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Agency Report of: <br />Ceremonial Role Events and <br />Ticket/Admission Distributions <br />1. Agency Name <br />City of Riverside <br />Division, Department, or Region (if applicat <br />Development <br />3900 Main Street <br />-d Agency Contact (Name. Title) <br />Haupt, Arts & Cultural Manager <br />elPhone Number [E-mail <br />951-826-2391 1 mhaupt@riversideca.gov <br />2. Function, Event, or Ceremonial Role Information <br />Title Festival of Lights Face Value of Each Admission $ 13.00 <br />Description Ice Rink Tickets 11 25 11 1 8 12 <br />Date(s) I <br />Ticket(s)/Admission(s) provided by agency? Yes E] No ❑ If no: Name of Source <br />Was the distribution to persons identified below made at the behest of an agency official? <br />Yes ❑ No 0 If yes: <br />Official's Name (Last, First) and Title <br />3. Verification <br />/ have read and understand FPPC Regulations 18944.1 and 18942. / have verified that the distribution of admissions, set forth above, <br />is it ccon ccordance with the provisions. <br />Emilio Ramirez Development Director 2/27/12 <br />Si t. of Agency Head%Qesignee Print Name Title (month, day. year) <br />nature <br />Comment: (Use this space or an attachment for any additiortal in rmation including amendment explanation.) <br />FPPC Form 802 (2111) <br />FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) <br />The identity of recipient(s) and the explanation: <br />