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Behested Payment Report A Public Document <br />1. Elected Officer or CPUC Member (Last name, Firstname) <br />Giselle Hale <br />Redwood City Council <br />1017 Middlefield Rd, Redwood City CA 94063 <br />Designated Contact Person (Name and title, if ditherer <br />Area Code/Pho <br />650-521-2134 <br />(Optional) <br />?redwoodcity.org <br />Date Stamp <br />�IUti 3 <br />City ui Reti4+oud City <br />City Jerk <br />❑ Amendment (See Part 5) <br />Date of Original Filing: 6/29/20 <br />(month, day, year) <br />2. Payor Information (For additional payors, include an attachment with the names and addresses.) <br />Chan Zuckerberg Initiative <br />601 Marshall St <br />Redwood City <br />CA 94063 <br />Adoresa City State Zip Code <br />3. Payee Information (For additional payees, include an attachment with the names and addresses.) <br />San Mateo County Strong Fund c/o Silicon Valley Foundation <br />2440 West EI Camino Real Suits 300 Mountain View CA 94040 <br />Address City Slate Zip Code <br />4. Payment Information (Complete m!lLmormation) <br />Date of Payment: 5/20/20 Amount of Payment: (ln KindFmv) $ 300,000 <br />(month, dey. year) (Round to whole dollars.) <br />Payment Type: ❑x Monetary Donation or ❑ In -Kind Goods or Services(Pmvide description below.) <br />Brief Description of In -Kind Payment: Donation to support small businesses in Redwood City and North Fair Oaks <br />Purpose: (Check one and provide description below.) ❑Legislative ❑Governmental ❑X Charitable <br />Describe the legislative, governmental, charitable purpose, or event: SMC Strong fund was set up by the <br />Board of Supervisors to support businesses, non profits and individuals affected by the Covid-19 pandemic <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 6/29/20 By <br />DATE <br />SIGNATURE OF ELECTED OFFICER OR CPUC MEMBER <br />FPPC Form 803 (January/2018) <br />FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) <br />