HomeMy WebLinkAbout042118 Birth Choice Centers 4th Annual Gala 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 Official 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:
(month,day,year)
2. Function or Event Information
Does the agency have a ticket policy? Yes® NO❑ Face Value of Each Ticket/Pass$ 80
Event Description: Birth Choice Centers 4th Annual Gala Date(s)4/ 21 / 18
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes❑ No El If no: Birth Choice Centers
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
Mike Naggar Ceremonial Role ❑ Other Q Income ❑
2 If checking'Ceremonial Role"or"Other'describe below:
Advertise and Promote City of Temecula
Ceremonial Role ❑ Other ❑ Income ❑
1f 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
/haveFeV and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
with he r quirements.
Randi Johl City Clerk 04/30/18
ure of Ag cy 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)