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2016-02-01 Form 460 - KorsRecipient Committee Campaign Statement Cover Page (Goverment Code Sections 84200-84216.5) Type or print in ink Statement comers period from 10/18/2015 through 12 / 31 / 2 015 1. Type of Recipient Committee: All Corraniftees. Complete Parts 1, 2, s, and 4. ✓❑Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ State Candidate Election Committee Committee ❑ Recall ❑Controlled (Also Complete Part 5) ❑Sponsored []General Purpose Committee ❑ Sponsored ❑ Small Contributor Committee ❑ Political Party/Central Committee (Also Complete Part 6) ❑Primarily Formed Candidate) Officeholder Committee (Also Complete Part 7) c i T � OF pKttM'TPRIN Date of election if applic (Month, Day, Year) 1 FEB -1 PH 4' 54 tiES THOMPSOry CIT Y 1EE11iC 2. Type of Statement: ❑Preelection Statement []Semi-annual Statement ❑Termination Statement (Also file a Form 410 Termination) ❑Amendment (Explain below) I.D. NUMBER Treasurer S 3. Committee Information 12376802 y 4 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) NAME OF TREASURER Geoff Kors for City Council 2015 James Williamson IiY COVER PAGE Page 1 of 38 For Official Use Only EAQuarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Form 495 STREET ADDRESS (NO P.D. BOX) C STATE ZIP CODE AREA CODFJPHONE 1455 Springs CA 92262 (760) STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANT TREASURER, IF ANY Palm Springs CA 92262 (760) Mele MAILING ADDRESS (IF DIFFERENT) NO. AND STREETOR P.O. BOX MAILING ADDRESS PO STATE ZIP CODE AREA CODE/PHONE CITY STATE TIP CODE AREA CODEIPHONE Palm Springs CA 92263 (760) DC 20003-4303 OPTIONAL' FAXIE-MAIL ADDRESS OPTIONAL: FAXlE-MAIL ADDRESS geoffkorsps@gmail. com Verification I have used all reasonable diligence in preparing and reviewing this OR RESPONSIBLE OFFICER OF PROPONENT 8661ASK-FPPC Executed on By (866/276-3772) DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT State or caiiromia Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Recipient Committee Type or print in ink COVER PAGE -PART 2 Campaign Statement CALIFORNIA 460 Cover Page -Part 2 FORM a. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Geoff Kors OFFICE SOUGHT OR HELOQNCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Sought: City Council. Member City RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Palm Springs CA 92252 Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME II.D. NUMBER NAME OF TREASURER COMMITTEE CITY STATE ZIP CODE AREA CODE/PHONE Page 2 of 38 G.Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION SUPPORT OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHLOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candid atelOfficeholder Committee Listnamesof officeholder(s) or candidate(s) far which this committee is ;primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT OPPOSE Attach continuation sheets if necessary FPPC Forth 460 (JanuaryJ05) FPPC Toll -Free Helpline: 866/ASK-FPPC (86W76-3772) State of California Campaign Disclosure Statement Summary Page NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. C111.71.1r,1__�1LI�L Statemerd covers period CALIFORNIA ' I 6 Eor„ 10/18/2015 • RM through 12/31/2015 Page 3 of 38 i3O. NUMBER 1376802 Contributions Received Column A Column B Calendar Year Summary for Candidates Total This Period CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL 70 DATE General Elections 1. Monetary Contributions .............................................. Schedule A, Line 3 $5, 800 .00 $219, 918.00 1/1 through 630 711 to Date 2. Loans Received......................................................... Schedule B, Line 3 $0.00 $0.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ........................... Add Lines 1+2 $5, 800. 00 $219, 916. 00 Received 4. Nonmonetary Contributions .................................... Schedule C, Line 3 $1, 564 .8C $19, 155. 94 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ..................... Add Lines 3 + 4 $7, 364 .80 $239, 073. 94 Made Expenditures Made 6. Payments Made ........................................................ Schedule E, Line 4 7. Loans Made............................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) .............................. Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE .............................. Add Lines 8 +9 + 10 Current Cash Statement 12. Beginning Cash Balance ................. Previous Summary Page, Line 16 13. Cash Receipts .................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ................................. Schedule i, Line 4 15. Cash Payments.... ............................................. Column A, Line 8 above 16. ENDING CASH BALANCE..Add Lines 12+13+14, then subtract Line 15 Ifthis is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ............. Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ....................................... See instructions on reverse 19. Outstanding Debts ....................... Add Line 2+Line 9 in Column B above $82,234.85 $0.00 $82,234.85 -$37,201.82 $1,564.80 $46,597.83 $106,950.34 $5,600.00 $3,930.08 $82,234.85 $34,445.57 $0.00 $0.00 $1,500.00 $189,090.51 $0.00 $189,090.51 $1,500.00 $19,155.94 $209,746.45 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted From previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22, Cumulative Expenditures Made' (If subject to Voluntary Expenditure Limit) Date of Election Total to Date (mmfddlyyyy) *Amounts in this section may be different from amounts reported in schedule B. FPPC Form 460 (January/06) FPPC Toll -Free Helpline. OWASK-FPPPC 1666l276-3712) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement corers period IIICALIFORNIA Monetary Contributions Received to whole dollars. ' from 10/18/2015 FORM through 12/31/2015 Page 4 of 38 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 DATE FULL NAME, STREETAQQRESS ANDZIP CODE OF CONTRIBUTOR CONTRIBUTOR ! AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PERELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* ER OCCUPATION AND EMPLOYER RECEIVED THIS CLATIVE YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS} PERIOD (JAW. 1-OEC. 31) (IF REQUIRED) J❑IND Bruce Bloch ❑ GoM 10/27/2015 2468 Miramonte Cir E Owner $500.00 $500.00 Unit C QPTY Jakes Palm Springs Palm Springs, CA 92264-5740 SCC ❑IND Building Industry Association of 0 COM Southern California PAC 12/09/2015 515 S Figueroa St ❑ OTH $1,000.00 $1,000.00 Ste 1110 ❑PTY Los Angeles, CA 90071-3314 ❑ SCC ID: 741733 ❑INDQ California Real Estate PAC COM 11/09/2015 525 S Virgil Ave OTH $1,000.00 $1,000.00 Los Angeles, CA 90020-1403 El PITY ID: 890106 SCC ❑!NO Michael Flannery ❑COM 10/19/2015 20 Bozo 399 ❑ OTH Home Builder $500.00 $500.00 Palm Springs, CA 92263 ❑PTY Solterra Builders sec SUBTOTAL $3,000.00 Schedule A Summary *Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $ 5, 8 00.0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... $ 0 . 