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HomeMy WebLinkAbout803 Christy Gilbert Holstege 2020-01-02 Martin MassielloBehested Payment Report E 4eR� M SD A Publi6149 13enesteePaymamReport 1. Elected Officer or CPUC Member (Last name, First name) Date Stamp • • ' Christy Gilbert Holstege 2020 JAN 2 P'1 4 • e Forofe.,af use only Agency Name City of Palm Springs JFFIC ,F lip �I i'i CLF... Agency Street Address 3200 E Tahquitz Canyon Way Designated Contact Person (Name and title, Adifferent) ❑ Amendment (see Part S) Christy Gilbert HDlstege Date of Original Filing: (month, day year) Area Code/Phone Number E-mail (Optional) (760) 323-8299 christy.holstege@palmspringsca.gov 2. Payor Information (For additional payors, include an attachment with the names and addresses-) Martin Massiello Name 39000 Bob Hope Dr Rancho Mirage CA 92270 Address city State Zip Code 3. Payee Information (For additional payees, include an attachment with the names and addresses.; Equality California Nome 3701 Wilshire Blvd, Suite 725 Los Angeles CA 90010 Address City Stale Zip Code 4. Payment Information (c,pplete au frdcvmae,n.) Date of Payment: 10/15/2019 Amount of Payment: (m-nndRm $ 25,000 (month, day, yead (Round to whole dollms.) Payment Type: ® Monetary Donation or ❑ In -Kind Goods or Services (Provfde dwcdpdon below) Brief Description of In -Kind Payment: Purpose:(Chece one arM provide descept., below) ❑Legislative ❑Governmental ®Charitable Describe the legislative, governmental, charitable purpose, or event: Equality California Palm Springs Awards 2019 5. Amendment Description and/or Comments I am not aware of the actual date the payment was received. 6. Verification I certify, under penalty of penury 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 1/2/2020 By FPPC Form 803 (January/2018) Toll -Free Melpline: 866/ASK-FPPC(866/275-3772)