HomeMy WebLinkAbout803 Geoff Kors 2022-04-10 George and Karen Long StrethBehested Payment Report
A Public Document
Type or Print In Ink.
1. Elected Officer or CPUC Member (Last name, First
ELECTED OFFICER OR CPUC MEMBER:
Kors, Geoffrey
3.
4.
5.
PERSON (NAME AND
Information (Foradditional
.,mt,nament oT ruing Date Stee e L
[] Check box If an Amendment 131M ll
(month' Day, ear) APR 12 2022
on rma on Numborf the Cit CJ
AGENCY NAME: AGENCY STREET ADDRESS:
City of Palm Springs 3200 E Tahquitz Canyon Way
%REA CODE/PHONE NUMBER: E-MAIL:
(760) 323-8299 geoff.kors@paimspringsca.gov
Include an attachment with the names, addresses, and procee
DDR(EESS:
❑ Donor Advised Fund (DAF) ONOR
(see Instructions)
❑ Payor is a named party or the subject of a proceeding before my agency. BRIEF DESCRIPTION OF PROCEEE
Payee Informatlon (For additional payees, Include an attachment with the names, addresses and relattonshil
NAME: DDRESS:
Planned Parenthood of the Pacific Southwet ri 075 Camino del Rio South
For a nonprofit organisation payee, provide a brief description of any relationship to the official, official's immediate famll
capad board member or executive officer or position on an honorary or advisory board.
NAME AND TITLE: ROLE WITH THE NONPROFIT ORGANIR
James Williamson, President Board of Directors President, Board of Directors
Payment Information (Complete all information. For estimated payment information check the box below.)
DATE AM
MOYEAOUNT PAYMENT TYPE BRIEF DESCRIPTION OF IN -KIND PAYMENT
NTDATE T
MONETARY DONATION
al/ IN -KIND GOODS OR SERVICES
[� MONETARY DONATION
[� IN -KIND GOODS OR SERVICES
[� The TI Is an estimate and reflects my beat efforts at obtaining the accurate REASON FOR ESTIMA'
Information.
kmendment Description andlor Comments P
ISan Diego ICA 192108
or staff member in the role of founder, salaried employee, dedslon-mail;
Spouse
PURPOSE oESCRIHARITAt3LE PSURPTOSE OR EVNEN_TA L,
LEGISLATIVE Sponsorship of 2022 Stand Now! Event
GOVERNMENTAL
CHARITABLE
LEGISLATIVE
GOVERNMENTAL
— (rovide date of original filing or confirmation number in Part 1)
6. Verification
...—
Executed on By
DATE
FPPC Form 803 (February/2022)
advice@fppc.ca.gov