0 0 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period- PTY-Political Party SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)...................................................-... TOTAL $5, 800.00 FPPC Form460 (January1061 FPPC Tall -Free Helpline: 8B61ASK-FPPC (t16612763772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or prim in Ink. SCHEDULE A Amount., may be rounded Statement covers period , m5of to whole dollars. from 10/18/2015�through 12/31/2015 Page 38 I.D. NUMBER 17'7 cn n' DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-FMKOYFO, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE of BUSINESS) PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) ❑J IND Jeff Freitas ❑COM Secretary Treasurer 11/02/2015 1107 9th St ❑ OTH CA Federation of $150.00 $150.00 Ste 460 ❑PTY Teachers Sacramento, CA 95B14-3617 SCC OIND Mark Alan Hawk ❑ COM 10/19/2015 1720 Sand Canyon Way y Y ❑ OTH Retired $125.00 $125.00 Palm Springs, CA 92262-8811 ❑PTY None SCC Honor PAC ❑IND 1427 Lincoln Blvd ❑J COM 10/23/2015 Ste E ❑ OTH $1,000.00 $1,000,00 Santa Monica, CA 90401-2771 ❑PTY ID: 1278587 ❑SCC QIND Gary Levinson ❑ COM 10/19/2015 340 S Farrell Dr ❑ OTH Doctor $100.00 $100.00 Ste A208 ❑PTY Gary A Levinson Mn Palm Springs, CA 92262-7931 SCC SUBTOTAL $1,375.00 Schedule A Summary *Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $5, 800 . 00 COM- Recipient Committee 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $ 0 . 0 0 (other than PTY or SCC) OTH- Other (a g., business entity) PTY- Political Party SCC- Small Contributor Committee $ 5 , 8 0 0 .0 0 FPPC Form 460 (January106) FPPC Toll -Free Helpline: 866lASK-FPPC 186612753772) A Type or print in ink. SCHEDULE A va.rr�uu�c r+ Amounts may be rounded Y Statement covers period ICALIFORNIA Mon eta ry Contributions Received to whole dollars. ' trom 10 / 1 s / 2 015FORM through 12 / 31 / 2 015 Page 6 of 38 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE (IF REQUIRED) OF eu&NEss) PERIOD (JAN. 1-DEC. 31) ZIND David Webster Liggett ElCOM Retired 10/19/2015 1720 Sand Canyon Way E]OTH $125.00 $125.00 Palm Springs, CA 92262-8811 [:]PTY None sCC 0 tND Byron Lohman FJCOM Real Estate Sales 10/31/2015 1881 E McManus Dr �OTH Self-employed $100.00 $100.00 Palm Springs, CA 92262-6526 �Pn SCC Q END Edward J Marteka []COM Real Estate Sales 10/19/2015 600 W Stevens Rd OoTH Windemere Real $100.00 $100.00 Palm Springs, CA El PTY Estate SCC IND Palm Springs Professional [:]COM10/23/2015 Firefighters, hire Management Unit ZOTH $500.00 $500.00 255 N El Cielo Rd El PTY Palm Springs, CA 92262-6992 SCC SUBTOTAL $825,00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals) ....................................................................................................................................... 2, Amount received this period -unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Contnbutor Codes IND- Individual $ 5, 8 0 0. 0 0 COM- Recipient Committee $ 0 . 0 0 (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee $ 5, 8 0 0. 0 0 FPPC Form 460 (JanuaryXIS) FPPC Toll -Free Helpline: ON/ASK-FPPC (UM75-3772) Srhprilllp A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period , - ■ Monetary Contributions Received to whole dollars. ' 10/1el2015 - through 12 / 31 / 2 015 Page 7 of 38 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 137 802 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS] PERIOD (3AN. 1-DEC. 31) (IF REQUIRED) Palm Springs Professional ❑IND Firefighters, Fire Safety Unit ❑com 10/23/2015 255 N El Cielo Rd ZOTH $500.00 $5C0.00 # 281 El PTY Palm Springs, CA 92262-6992 ❑SCC Z IND Joy Silver ❑COM :Principal 10/25/2015 37657 Los Cocos Dr W ❑OTH Silver Senior $100.00 $100.00 Rancho Mirage, CA 92270-2108 El PTY _Giving SCC SUBTOTAL $600.00 Schedule A Summary __.. _......__ 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals) ..................................................................................................................................... 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL 'Cantnbutor Codes IND- indivldusl $ 5, 8 0 0. 0 0 COM- Recipient Committee $ 0 0 0 (other than PTY or SCC) . OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee $ 5, 8 00 . 0 0 FPPC Form 460 (January105) FPPC Toll -Free Helpline., 8661ASK-FPPC (86612763772) Schedule C AmType or print in ink. SCHEDULE C ounts may be rounded Statement covers period rNUMBE'qR Nonmonetary Contributions Received to whole dollars. from 14/18/2015through12/31/24150[ 38 NAME OF FILER Geoff Koxs for City Council 2015 1376802 DATE FULL NAME, STREET ADDRESS AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNTIFAIR CUMULATIVE TO DATE PER ELECTION RECEIVED CODE OF CONTRIBUTOR CODE OCCUPATION AND EMPLOYER GOODS OR MARKETVALUE CALENDAR YEAR TO DATE OF COMMITTEE, ALSO ENTER I.D. NUMBER) OF SELF-EMPLOYED, ENTER NAME OF SERVICES (JAN. 1-DEC. 31) (IF REQUIRED) BUSINESS) IND COM Chill Bar ZOTH Event - 10/27/2015 217 E Arenas Road f-1PTY cast of $300.00 $300.00 Palm Springs, CA 92262 [JSCC open bar Desert Stonewall IND Q COM Democrats �OTH Mailer to 10/31/2015 PO Sax 4536 �PTv lgbt $764.80 $1,264.80 Palm Springs, CA ❑SCC households 92263-4536 ID: 1220539 ❑ IND Equality California 0GOM 202 W 1st St Z OTH Mailer to 10/31/2015 Ste 3-0130 ElPTY lgbt $250.00 $250.00 Los Angeles, CA Elscc voters 90012-4299 SUBTOTAL $1,314.80 bcneauie t, summary 1. Amount received this period -itemized nonmonetary contributions. (Include all Schedule C subtotals.)....................................................................................................................................... $1 r 564 .80 2. Amount received this period-unitemized nonmonetary contributions of less than$100.................................................... 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Lines 4 and 10.)............................................ TOTAL $1, 5 64 .8 0 FPPC Form 460 jJanuary105) FPPC Toll -Free Helpline: 8661ASK-FPPC 1266/2763772) Schedule C Nonmonetary Contributions Received NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole doliars. SCHEDULE C statement covers period CALIFORNIA 46 from 10/18/2015 FORM through 12/31/2015 Page 9 Of 38 I.D. NUMBER 1376802 DATE FULL NAME, STREET ADDRESS AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNTlFAIR CUMULATIVE TO DATE PER ELECTION RECEIVED CODE Of CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER GOODS OR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (1F SELF-EMPLOYED, ENTER NAME OF BUSINESS) SERVICES (AN. 1-DEC. 31) (IF REQUIRED) E]IND 10/31/2015 Victory Fund 1133 15th Street NW, Suite 35C Washington DC, ❑COM �OTH El PTY SCC Mailer to 1 Mailit g voters $250.00 $250.00 SUBTOTAL $250.CC Schedule C Summary *Contributor Codes 1. Amount received this period -itemized nonmonetary contributions. IND- Individual (Include all Schedule C subtotals.)__ ... — .................................... •... $1,5 64.8 0 COM- Recipient Committee(other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than $100................ OTH- Other (e.g,, business entity) PTY- Political Party 3. Total nonmonetary contributions received this period. SCC- Small Contributor Committee (Add I 2 E t h th Su P C t Ine1 d s an n er ere on a mmary age, o umn A, Llnes 4 and 10.)............................................ TOTAL $1, 5 64 . 8 0 FPPC Form 460 jJanuaryl06) FPPC ToN-Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period ALIFORNIA 46 FORM from 10/18/2015 through 12/31/2015 Page 10 of 38 I.D. NUMBER 1376802 CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology casts (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Charles J Andrew 4759 Topaz St LIT Boorhanger distribution & collection $100.00 Los Angeles, CA 90032-2663 BrightYiaus Marketing LLC 125 E Tahquitz Canyon Way CMP Marketing and graphic design services $968.80 Ste 203 Palm Springs, CA 92262-6464 Citibusiness Card 1500 Boltonfield St Credit card payment $24,420.81 Columbus, CH 43228-3669 " Payments that are contributions or Independent expenditures must also be summarized on Schedule: D. SUBTOTAL $ 2 5, 4 8 9. 61 Schedule E Summary 1, Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $ 8 2 , 174.85 2. Unitemized payments made this period of under$100...................................................................................................... .... $ 6 0 . 0 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $82 r 234 . 85 FPPC Form 460 (January106) FPPC Totlfree Helpline: 6661ASt4FPPC (66Ga76-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA I 6 from 10/18/2015 FORM through 12/31/2015 Page 11 of 38 I.D. NUMBER 1376802 CODES; If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse trawl, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, a -mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Morel Ink 4824 NE 42nd Ave Portland, OR 97218--1661 LIT Memo: $14773.19 Candidate mailings $0.00 $14,773.19 Subvendor: NGP VAN 1101 15th St NW Ste 500 WEB Memo: $150.00 Databse and Email $0.00 Washington, DC 20005-5006 $150.00 Subvendor: Facebook Inc. 1 Hacker Way Menlo Park, CA 94025-1456 WEB Memo: $22.10 Internet advertisinc $0.00 $22.10 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $0.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).................................................................................................................................................... 2. Unitemized payments made this period of under$100................................................................................................................................................................................ 3. Total interest paid this period on loans. (Enter amount from Schedule 8, Part 1, Column(e),)................................................................................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $82,174,85 $60.00 $0.00 $82,234.85 FPPC Form 460 (January106) FPPC Tall -Free Helpline: WWASK-FPPC 18661276-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars, SCHEDULE E Statement covers from 10/18/2015 through 12/31/2015 Page 12 of 38 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and surrey research TRS stafflspouse travel, lodging. and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Zippity Print, LLC 5201 S Harrah Rd 5201 S Harrah Road CMP Memo: $90.22 Campaign fliterature $0.00 Newalla, OK 74857-6501 $90.22 Subvendor: Zippity Print, LLC 5201 S Harrah Rd 5201 S Harrah Road CMP Memo: $280.00 Campaign literature $0.00 Newalla, OK 74857-6501 $280.CC Subvendor: Lowe's Home Improvement 5201 E Ramon Rd CMP Memo: $280.36 Lawn signs $0.00 Palm Springs, CA 92264-3600 $280.36 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $0.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $ 82 , 174.85 2. Uniternized payments made this period of under$100................................................................ --- $ 60. 00 3. Total interest paid this period on loans- (Enter amount from Schedule B, Part 1, Column(e)-).................................................................................................................... $0.00 4, Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6,)................................................................ TOTAL $62, 234. 85 FPPC Form 460 (January106) FPPC Toll -Free Heipline. 8661ASK-FPPC (866127637721 Schedule E Payments Made Type (x print in ink. Amounts may be rounded to whole dollars. covers SCHEDULE E from 10/18/2015 through 12/31/2015 Page 13 of 38 NAME OF FILER I.D. NUMBER Geoff Kars for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. CNS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations FIL candidate fling/ballot fees FND fundraising events fND independent expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAID radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Ralph's 425 S Sunrise Way Ste A TRS Memo: $125.58 Food for volunteers $0.00 Palm Springs, CA 92262-7664 $125.58 Subvendor: Signrocket.com 340 Broadway Ave St Paul Park, MN 55071-1840 MTG Memo: $679.00 Campaign signs $0.00 $679.00 Subvendor: Amazon 410 Terry Ave N OFC Memo: $67.68 Computer hardware for campaign $0.00 Seattle, WA 98109-5210 office $67.68 " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $0.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $ 8 2 , 174.85 2. Unitemized payments made this period of under$100 ............................... ... $ 60 . 00 3_ Total interest paid this period on loans. (Enter amount from Schedule B. Part 1, Column(e).).................................................................................................................... $0.00 4_ Total payments made this period. (Add Lines t, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $ 8 2 , 2 3 4 . 8 5 FPPC Form 460 (January106) FPPC Toll -Free Helpline: 6861ASK-FPPC (SM763772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. covers SCHEDULE E ter, 10/18/2015 through 12/31/2015 Page 14 of 387 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contribationB CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costa FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Amazon 410 Terry Ave N CFC Memo: $171.75 Computer hardware $0.00 Seattle, WA 98109-5210 $171.75 Subvendor: Campaign Comm Solutions 121 S. Palm Canyon Dr CMP Memo: $6557.92 Robocaiis $0.00 Palm Springs, CA 92262-6332 $6,557.92 Subvendor: LAN Airlines 1960 E Grand Ave Memo: $89B.14 Airfare in lieu of consulting TRS $0.00 E1 Segundo, CA 90245-5099 fee $898.14 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $0.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... 2, Unitemized payments made this period of under$100................................................................................................................................................................................. