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HomeMy WebLinkAbout803 Geoffrey Kors 2022-03-24 Amy c. & Carl E.Behested Payment Report A Public Document Type or Print in Ink. 1. Elected Officer or CPUC Member (Last name, First name) ELECTED OFFICER OR CPUC MEMBER: Kors, Geoffrey DESIGNATED CONTACT PERSON (NAME AND TITLEI: Arnenament or ruling Date " Check box if an Amendment on ay, ear MAR 2 4 2022 Conrmatlon um er office of the City C! 4GENCY NAME: AGENCY STREET ADDRESS: City of Palm Springs 3200 E Tahquitz Canyon Way 4REA CODE/PHONE NUMBER:E-MAIL: (760) 323-8299 geoff.kors@palmspringsca.gov 2. Payor Information (For additional payors, include an attachment with the names, addresses, and proceeding NAME: DDRESS: n. 4-by 40 C✓ �) G' PG✓ I DAF NAME: ❑ Donor Advised Fund (DAF) (see instructions) ❑ 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 re/atl NAME: ADDRESS: Planned Parenthood of the Pacific Southwes r 1075 Camino del Rio South For a nonprofit organization payee, provide a brief description of any relationship to the official, official's immedlat capacity (board member or executive officer) or position on an honorary or advisory board. NAME AND TITLE: James Williamson, President Board of Directors Information) ISan Diego member or staff member In the role of founder, ROLE WITH THE NONPROFIT ORGANIZATION: President, Board of Directors 4. Payment Information (Complete all information. For estimated payment information check the box DATE AMOUNT PAYMENT TYPE BRIEF DESCRIPTION OF IN -KIND MONTH/DAY/YEAR MONETARY DONATION 2 S C� vG N-KIND GOODS OR SERVICES ❑ MONETARY DONATION ❑ IN -KIND GOODS OR SERVICES Spouse ZIP CODE: 92108 decision -making PURPOSE DESCRIBE RITABLE PURPOSt, OR EVENTENTAL, LEGISLATIVE Sponsorship of 2022 Stand Now! Event GOVERNMENTAL CHARITABLE LEGISLATIVE GOVERNMENTAL CHARITABLE ❑ The (DATE)AMOUNT) oUNT) Is an estimate and reflects my best efforts at obtaining the accurate Information. 5. Amendment Description and/or Comments (Provide date of original filing or confirmation number in Part 1.) 6. Verification 2 Executed on By FPPC Form 803 (February/2022) DATE advice@fppc.ca.gov