803 Christy Gilbert Holstege 2018-12-18 Fred NobleBehested Payment Report A Public Do fiiekit BehestedPayment Report
1. Elected Officer or CPUC Member (Last name, First name. ' " Date Stamp
•
Christy Gilbert Holstege �E= FaroKdel Use Only
Agency Name
City of Palm Springs
3200 E Tahquitz Canyon Way
Designated Contact Person (Nance and title Jdiffenent) ❑ Amendment (See Part S)
Christy Gilbert Holstege
Area CodelPhone Number E-mail (optional) Date of Original Filing:
(month, day, year]
(760) 323-8299 1 christy.holstege@palmspringsca.gov
2. Payor Information (For additional payors include an attechment with the names and addresses.)
Fred Noble
Name
12100 Wilshire Bvld. #200 Los Angeles CA 90025
Address City State Bap Code
3. Payee Information (For additional payees include an attachment with the names and addresses.)
Equality California
Name
3701 Wilshire Blvd, Suite 725 Los Angeles CA 90010
Address City State Tip Code
4. Payment Information (complatsall infonnadon.)
Date of Payment: 11/20/2018 Amount of Payment: ern-WndFMv) $ 25,000
(month, day, year) lRound to whole doilars.)
Payment Type: ❑x Monetary Donation or ❑ In -Kind Goods or Services (Provide description below)
Brief Description of In -Kind Payment:
Purpose: (Check one and provide description betaw) ❑ Legislative ❑ Governmental x❑ Charitable
Describe the legislative, governmental, charitable purpose, or event: Equality California Palm Springs Awards
event that took place on 10/13/2018
6. 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. "-% A
Executed on 12/18/2018 By
DATE