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $82,174.85 $60.00 $0.00 $82,234.85 FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866/ASK.FPPC t8661276-3772) Schedule E Type or print in ink. SCHEDULE E Amounts may be rounded Statement covers period rUMSER Payments Made tow�holedollars.From 10/18/2015 through12/31/2015 of 38 NAME OF FILER Geoff Kors for City Council 2015 1376802 CODES: If one of the fallowing codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernaliaimisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL Lv. or cable airtime and production costs FIL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising everts POL poliinq and surrey research TRS staf ispouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidetelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Mizell Senior center Sunrise Way MTG Memo: $275.00 Fee for booth $0.00 Palm Springs, CA 92264 $275.00 Citibusiness Card 1500 Boitonfield St Credit card payment $17,026.15 Columbus, OH 43228-3669 Subvendor: NGP VAN 1101 15th St NW Ste 500 WEB Memo: $150.00 Computer software $0,00 Washington, DC 20005-5006 $150.00 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $17 , 0 2 6 - 15 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... $82, 174 . 85 2. Unitemized payments made this period of under$100............................ $ 60 . 00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line B,)................................................................ TOTAL $82, 234 . B5 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8N/ASK-FPPC (866f275-3772j Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2C15 Type or print in ink. Amounts may be rounded to whole, dollars. SCHEDULE E Statement covers from 10/18/2015 through 12/31/2015 Page 16 of 38 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)` CVC civic donations FIL candidate filing/ballot fees FN❑ fundraising events IND independent expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAID radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL I.v. or cable airtime and production costs TRC candidate travel, lodging, and meats TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidatelsponsor VOT voter registration WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Facebcok Inc. 1 Hacker Way WEB Memo: $707.88 Internet advertising $0.00 Menlo Park, CA 94025-1456 $707.88 Subvendor: Time Warner Cable PO Box 60074 City Of Industry, CA 91716-0074 WEB Memo: $236.94 Internet for campaign office $0.00 $236.94 Subvendor: Morel Ink 4824 NE 42nd Ave LIT Memo: $11830.86 Candidate mailings $0.00 Portland, OR 97218-1661 $11,830.86 *Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $0.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $82, 174.85 2. Unitemized payments made this period of under$100.................................................................... ..... $ 6 0 . 00 3. Total interest paid this period on loans. (Ester amount from Schedule B, Part 1, Column(e).).................................................................................................................... $0.00 4. Total }payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $82, 234. 85 FPPC Form 460 (January106) FPPC Toll -Free Helpline: 0661ASK-FPPC (8661275-3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. covers SCHEDULE E from 10/18/2015 through 12/31/2015 Page 17 of 38 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFO returned contributions CT6 contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRG candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals !ND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) (W COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Amazon 410 Terry Ave N Seattle, WA 98109-5210 CMP Memo: $229.70 Lablels $0.00 $229.70 Subvendor: Lulu California Bistro 200 S Palm Canyon Dr Palm Springs, CA 92262-6312 TRS Memo: $1741.50 Food for volunteers $0.00 $1,741.50 Subvendor: Ralph's 425 S Sunrise Way Ste A TRS Memo: $204.93 Food for volunteers $0.00 Palm Springs, CA 92262-7664 $204.93 Payments that are cantrl buttons or Independent expenditures must also be summarized on Schedule 0. SUBTOTAL $ 0 . 0 0 Schedule E Summary 1. Itemized payments made this period, (Include all Schedule E subtotals.)..................................................................................................................................................... $82, 174.85 2. Unitemized payments made this period of under$100.................................................................................................................................................................................. $ 60 . 00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6,)................................................................ TOTAL $82, 234 . 85 FPPC Form 460 (.tanuary106) FPPC Toll -Free Helpline: 8661ASK.FPPC (8661276,3772) Schedule E Type or print in ink. SCHEDULE E Amounts may be rounded Statement covers period i , Payments Made towholedoltars. A . 1 From 10/18/2015 through 12/31/2015 !Page 18 afi 38 NAME OF FILER LD. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernatia/mise. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO processional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER LD, NUMBER) Subvendor: Staples 5001 E Ramon Rd Bldg 3 D C Memo: $129.65 Office supplies $0.00 Palm Springs, CA 92264-1554 $129.65 Subvendor: AT&T 2465 Palm Canyon Drive, Suite 1210 PHO Memo: $609.94 Telephones $0.00 Palm Springs, CA 92262-2837 $609.94 Subvendor: U-Haul 3455 N Indian Canyon Dr OFC Memo: $63.91 Truck rental $0.00 Palm Springs, CA 92262-1611 $63.41 *Payments that are contribudons or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $0.00 Schedule E Summary 1. Itemized payments made this period. (include all Schedule E subtotals.)..................................................................................................................................................... $82, 174.85 2. tJnitemized payments made this period of under $t 00......................................--....................................-.............................................................. $ 60. 0 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... 4. Total payments made this period- (Add Lanes 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $0.00 $82,234.85 FPPG Form 460 (January106) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement Covers period CALIFORNIA from 10/18/2015 •• through 12/31/2015 Page 19 of 38 I.D. NUMBER 1376802 CODES. If one of the following codes accurately describes the payment, you may enter- the code_ Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consukents MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetery)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs F1L candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and surrey research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, a -mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: United States Post Office Amado Road Palm Springs, CA 92263 LIT Memo: $84.00 Stamps $0.00 $84.00 Subvendor: Activate LLC 2232 Vermont St PRO Memo: $800.00 Roboealls $0.00 Lawrence, KS 66046-3066 $800.00 Coachella Valley Independent, LLC 31855 Date Palm Dr Ste 3-263 PRT 1/4 page ad in Nov issue $295.00 Cathedral City, CA 92234-3100 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2 95 . 