HomeMy WebLinkAboutGONZALEZ 803 6/13/22Behested Payment Report
A Public Document
Type or Print in Ink.
Amendment of Filing
❑ Check box if an Amendment
(Month, Day, Year)
Date Stamp (Agency)
�Confirmation Number
1. Elected Officer or CPUC Member (Lastnank,,`Fi name
ELECTED OFFICER OR CPUC MEMBER: BAf{RJ4fr ,li ;t tNCYNAME: GENCY STREET ADDRESS:
Andrae Gonzales ity of Bakersfield 1600 Truxtun Avenue
DESIGNATED CONTACT PERSON (NAME AND TITLE): A&
Payor Information (For additional payors, include an attachment with the names, addresses, and proceeding information)
NAME:[ADDRESS: CITY:
Tri Bakersfield
❑ Donor Advised Fund (DAF)
(see instructions)
DINGS:
❑ Payor is a named party or the subject of a proceeding before my agency.
3. Payee Information (For additional payees, include an attachment with the names, addresses and relationship information)
Gxh 19
Children First Campaign PO
a nonprofit organization payee, provide a brief description of any relationship to the official, official's immediate family member or staff member in the, role of founder, salaried employee, decision -making
capacity (board member or executive officer) or position on an honorary or advisory board.
NAME AND TITLE: ROLE WITH THE NONPROFIT ORGANIZATION: BRIEF DESCRIPTION:
+
Andrae Gonzales, Founder Volunteer
bu��C�o�F,doamPoresn2onand �baaaow.eoaavous.
4. Payment Information (Complete a0 informaton. For estimated payment information check the box below.)
DATE
(MONTH/DAY/YEAR)
AMOUNT
PAYMENT TYPE
BRIEF DESCRIPTION OF IN -KIND PAYMENT
PURPOSE
DESCRIBE THE LEGISLATIVE GOVERNMENTAL,
CHARITABLE PURPOSE, OR EVENT:
05/23/22
5,000
❑✓ MONETARY DONATION
Sponsorship of East '
❑ LEGISLATIVE
Sponsorship of a nonprofit festival for
❑ IN -KIND GOODS OR SERVICES
Bakersfield FEStIVaI
❑ GOVERNMENTAL
Q CHARITABLE
community members in East Bakersfield at
❑ MONETARY DONATION
❑ LEGISLATIVE
❑ GOVERNMENTAL
'
❑ IN -KIND GOODS OR SERVICES
❑CHARITABLE
REASON FOR ESTIMATE:
❑ The is an estimate and reflects my best efforts at obtaining the accurate
(DATE/AMOUNT)
information.
5. Amendment Description and/or Comments (Provide date of original filing or confirmation number in Part 1.)
6. Verification
I certify, under penalty of perjury under the laws of the State of California, that to the best of my kn mati�conta�inedherein is true and complete.
6 l Z L FPPC Form 803 Februa /2022
Executed on DATE By --� � ( ry )
�� advice@fppc.'ca.gov