HomeMy WebLinkAbout803 Geoffrey Kors 2022-04-26 Dr. Charles Kennel and Dr. Ellen LehmanBehested Payment Report
A Public Document
Type or Print in Ink.
I. Elected Officer or CPUC Member
2.
3.
4.
Kors, Geoffrey
DESIGNATED CON
Information (Foradditional
name, First
Include an attachment with the
. 151wwlulwl ❑ L w rnln9 Date Stamp (Agency) Check box if an Amendmejtt „ 0 E I V E Q
f I Y OF P s i f9 SPRINGS
(Month, Day, ear
# ^ 2022 APR 26 $ ! 110
of Palm Springs
(760) 323-8299
s, addresses, and r
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AF
❑ Donor Advised Fund (DAF) A D NOR(S
(see Instructions)
❑ Payor Is a named party or the subject of a proceeding before my agency. a en RIEF DESCRIPTION OF PROCEEDII
Payee Information (For addltlonal payees, Include an attachment with the names, addresses and relationship
NAME:
DDRESS:
Planned Parenthood of the Pacific Southwet 1075 Camino del Rio South
For a nonprofit organization payee, provide a brief description of any relationship to the official, official's immediate famlly
capacityboard member or executive officer or osition an an honors or advisory board,
NAME AND TITLE: ROLE WITH THE NONPROFIT ORGANIZATI
James Williamson, President Board of Directors President, Hoard of Directors
Payment Information (Complete al! Information. For estimated payment InforATEmation check the box below)
MONTHDroAYNEAR AMOUNT PAYMENT TYPE BRIEF DESCRIPTION OF IN -KIND PAYMENT
❑ MONETARY DONATION S p U) ❑ IN -KIND GOODS OR SERVICES f
❑ MONETARY DONATION
❑ IN -KIND GOODS OR SERVICES
13 The REASON DA o T� Is an estimate and reflects my best efforts at obtaining the aCCurateSON FOR ESTIMATE
5. Amendment
6. Verification
Executed on ._..19 ��
ATE By
of
number
1 3200 E Tahquitz Canyon Way
EMAIL:
geoff.kors@paimspringsca.gov
>n)
CITY:
1-kD//,0
ATE
ISan Diego
or staff member in the role of found,
,03-7
ZIP CODE:
?2108
PURPOSE OEaCti18ARITABLE PSt1RPOSE ORVEVEN
LEGISLATIVE Sponsorship of 2022 Stand Nowl Event
GOVERNMENTAL
CHARITABLE
LEGIVE
GOVERNMENTAL
CHARITABLE
FPPC Form 803 (February/2022)
advice@fppc.ca.gov