0 0 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $ 8 2 , 174.85 2. Unitemized payments made this period of under $100.......................... .. $ 6 0 . 0 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e)_).................................................................................................................... $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line B.)................................................................ TOTAL $82, 234 . 85 FPPC Form 460 (Januaryl06) FPPC Toll -Free Helpline: 9661ASK-FPPC (ti681276-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA 461 from 10/18/2015 FORM through 12/31/2015 Page 20 of 38 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CN5 campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology casts (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) Jacob Daruvaia 2300 Vista Ridge Circle OFC Reimbursement for food for volunteers $106.70 Norco, CA 92860 Ian M Del Toro 350 W Chino Canyon Rd LIT Doorhanger distribution & collection $100.00 Palm Springs, CA 92262-2902. Gavin Duffy 350 W Chino Canyon Rd LIT Doorhanger distribution & collection $100.00 Palm Springs, CA 92262-2902 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3 0 6 .7 0 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $ 82, 174. 85 2. Unitemized payments made this period of under $100............... ........................................................ ........ $ 60 . 00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A. Line 5) ................................................................ TOTAL $ 8 2 , 23 4. 85 FPPC Form 460 (January106) FPPC Tol'I-Free Hetpline: 8661ASK-FPPC (1115f 275-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA 46 from 10/18/2015 FORM through 12/31/2015 Page 21 of 38 LD.NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetery)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising everts POL polling and survey research TRS staffispouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, aomunting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology coats (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) First Bank Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant services $264.88 Atlanta, GA 30342-1651 Firsts Bank Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant services $96.97 Atlanta, GA 30342-1651 First Bank Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant services $25.05 Atlanta, GA 30342-1651 ' Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3 8 6 . 9 0 Schedule E Summary t . Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $ 8 2 , 17 4 . 8 5 2. Unitemized payments made this period of under $ t 00................................. ............................ $ 6 0 . 0 0 3- Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 0 0 4. Total payments made this period. (Add Lines t, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $ 82, 234 . 85 FPPC Form 480 (January106) FPPC Tol"ree Helpline: 8661ASK-FPPC (86612754T72) Schedule E Payments Made NAME OF FILER Geoff Kars for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period 'CALIFORNIA from 10/18/2015 FORM 4& through 12/31/2015 Page 22 of 36 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CT$ contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinoallot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (1F COMMITTEE, ALSO ENTER I.D. NUMBER) First Bank Merchant Services 5565 Glenridge Connector NE OFC Merchant services $77.50 Ste 2000 Atlanta, GA 30342-1651 First Bank Merchant Services 5565 Glenridge Connector NE OFC Merchant services $22.35 Ste 2000 Atlanta, GA 30342-1651 First Bank Merchant Services 5565 Glenridge Connector NE OFC Merchant services $9.98 Ste 2000 Atlanta, GA 30342-1651 . Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $10 4 . B 3 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).................................................................................................................................................... 2. Unitemized payments made this period of under$100........................... ............ _............................................................................................. ............... ........................ .... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e)) ................................................................................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $82,174.85 $60.00 $0.00 $82,234.85 FPPC Form 464 (January/05) FPPC Tolt4Free Netpline: 8661ASK-FPPC (166127"772( Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. covers SCHEDULE E tr,m 10/18/2015 through 12/31/2015 Page 23 of 38 NAME OF FILER I.D. !NUMBER Geoff Kors for City Council 2015 1376802 CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmire. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs F1L candidate frlinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology casts (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Nicole N Fleming 502 N Cerritos Dr LIT Doorhanger distribution & collection $100.00 Palm Springs, CA 92262-6228 Ashlyn Frey 16477 Hollowtree Ln LIT Doorhanger distribution & collection $100.00 Riverside, CA 92504-9467 Rebecca Graeser 502 N Cerritos Dr LIT Doorhanger distribution & collection $100.00 Palm Springs, CA 92262-6228 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... 2. Unitemized payments made this period of under$100.................................................................................................................................................................................. 3- Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e)) .................................................................................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $300.00 $82,174.85 $60.00 $0,00 $82,234.85 FPPC Form 460 (JanuarylD6) FPPC Toll -Free Helpline: 6661ASKfPPC (666a?6-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period!CALIFORNIA from 10/18/2015 - ' • through 12/31/2015 Page 24 of 38 I.O. NUMBER 1376802 CODES: It one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/mist. MBR member communications RAI) radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonelary)` OFC office expenses SAL campaign workers salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same eandidatefsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads wEB information technology costs (Internet, a -mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Eliza Harper 74 N. M Street LIT Doorhanger distribution & collection $100.00 South Deerfield, MA 01373-5800 George Johnson 1679 E San Lorenzo Pd LT Doorhanger distribution & collection $100.00 Palm Springs, CA 92264-0629 KDN Homes, Inc 1041 Market St OFC Cleaning services for campaign office $220.00 # 203 San Diego, CA 92101-7233 * Payments that are contributions or Independent expenditures must also be su mmarized on Schedule D. SUBTOTAL $ 4 2 0 . 