803 Christy Gilbert Holstege 2020-01-02 Garry KiefBehested Payment Report
1. Elected Officer or CPUC Men
Christy Gilbert Holstege
City of Palm Springs
3200 E Tahquitz Canyon Way
Christy Gilbert Holstege
Area CodelPhone Number
(760)323-8299
APublieft"'ri�l iyED
SPRINrr
(Last name, First name) Data
Stamp
2020JAN 2 R4 3:40
OFFICE OF HE CITY CLi ni.
❑ Amendment (see Part 5)
Behested Payment Report
F-o-en, , (3,eo
E-mail (Optional) Date of Original Filing:
christy.holstege@palmspringsca.gov lmanrn, day, yw)
2. Payor Information (For additional payors, include an attachment with the names and addresses.)
Garry Kief
9696 Culver Blvd, Ste 105 Culver City CA 90232
Address Ory State by Code
3. Payee Information (For additional payees, include an attachment wah the names and addresses.)
Equality California
Name
3701 Wilshire Blvd, Suite 725 Los Angeles CA 90010
Address City State Lp code
4. Payment Information (cemplafeallidorm yon.)
Date of Payment: 10113/2019 Amount of Payment: (1n4@rdFMV) $ 5.000
(month, day. year) (Round to whole dollars.)
Payment Type: ❑x Monetary Donation or ❑ In -Kind Goods or Services (Pmhda description netow.)
Brief Description of In -Kind Payment:
Purpose: (chackone and poNdedescnctionbelow) ❑Legislative ❑Governmental ®Charitable
Describe the legislative, governmental, charitable purpose, or event: Equality California Palm Springs Awards
2019
5. Amendment Description and/or Comments
I am not aware of the actual date the Davment was received.
6. Verification
I certN 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 1/2/2020
DATE
By L.
SiG! RE OF ELECTED OFFK:ER CPUC MEMBER
FPPC Form 803(January/2018)
FPPC Toll -Free Helplim: 866/ASK-FPPC (866/275-3772)