803 Christy Gilbert Holstege 2020-01-02 Geoff Kors & James WilliamsonBehested Payment Report
APublic DoculitrE EIVED BehestedPaymentReport
1. Elected Officer or CPUC Member tLast name, First name) d it
1 bae tamp
• • 1
Christy Gilbert Holstege
-2 PM 3- 4I
Agency Name
City of Palm Springs OFFICE OF
THE CITY CLE;,.
Agency Street Address
3200 E Tahquitz Canyon Way
Designated Contact Person (Name and title, it different)
❑ Amendment (see Pad s)
Christy Gilbert Holstege
Date of Original Filing:
(monn,dayyea)
Area Code/Phone Number
E-mail (Optional)
(760)323-8299
christy.holstege@palmspdngsca.gov
2. Payor Information 1For additional payors, include an attachment with the names and addresses.)
Geoff Kors & James Williamson
1455 N Vine Ave Palm Spings CA 92262
Address City state ➢p Code
3. Payee Information (For additional payees, include an alachment with the names and addresses.)
Equality California
Name
3701 Wilshire Blvd, Suite 725 Los Angeles CA 90010
Address City stale Zip Coda
4. Payment Information (Complete allmlormation.)
Date of Payment: 12/1212019 Amount of Payment: pn-tundFtrv) $ 10000
(month, day, yea? (Round to wholedollars J
Payment Type: ® Monetary Donation or ❑ In -Kind Goods or Services (Provide description below.)
Brief Description of In -Kind Payment:
Purpose: ❑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 on 12/19/2019 that this was received by the payee.
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.
1 /21202P
Executed on DATE BY s/crq uRE OF . c.m occiceR OR CP r'uam
FPPC Form 803 (January/2018)
FPPCToll-Free Helpline: 866/ASK-FPPC (s66/275-3772)