0 0 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).....,._.....................................................................-......_.....................................................--....... 2. Unitemized payments made this period of under$100...................................... ......... ........................................................ ......... -...... ...................................... ................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................. .................. $82,174.85 $60.00 $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6) ................................................................ TOTAL $82, 23 4 . 8 5 FPPC Farm 460 (January1061 FPPC Toll -Free Helpline: 866/ASK-FPPC (86612754772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in Ink Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFOR , 46 from 10/18/2015 FORM through 12/31/2015 Page 25 of 38 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meats IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatekwonaor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Joseph Lashley 3401 Vargis Cir LIT ❑oorhanger distribution & collection $100.00 Baltimore, MD 21244-3552 Morel Ink 4824 NE 42nd Ave LIT Campaign mailing $9,140.34 Portland, OR 97218-1661 Morel Ink 4824 NE 42nd Ave LIT Candidate mailing $5,140.67 Portland, OR 97218-1661 . Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $14 , 3 61 . 01 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................ __............ ........................................................................................................ $ 8 2 , 174.85 2_ Unitemized payments made this period of under $100................. $ 60 . 00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $82,234.85 FPPC Form 460 (January105) FPPc Toll -Free Helpiine: 8881ASKfPPC (8661275-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E .arc:ram from 10/18/2015 through 12/31/2015 page 26 of 38 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAID radio airtime and production costs GINS campaign consultants MTG meetings and appearances RFD returned contributions GTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Morel Ink 4824 NE 42nd Ave CMP Signs & Banners $134.00 Portland, OR 97218-1661 Derek G Orton 1590 E Palm Canyon Dr LIT Doorhanger distribution & collection $100.00 Palm Springs, CA 92264-9170 Payroll Data Processing 4224 Henderson Blvd SAL Payroll - Field staff $167.63 Tampa, FL 33629-56ll . Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL Schedule E Summary 1. Itemized payments made this period. (include all Schedule E subtotals.)..................................................................................................................................................... 2. Unitemized payments made this period of under$100.................................................................................................................................................................................. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $401.63 $82,174.85 $60.00 $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $8 2, 2 3 4 . 85 FPPC Form 460 (Januaryl06) FPPC Toll -Free Helpline: 866IASK-11'PPC (866a76a774) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in Ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA I & from 10/18/2015 • RM through 12/31/2015 Page 27 of 38 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Internal Revenue Service 2525 Capitol St Fresno, CA 93721-2227 SAL Memo: $23.85 Payroll - Federal taxes $0.00 $23.85 Subvendor: Franchise Tax Board 1500 llth St Sacramento, CA 95914-5701 SAL Memo: $6.60 Payroll - State taxes $0.00 $6.60 Subvendor: Cody Hines 2300 Vista Ridge Cir Norco, CA 92860-3734 SAL Memo: $137.18 Payroll - Field staff $0.40 $137.18 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 0 . 00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $ 8 2 , 17 4 . 85 2. Unitemized payments made this period of under $100.......................... I.$ 6 0 . 00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $ 8 2 , 2 3 4 . 85 FPPC Form460 (Januaryfflfl FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772) Schedule E Type or print in Ink. SCHEDULE E Amounts may be rounded Statement covers period A, Payments Made to whole dollars. • e from 10/16/2015 through 12/31/2015 Page 28 of 38 NAME OF FILER I.D. NUMBER Geoff Fors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FtL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising everts POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID {IF COMMITTEE, ALSO ENTER I.D. NUMBER) Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fee $1.00 Tampa, FL 33629-5611 Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fee $35.95 Tampa, FL 33629-5611 Payroll Data Processing 4224 Henderson Blvd SAL Salary - Field Staff $3,633.73 Tampa, FL 33629-5611 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3 , 67 0 . 68 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... 2. Unitemized payments made this period of under$100.................................................................................................................................................................................. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $82,174-85 $60.00 $0.00 $82,234.85 FPPC Form 460 iJanuary105) FPPG Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type -or print in ink. Amounts; may be rounded to whole dollars. E.YN:I:1bill 4=1 :I Statement covers period ;CALIFORNIA 461 try, 10/18/2015 • RM through 12/31/2015 page 29 of 38 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign Merature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF OONIMITTEE. ALSO ENTER I.D. NUMBER) Subvendor; Franchise Tax Board 1500 llth St Sacramento, CA 95814-5701 SAL Memo: $187.90 State payroll taxes $0.00 $187.90 Subvendor: Cody Hines 2300 Vista Ridge Cir SAL Memo: $1435.08 Field Staff payroll $0.00 Norco, CA 92860-3734 $1,435.08 Subvendor: Jacob Daruvala 230C Vista Ridge Circle Norco, CA 92860 SAL Memo: $1169.29 Field Manager payroll $0.00 $1,169.24 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $0.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $ 8 2 , 174. 85 2. Unitemized payments made this period of under$100...................................................................................................... ..... $ 60 . 00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $ 8 2 , 2 3 4 . 