HomeMy WebLinkAbout803 Geoffrey Kors 2022-03-24 Catherine Stiefel and Keith BehnerBehested Payment Report
A Public Document
Type or Print in Ink.
1. Elected Officer or CPUC Member (Last name, First
Kors, Geoffrey
DESIGNATED CONTACT PERSON (NAME AND TITLE):
Amenamem oT ruing Date fthW,0.IJ
Check box if an Amendment
MAR 2 4 2022
(Monin, usy, ear
# I Office of the City C
on rma on um er
CY NAME:
AGENCY STREET ADDRESS:
of Palm Springs
3200 E Tahquitz Canyon Way
CODEIPHONE NUMBER:
E-MAIL:
) 323-8299
geoff.kors@palmspringsca.gov
2. Payor Information (For additional payors, include an attachment with the names, addresses, and
NAME: DDRESS:
u S► i°fP� a �� Ke, �re✓ �� 9 C.,
DAF NAME:
❑ Donor Advised Fund (DAF)
(see instructions)
(BRIEF DESCRIPTION Of
❑ Payor is a named party or the subject of a proceeding before my agency.
I<
3. Payee Information (For additional payees, Include an attachment with the names, addresses and relationship Information)
NAME: ADDRESS: CITY: STATE: ZIP CODE:
Planned Parenthood of the Pacific Southwe5:r 1075 Camino del Rio South San Diego CA 92108
For a nonprofit organization payee, provide a brief descilption 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: ROLE WITH THE NONPROFIT ORGANIZATION: BRIEF DESCRIPTION:
James Williamson, President Board of Directors President, Board of Directors Spouse
4. Payment Information (Complete all information. For estimated payment information check the box below.)
MONTHD/DAY/YEAR
AMOUNT
PAYMENT TYPE
BRIEF DESCRIPTION OF IN -KIND PAYMENT
PURPOSE
DESCRIBETHE LE P LATIVE GOVERNMENTAL,
MONETARY DONATION
❑
LEGISLATIVE
GOVERNMENTAL
Sponsorship of 2022 Stand Nowl Event
IN -KIND GOODS OR SERVICES
rsol
CHARITABLE
❑ MONETARY DONATION
LEGISLATIVE
❑ IN -KIND GOODS OR SERVICES
GOVERNMENTAL
CHARITABLE
REASON FOR ESTIMATE:
The
is an estimate and reflects my best efforts at obtaining the accurate
(DATEJA ou�
Information.
5. Amendment Description and/or Comments (Provide date of original filing or confirmation number in Pert 1.)
6. Verification
Executed on I I �DA E fay '� �4 /sILIN FPPC Form advice@fppc.ca.gov