Loading...
803 Marquez (07-01-2019)_RedactedBehested Payment Report A Public Document 1. Elected Officer or CPUC Member (Last name, First name) Marquez, Ray Agency Name Southem California Association of Governments Designated Contact Person (Name and title, if different) Jeff Liu, Manage of Media & Public Affairs Area Code/Phone Number E-mail (optional) (213) 236-1800 2. Payor Information (For additional payors, include an attachment with the names and addresses.) Lewis Management Corp. Address City 3. Payee Information (For additional payees, include an attachment with the names and addresses,) Southem California Association of Governments Date Stamp P JUL 01 2019 W.a„�� rtrdi; „, y Clerk's Department ❑ Amendment (See Part 5) Date of Original Filing: State Behested Payment Report (month, day, year) Address City State 4. Payment Information (Complete all information.) Date of Payment: 04/04/2019 Amount of Payment: (In-KindFMV) $ 5,000 (month, day, year) (Round to whole dollars.) Payment Type: ❑x Monetary Donation Brief Description of In -Kind Payment: Zip Code Zip Code or ❑ In -Kind Goods or Services (Provide description below) Purpose: (Check one and provide description below.) ❑ Legislative ❑x Governmental ❑ Charitable Describe the legislative, governmental, charitable purpose, or event: 2019 Regional Conference & General Assembly, May 2-3, JW Marriott Desert Springs Resort & Spa, 74-855 Country Club Dr., Palm Desert, CA 92260 5. Amendment Description and/or Comments 6. Verification I certify, under penalty of perjury under the laws of the State of Califomia, that to the best of my herein is true and complete. Executed on 7 / �TI E 9 By bwledge, the information contained EMBER C Form 803 (January/2018) 6/ASK-FPPC (866/275-3772)