8 5 FPPC Form 460 (Januaryl06) FPPC toll -Free Helpline: 8861ASK-FPPC (8681475.3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. covers SCHEDULE E from 10/18/2015 s through 12/31/2015 Wage 30 of 38 NAME OF FILER I.D. NUMBER Geoff Aors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. CNS campaign consultants CTS contribution (explain nonmonetary)' CVC civic donations FIL candidate filinglballot fees FND fundraising events IND independent expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAID radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS stafffspouse travel, lodging, and meals TSF transfer between committees of the same candidatelsponsor VOT voter registration WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: IRS 2525 Capitol St SAL Memo: $841.51 Federal payroll taxes $0.00 Fresno, CA 93721-2227 $841.51 Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fee $47.43 Tampa, >±L 33629-5611 Payroll Data Processing 4224 Henderson Blvd SAL Salary - Field Staff $1,281.77 Tampa, FL 33629-5611 *Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $1 , 3 2 9 . 2 0 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $ 82, 174 . 85 2. Unitemized payments made this period of under$100................................ ..... $ 6 0 . 00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $ 82, 234. 85 FPPC Form 460 (January106) FPPC Toll -Free Heipline: 866lASK-FPPC (8861276-3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. covers Iron, 10/18/2015 through 12 / 31 / 2 015 SCHEDULE E Page 31 of 38 NAME OF FILER I.D. NUMBER Geoff Korn for City Council 2015 1376802 CODES; If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate fitinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Franchise Tax Board 1500 11th St Sacramento, CA 95814-5701 SAL Memo: $30.92 State payroll taxes $0.00 $30.42 Subvendor: IRS 2525 Capitol St Fresno, CA 93721-2227 SAL Memo: $249.28 Federal payroll taxes $0.00 $249.28 Subvendor: Jacob Daruvala 2300 Vista Ridge Circle Norco, CA 92860 SAL Memo: $584.86 Field Manager payroll $0.00 $584.86 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $0.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $ 8 2 , 174.85 2. Unitemized payments made this period of under $100...................... $ 6 0 . 00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $0.00 4. Total payments made this period_ (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line B.)................................................................ TOTAL $82, 234 . 85 FPPC Form 460 (JanuaryMG) FPPC Toll -Free Heipline: 8661ASK4FPPC (86612763772) Schedule E Payments Made Type or print in ink. ,amounts may be rounded to whole dollars. covers period f,.m 10/18/2015 through 12 / 31 / 2 015 SCHEDULE E Page 32 of 38 NAME OF FILER I.O. NUMBER Geoff Kozs for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglbailot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS slaNlspouse travel, lodging, and meals IN❑ independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatefsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technoiogy costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I D, NUMBER) Subvendor: Cody Hines 2300 Vista Ridge Cir SAL Memo: $417.21 Meld Staff salary $0.00 Norco, CA 92860-3734 $417.21 Thomas P Pearson 352 Leisurso Cl LIT Doorhanger distribution and collection $100.00 China Spring, TX 76633 Steve S Ryan 350 W Chino Canyon Rd LIT Doorhanger distribution & collection $100.00 Palm Springs, CA 92262-2902 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2 0 0 . 0 0 Schedule E Summary 1. Itemized payments made this period. (include all Schedule E subtotals.)..................................................................................................................................................... 2. Unitemized payments made this period of under$100.................................................................................................................................................................................. $92,174.85 $60,00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6_)................................................................ TOTAL $82, 234 . 85 FPPC Font 460 (January100) FPPC Tall Free Helpline: 8661ASK-FPPC (86612763772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA 461 from 10/18/2015 i RM throu9 h 12/31/2015 Page 33 of 38 1.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodginq, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidalelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER ).D. NUMBER) Screen Strategies Media 15409 Whitechapel Ct TEL TV/Cable airtime purchase $16,207,00 Centreville, VA 20120-3944 Caleb Sowers 350 W Chino Canyon Rd LIT Doorhanger distribution & collection $10C.00 Palm Springs, CA 92262-2902 Derrick Stover 350 W Chino Canyon Rd LIT Doorhanger distribution & collection $100.00 Palm Springs, CA 92262-2902 " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... 2. Unitemized payments made this period of under$100.................................................................................................................................................................................. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $16,407.00 $82,174.85 $60.00 $0.00 $82,234.85 FPPC Form 460 (January/05) FPPC Toll -Free Helpline. 8661ASK-FPPC (8661275-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA 46, from 1C/18/2015 FORM through 12/31/2015 Page 34 of 38 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and sunrev research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, a -mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) Time Warner Cable PO Box 60074 OFC Internet - monthly charge $236.94 City Of Industry, CA 91716-0074 Transgender Community Coalition PO Box 580132 PRT Advertisement in The Monarch (magazine) $150.00 North Palm Springs, CA 9225E-0132 Runeal Turnage 350 W Chino Canyon Rd LIT Doorhanger distribution & collection $100.00 Palm Springs, CA 92262-2902 *Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4 8 6 . 9 4 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).................................................................................................................................................... 2. Unitemized payments made this period of under$100................................................................................................................................................................................. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)................................................................................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL. $62,174.85 $60.00 $0.00 $82,234.85 FPPC Form 460 (January106) FPPC Toll -Free Nelpline: 866lASK-FPPC f86W276-3772► Schedule E Payments Made NAME OF FILER Geoff Kars for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period '!CALIFORNIA 46 from 10/18/2015 FORM through 12/31/2015 Page 35 of 38 I.O. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MDR member communications RAO radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTS contribution (explain nonmanetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatehponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID QF COMMITTEE, ALSO ENTER L0. NUMBER) Weingarten & Hough Insurance Agency 610 S Belardo Rd Ste 30C OFC Insurance for campaign office $769.20 Palm Springs, CA 92264-7466 Robert Wellman 1590 E.Palm Canyon LIT Doorhanger distribution & collection $100.00 Palm Springs, CA 92262 Jazzmen Williams 2167 Tullywken NE LIT ➢oorhanger distribution & collection $100.00 Murrieta, CA * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 9 69 . 