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HomeMy WebLinkAbout803 Geoffrey Kors 2022-03-24 Willie P.Behested Payment Report A Public Document Type or Print In Ink. Check box if an Amendment (month, Day, ear 1. Elected Officer or CPUC Member (Last name, First name) ELECTED OFFICER OR CPUC MEMBER: AGENCY NAME: Kors, Geoffrey City of Palm Springs DESIGNATED CONTACT PERSON (NAME AND TITLE): AREA CODE/PHONE NUMi (760) 323-8299 2. Payor Information (For additional payors, include an attachment with the names, addresses, and procee ConflrmaUon um er Date Stamp (Agency) MAR 2 4 Office of the Ci 4GENCY STREET ADDRESS: 3200 E Tahquitz Canyon Way .kors@palmspringsca.gov �.I IV I I I c�_ 0 r11.,1_,Le PrI, Fjj�i R211,1 NVNC. ❑ Donor Advised Fund (see Instructions) DE ❑ 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 Information) Planned Parenthood of the Pacific SouthwK r 11075 Camino del Rio South Isan Diego ICA 192108 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, declslon-making rapacity (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 pays DATE AMOUNT PAYMENT TYPE MONTH/DAY/YEAR ONETARY DONATION /w�) 5JC i ❑ IN -KIND GOODS OR SERVICES ❑ MONETARY DONATION ❑ IN -KIND GOODS OR SERVICES ent information check the box below.) BRIEF DESCRIPTION OF IN -KIND PAYMENT PURPOSE DESCRIBE THEBEE PURPOSE GOVERNMENTAL, R EVENTENTAL, CHALEGISLATIVE Sponsorship of 2022 Stand Now! Event ❑ GOVERNMENTAL El CHARITABLE LEGISLATIVE GOVERNMENCHARITABLETAL REASON FOR ESTIMATE: ❑ The (o T� 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 Executed on ATE By ��� FPPC Form 803 (February/2022) advice@fppc,ca.gov