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Behested Payment Report A Public Document <br />1. Elected Officer or CPUC Member (Last name, First name) TN <br />alp � n <br />Giselle Hale fS ll <br />Agency Name 1 8 20 0 <br />Redwood City Council <br />Agency Street Address CITY OF REDWOO <br />CL RK <br />D <br />1017 Middlefield Rd, Redwood City CITY <br />Designated Contact Person (Name and title, if different) <br />❑ Amendment (See Part 5) <br />Area Code/Phone Number E-mail (Optional) IDate of Original Filing: <br />650-521-2134 1ghale@redwoodcity.org <br />2. Payor Information (For additional payors, include an attachment with the names and addresses) <br />Silicon Valley Community Foundation <br />Name <br />PO Box 113 CA <br />Address City State <br />3. Payee I nformation (For additional payees, include an attachment with the names and addresses.) <br />Community Equity Collaborative <br />Behested Payment Report <br />Official Use Only <br />(month, day, year) <br />Zip Code <br />Name <br />PO Box 7062 Menlo Park CA 94026 <br />Address City State Zip Code <br />4. Payment Information (Complete altintormation) <br />Date of Pavment- 7/2/2020 <br />Payment Type <br />Amount of Payment: (In-KindFMv) $ 50,000 <br />(month, day, year) <br />❑ Monetary Donation <br />Brief Description of In -Kind Payment: <br />or <br />r To i+rd to whole dollars) <br />❑ I n -Kind Goods or Services (Provide description below) <br />Purpose: (Check one and provide description below) ❑ Legislative ❑ Governmental ❑ Charitable <br />Describe the legislative, governmental, charitable purpose, or event: Donation to support childcare providers <br />impacted by Covid-19 in Redwood City and North Fair Oaks <br />5. Amendment Description and/or Comments <br />6. Verification <br />I certify, under penalty of perjury under the laws of the State of California, that to the best of my knowledge, the information contained <br />herein is true and complete. <br />Executed on l 2149 By <br />FE <br />SIGNATURE OF ELECTED OFFICER OR CPUC MEMBER <br />FPPC Form 803 (January/2014) <br />FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) <br />