea
r �, Number r r q
B Name of Individual j Y t r : -of Tickerye)I + `Idenhiy one of the follovnng �. #'
Leaf Nrst d rZ
_ ( .Pasaea
Mike Naggar Ceremonial Role ❑ Other ® Income ❑
Z Irchecklnp'Ceremonial Role'or'Other describe below:
Advertise and Promote the City of Temecula
James Stewart Ceremonial Role ❑ Other ❑X Income ❑
2 1/ch ecb'ng'Ceremonial Role"or"OtheYcaScnbe below:
Advertise and Promote the City of Temecula
IName OfOUtside Organization -Number
C of rickeds)I c prpose', Oeseribe the publiumade pursuant to the agency s policy
I . :'
(Include address and descrlphon) r= ,F
.
4. Verification
I have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with tl uirements.
Randi Johl City Clerk 3/19/18
Signa ency Head or Designee Print Name This (month,day,year)
Comment:
FPPC Form 802(2J201 6)
FPPC Toll-Free Helpline:866/ASK-FPPC(8661275.3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet A Public Document
Agency Name
City of Temecula
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 organimlion.
Number
A ..Name of Agency Department or Unit ,, 'of Tckeys)I Describe the public purpose made pursuant to the agency s policy
I pC: to
}JAN R
umber
B - Name of Indlvtdual r `of Ti keye)/ Y' z 1 Identify one of the foll vnng i I = r;;
Passes
Maryann Edwards Ceremonial Role ❑ Other ® Income ❑
,2
If chacking'Ceremonial Rdow:
e'or'Olher oescribe bel
Advertise and Promote the City of Temecula
Ceremonial Role ❑ Other ❑ Income ❑
Irchecking'Cemmonial Rde'or'Olher mwnbe below:
Ceremonial Role ❑ Other ❑ Income ❑
If chocking'Cemrrcnial Rde-or'Ofhee descnbe below:
Ceremonial Role ❑ Other❑ Income ❑
It checking°Ceremonial Rale-or'Other oescnbe below
f
Organization Number
` Name,of�Cutld ._ f Tl kets)/
Describe the publto purpose made pursuant to the agency s policy
_. (Include address and descriPtlon) t- paesea
FPPC Form 802(212016)
FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772)