HomeMy WebLinkAboutForm 803 - Kate ColinA Public Document
Type or Print in Ink.
® Check box if an
1. Elected Officer or CPUC Member (Last name, First name)
ELECTED OFFICER OR CPUC MEMBER: AGENCY NAME:
Kate Colin City of Sale Rafael
DESIGNATED CONTACT PERSON (NAME AND TITLE): AREA CODE/PHONE NUMBER:
Kate Colin
2. Payor Information (For additional payors, include an attachment with the names, addresses, and proceeding
Pacific Gas and Electric Company 1300 Lakeside Dr., Ste 210
DAF NAME: DONOR(S)AND
Donor Advised Fund (DAF)
(see instructions)
BRIEF DESCRIPTION OF PROCEEDINGS:
❑ 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
1400 Fifth Ave, San Rafael, CA 94901
:ITY: STATE: ZIP CODE:
Oakland ICA 194612
NAME: DDRESS: t lIT: JIAIc. �m vvc.
CANAL ALLIANCE 91 Larkspur t Sale Rafael CA 94991
For 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: IROLE WITH THE NONPROFIT ORGANIZATION: IBRIEF DESCRIPTION:
4. Payment Information (Complete all information. 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 PURPOSL, OR EVENT:
❑✓ MONETARY DONATION
❑ LEGISLATIVE
❑ GOV ERNMENTAL
Affordable Applications Training
8/8/25
$5000
❑ IN -KIND GOODS OR SERVICES
CHARITABLE
❑ MONETARY DONATION
❑ LEGISLATIVE
GOVERNMENTAL
® IN -KIND GOODS OR SERVICES
❑ CHAR TABLE
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.)
August 6, 2025
6. Verification
I certify, under penalty of perjury under the laws of the State of California, that to the best of m knowledge, the information contained herein is true and complete.
9/4/2025
Executed on By FPPC Form 803 (February/2022)
DATE
advice@fppc.ca.gov