803 Christy Gilbert Holstege 2019-09-18 Grace Helen Spearman Charitable FoundationBehested 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
and title,
Christy Gilbert Holstege
Use Code/Phone Number E-mail (Optional)
(760) : 1 christy.holstege@palmspringsca.gov
5EIVEDAtM p�
Date Stamp
18 PM 5: 21
fHE CITY CLEIR
❑ Amendment (sse Pan 5)
Behested Payment Report
use
Date of Original Filing:
(morah, day, yea)
2. Payor Information (Foradditional payors, include an attachment with the names and addresses.)
Grace Helen Spearman Charitable Foundation
Name
4283 Arcada Street Palm Springs CA 92262
Address City State Zip Code
3. Payee Information (For additional payees, include an atachment with the names and addresses.)
Equality California
Name
3701 Wilshire Blvd, Suite 725 Los Angeles CA 90010
Address City state Zip Code
4. Payment Information (Complete au lnlonnation.)
Date of Payment: 8/14/2019 Amount of Payment: (in-rindFMvl $ 10'000
(month, day, year) (Routs to whole dollars)
Payment Type: ICI Monetary Donation or ❑ In -Kind Goods or Services (provide descriptionbeiow.)
Brief Description of In -Kind Payment:
Purpose: (cneckoneand pmNdedescdprlonbelow) ❑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
1 certify, under penalty of perjury under the laws of the State of Ca omia, that to the best of my knowledge, the information contained
herein is true and complete. l
9/9/2019 t �—
Executed on By
DATE SiG TORE E GTEO nCER OR CPUC MEMBER
FPPC Farm 803 (January/2018)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/27S-3772)