803 Christy Gilbert Holstege 2019-09-18 Desert Regional Medical CenterBehested Payment Report A Public ggqrgn Behested Payment Report
1. Elected Officer or CPU Member (Last name, First na
a e amp
• • ,
Christy Gilbert Holstege
M 5- 28
For Official Use Only
Agency Name
City of Palm Springs
I T Y C L E `'
Agency Street Address
3200 E Tahquitz Canyon Way
Designated Contact Person (Name and title, if different)
❑ Amendment
Christy Gilbert Holstege
Date of Original Filing:
(month, day, year)
Area CodelPhone Number
E-mail (Optional)
(760) 323-8299
christy.holstege@palmspdngsca.gov
2. Payor Information (For additional payors, include an attachment with the names and addresses.)
Desert Regional Medical Center
Name
1150 North Indian Canyon Palm Springs CA 92262
Address City State Zip Code
3. Payee Information (For additional payees, include an attachment with the names and addresses.)
Equality California
3701 Wilshire Blvd, Suite 725 Los Angeles CA 90010
Address City State Zip Code
4. Payment Information (Complete an mrormation.)
Date of Payment: 8/16/2019 Amount of Payment: (10-lendFMV) $ 10'000
(month, day, year) (Round to whole dollars.)
Payment Type: ❑x Monetary Donation or ❑ In -Kind Goods or Services (Provide description below.)
Brief Description of In -Kind Payment
Purpose: (chearone and proiddedescription below) ❑Legislative ❑Governmental ®Charitable
Describe the legislative, governmental, charitable purpose, or event: Equality California Palm Springs Awards
event to take place 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 9/9/2019 By
DATE
1)
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