HomeMy WebLinkAbout803 Lisa Middleton 2018-12-18 Fred NobleBehested Payment Report A Public Document_ aehested
1. Elected Officer or CPUC Member (Last name, First name) U�`'tat F'ti '
KA I TC: ,--) t i�1S � - a
�ency Name i I`•_ __
G--I ce P�a . �¢a _ c c i Co')wJL_tl
?32vo -rn-LAQ0%TZ C.1'. -10'D , Pst.p.� �P2a'jC,L
❑ Amendment (See Fan 5)
krea Code/Phone Number I E-mail (optionao Date of Original Filing:
(month, tla
rygj W ea It-0v.Ps® I00'1�-Lu-(,day,year)
'-1 � -330-"]GZ3 � -1 S4
Payor Information (Foradditional payors, include an attachment with the names and addresses.)
F all c> �o e,
�
-
ii
- Qvo'z 5 3_I --
Address City State Zip Code
3. Payee Information (For additional payees, include an attachment with the names and addresses)
Name
37ct LD,e tl- 7zS Cis ° [A goo 1 0
Address City State Zip Code
4. Payment Information (Completeall[nfomafion.) o0
Date of Payment: i t .- io - Lam` El' Amount of Payment: (In-IdndFMv) $ ZS , o0o
(month, day, read (Round to whole dollars.)
Payment Type: Monetary Donation or ❑In -Kind Goods orServices (Provide dewdptionbelow)
Brief Description of In -Kind Payment:
Purpose: (Check one and provide description below) ❑ Legislative ❑ Govemmental 0 Charitable
Describe the legislative, governmental, charitable purpose, or event:
5. Amendment Description and/or Comments
tJo7 . F\ �_i] 6F -r,kt s RcX -- 1(�-( Cr
6. Verification
I certify, under penalty of penury under the laws of the State of
herein is true and complete.
IZ -te, _7-0.'8
Executed on
:9
to the best of my knowledge, the information contained
FPPC Form 803 (January/2018)
FPPC Toll -Free tfelpline: 866/ASK-FPPC (866/275.3772)