803 Christy Gilbert Holstege 2020-01-02 John MonahanRECEIVED
Behested Payment Report A Public DociiiYYedf PALM SPRINGS eehe•ted Payment Report
1. Elected Officer or CPUC Member (Last name. First name) '�0Z0 AN —La rG p3t 4 , - • 1
Christy Gilbert Holstege
City of Palm Springs
3200 E Tahquitz Canyon Way
Christy Gilbert Holstege
(760)323-8299
2. Payor Inform:
John Monahan
and title, if different)
E-mail (Optional)
christy.holstege@palmspringsca.gov
For Official Use Only
OFFiC OF THE CITY CLE; i,
❑ Amendment (See Parts)
Date of Original Filing:
(month, day. till
(For additional payers. include an attachment with the names and addresses.)
500 S Palm Canyon Dr Palm Springs CA 92264
Address City State 7Jp Code
3. Payee Information (For additional payees. include an attachment with the names and addresses.)
Equality California
Name
3701 Wilshire Blvd, Suite 725 Los Angeles CA 90010
Address City Stale Zip Code
4. Payment Information (Complete an intonation.)
Date of Payment: 10/4/2019 Amount of Payment: (in-KndFMv) $ 5,000
(month, day, }rear) (Round to whole dodas.)
Payment Type: ❑x Monetary Donation or ❑ In -Kind Goods or Services(Pmvlde description below)
Brief Description of In -Kind Payment:
Purpose! (Check one and prowde description below) ❑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 payment was received.
6. Verification
I certify, under penalty of perjury under the laws of the State of California, that to the best of my knowledge, the infomatlon contained
herein is true and complete. _
Executed on 1/2/2020 By
DATE
FPPC Form 903 (January/2018(
Toll -Free Helpline: 8%/ASK4PPC (866/27S-3772)