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HomeMy WebLinkAbout803 Christy Gilbert Holstege 2019-10-16 Ann ShefferBehested Payment Report . A Public 1. Elected Officer or CPUC Member (Last name, First name) Christy Gilbert Holstege City of Palm Springs 3200 E Tahquitz Canyon. Way Christy Gilbert Holstege Vim CodelPhone Number (760)323-8299 Ann Sheffer 3220 Avenida Sevilla (Nemeand E-mail (Optional) cfi(isty.hoistege@paimspdngsca.gov me C ED Reheated Payment Report 46e t p • CT 16 PM 6: 19 ForORcial Use Only OF THE CITY CLE M ❑ Amendment (See Pad 5) Date of Original Filing: (month, day, year) (Foradd6lonal payors, inrJude an attachment with the names and addresses.) Palm Springs an attachment with the names and addresses) CA 92264 state Zip code Equality California Name 3701 Wilshire Blvd, Suite725 Los Angeles CA 90010 Address city State .Tip Coda 4. Payment Information (Complete as informaRon.) Date of Payment: 9/13/2019 Amount of Payment: an-icndFMv) $ 5,000 (month, day, year) (Round to whole do//ars.) Payment Type: ❑x Monetary Donation or ❑ In-IOnd Goods or Services (PmNde description below) Brief Description of In -Kind Payment: Purpose:(Checkoneandpmvidedescdptionbelow.) ❑Legislative ❑Governmental ©Charitable Describe the legislative, governmental, charitable purpose, or event: Equality California Palm Springs Awards event to take Dlace in October 2019 5. Amendment Description and/or Comments 6. Verification I certify, under penalty of perjury under the laws of the State of California, that to the best of my knowledge, the information contained herein is true and complete. Executed on 10/13/19 By DATE FPPCTbll-Free Helpline: 866/ASK-FPPC(866/275-3772)