803 Christy Gilbert Holstege 2020-01-02 Fred NobleBehested Payment Report
A Pubi ISI PqqjV4 YED 8ehestedPayment Repon
1. Elected Officer or CPUC Member (Last name. First name)
Date Stamp
• • '
Christy Gilbert Holstege 2020 JAN
2 PH 3: 41
For OMcW use only
Agency Name
City of Palm Springs OFFICE OF T
E CITY CLEiti
Agency Street Address
3200 E Tahquitz Canyon Way
Designated Contact Person (Name and title, if different)
Amendment (See Part b)
Christy Gilbert Holstege
Date of Original Filing:
(month, day, Peed
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 andaddresses.)
Fred Noble
12100 Wilshire Bvld. #200 Los Angeles CA 90025
Address City State Zip Code
8. Payee Information (For additional payees. include an attachment with the names and addresses)
California
3701 Wilshire Blvd, Suite 725 Los Angeles CA 90010
Address city state Zip Code
4. Payment Information (complete an In/ormation.)
Date of Payment: 10/23/2019 Amount of Payment: (ln-JcndFMv) $ 25,000
(month, day, year) (Round to whole dollars)
Payment Type: ® Monetary Donation or ❑ In -Kind Goods or Services (Provide desorption beiaw)
Brief Description of In -Kind Payment:
Purpose: (Cheoaoneardpro dedesrnptionbelow) ❑Legislative ❑Governmental ®Charitable
Describe the legislative, governmental, charitable purpose, or event: Equality California Palm Springs Awards
2019
5. Amendment Description and/or Comments
I was notified this gift was received on 12/12/2019.
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 1/2120JO By
MTE SIGNATU OF ELEC OFFlCIR OR C MMEMBER
FPPC Form 803 (January/2018)
RK'roll-Free lielpline: 866/A5K-FPPC s66/275-3772)