HomeMy WebLinkAbout803 Geoff Kors 2022-04-10 Kay and Bill GurtinBehested Payment Report
A Public Document
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APR 12 2022
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1. Elected Officer or CPUC Member (Last name, First name)
ELECTED OFFICER OR CPUC MEMBER: AGENCY NAME: AGENCY STREET ADDRESS:
Kors, Geoffrey City of Palm Springs 3200 E Tahquitz Canyon Way
DESIGNATED CONTACT PERSON (NAME AND TITLE): AREA CODE/PHONE NUMBER: E-MAIL:
(760) 323-8299 geoff.kors@paimspringsca.gov
2. Payor Information (For additional payors, include an attachment with the names, addresses, and proceeding information)
NAME: UuKtAJ: T: FAIr: ItY I,V Ut:
❑ Donor Advised Fund (DAF)I
(see Instructions)
❑ Payor Is a named party or the subject of a proceeding before my agency.
3. Payee Information (Foradditional
4.
Include an attachment with the names, addresses and
ennocce•
Planned Parenthood of the Pacific Southwet 11075 Camino del Rio South
For a nonprofit organization payee, provide a brief description of any relationship to the official, official's Immediate family member or
capacity board member or executive officer) or position on an honorary or advisory board.
NAME AND TITLE: ROLE WITH THE NONPROFIT ORGANIZATION:
James Williamson, President Board of Directors President, Board of Directors
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Information (Complete all information. For estimated payment information check the box below.)
YEAR) AMOUNT PAYMENT TYPE BRIEF DESCRIPTION OF IN -KIND PAYMENT
MONETARY DONATION
L01 i IN -KIND GOODS OR SERVICES In
MONETARY DONATION 13
IN -KIND GOODS OR SERVICES
„- is an estimate and reflects my best efforts at obtaining the accurate I
REASON FOR ESTIMATE:
CITY: STATE: ZIP CODE
San Diego CA 92108
3 role of founder, salaried employee, decision -making
Spouse
PURPOSE DESCRIBE RITABLEGPURPOSE,GOR GOVERNMENTAL,
LEGISLATIVE Sponsorship of 2022 Stand Now! Event
GOVERNMENTAL
CHARITABLE
LEGISLATIVE
GOVERNMENTAL
CHARITABLE
S. Amendment Description and/or Comments (Provide date of original filing or confirmation number in Part 1.)
6. Verification
I certify, under penalty of perjury under the laws of the State of California, that to the est of my k gwledge, the Information contained herein Is true a
Executed on By
DATE t "I 'i"""'U"
FPPC Form 803 (February/2022)
advice@fppc.ca.gov