2 0 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $ 8 2, 17 4 . 8 5 2. Unitemized payments made this period of under$100............................ .. $ 6 0 . 0 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $82, 234 . 85 FPPC Form 400 (January106) FPPC Toll -Free Helpiine: 866/ASK-FPPC (866/27637721 Schedule F AmType or print in ink. SCHEDULEF ounts may be rounded Statemerd covers period Accrued Expenses (Unpaid Bills) to whole dollars. • , , ��, 10/18/2015 through 12/31/2015 Page 36 of 38 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code, Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consJtants MTG meetings and appearances RFD returned contributions CTS contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filingJballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) (a} (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR DESCRIPTION OF OUTSTANDING BALANCE AMOUNT INCURRED AMOUNT PAID THIS OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) PAYMENT BEGIN N ING OF THIS THIS PERIOD PERIOD BALANCE AT CLOSE PERIOD (ALSO REPORT ON E) OF THIS PERIOD Citibusiness Card 1500 Boltonfield St LIT, Credit card $24,420.81 $0.00 $24,420.81 $0.00 debt Columbus, OH 4322E-3669 Morel Ink LIT, Mailing 4824 NE 42nd Ave $9,140.34 $0.00 $9,140.34 $0.00 Portland, OR 97218-1661 services Morel Ink LIT, Campaign 4824 NE 42nd Ave $5,140.67 $0.00 $5,140.67 $0.00 mailer Portland, OR 97218-1661 'Payments that are contributions or independent expenditures must also be SUBTOTALS $ 3 8 , 7 01. 8 2 $0.00 $ 3 8, 7 DI . 82 $0.00 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include ail Schedule F, Column (b) subtotals for INCURRED TOTALS $1 , 500 . 00 accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)............................................................... 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) PAID TOTALS 3. Net change this period. (Subtract Litre 2 from Line 1. Enter the difference here andon the Summary Page, Column A, Line 9.).................................................................................................................................. ......................... NET $38,701.82 ($37,201.82) (May be a negative number) FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASK-FPPC (88612753772) Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. '*YLa&I SCHEDULE F from 10/18/2015 through 12/31/2015 Page 37 of 38 7 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the Payment. CMP campaign paraphernalialmisc. CNS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations FIL candidate filing/ballot fees FND fundraising events MD independent expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staffispouse travel, lodging, and meals TSF transfer between committees of the same candidatelsponsor VOT voter registration WEB information technology costs (Internet, e-mail) (a) (b) (a) (d) NAME AND ADDRESS OF CREDITOR CODE OR DESCRIPTION OF OUTSTANDING BALANCE AMOUNT INCURRED AMOUNT PAID THIS OUTSTANDING OF COMMITTEE, ALSO ENTER I.D. NUMBER) PAYMENT BEGINNING OF THIS THIS PERIOD PERIOD BALANCE AT CLOSE PERIOD (ALSO REPORT ON E) OF THIS PERIOD Nikki Stone CNS, Consulting fee $0.00 $1,500.00 $0.00 $1,500.00 Palm Springs, CA 92262 'Payments that are contributions or Independent expanditums must also be SUBTOTALS $ 0 . 0 0 $1,500.00 $ 0 . 0 0 $1,500.00 sumrnerized on Schedule D. Schedule F Summaty 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for INCURRED TOTALS $1,500.00 accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100) .........•.•.............................................. Z Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) PAID TOTALS $38,701.82 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here NET ($ 37 , 2 01. 82 ) andon the Summary Page, Column A, Line 9-)........................................................................................•..........._..................................................... (May be a negative number) FPPC Form 460 (January105) FPPC Toil -Free Helpline: 6661ASK-FPPC (8661275-3772) i_II-_-A Tvoe or print in ink. SCHEDLILE I %A in � Amounts may be rounded Statemerd covers period , Miscellaneous increases to Cash towholedoliars. tram 10/18/2015 through 12/31/2015 Page 38 of 38 NAME OF FILER 111.13. NUMBER Geoff Kors for City Council 2015 1376802 DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) INCREASE TO CASH Southern California Edison 12/28/2015 PO Box 600 Refund of deposit $3,930.08 Rosemead, CA 91770-0600 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 3 , 93 0 . 0 8 Schedule I Summary 1. Itemized increases to cash this period.......................................................................................................................................................................................................... $3, 930 . 08 2. Unitemized increases to cash of under $100 this period. ....................................... .............. ... $ 0. 0 0 3. Total of all interest received this period on loans made to others. (Schedule H, Column(e).)..................................................................................................................... $ 0 . 0 0 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)................................................................................................................................................................................................................. TOTAL $3, 930 . 08 FPPC Form 460 (January106) FPPC Toll -Free Helpline: 8661ASK-FPPC (8601276-3772) In m LL 497 Contribution Report Type or print in ink. Amounts maw be rounded to whole dollars. CONTRIBUTION REPORT NAME OF FILER Date Geoff Kors for CiL Council 2015 Y Date of This Filing 12/10/2015 r�,i` F PALM Sf,, AREA CODEIPHONE NUMBER I.D. NUMBER OF applicable} Report No, form 9 97 gg. {{�� L� ( DEC f PM GS 23 For Official Use Only (760) 53'7-0061 1376802 STREET ADDRESS ❑Amendment g in y 151210 J 4M t S 1 H Um s' 3( 1455 N Vine Ave to Report No. CITY CLERK,, CITY STATE ZIP CODE No. of Pages 1 Palm Springs CA 92262 9. Contributions Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' ENTER OCCUPATION AND EMPLOYER RECEIVED (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Building Industry Association of Southern ❑ fND California PAC ✓❑COM $1, 000. 00 12/09/2015 515 S Figueroa St ;BOTH . ` ❑Check if Loan Ste 1110 �R.TY Los AngeieE, CA 90071-3314 DSCC ID. 741733 Provide interest rate Reason for Amendment: 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY Dr SCC) OTH - Other (e.q., business entity) PTY - Political Party SCC - Small Contributor CommiHee FPPC Form 497 (Marchl2011) FPPC Toll -Free HelDline: 86WASK-FPPC (866P275-37721 In a a m di Ln of co M LL 497 Contribution Report Type or print in ink. Amounts may be rounded to whole dollars. 7 CONTRIBUTION REPORT r NAME OF FILER Date ofCALIFORNIA E eaff Kors for CiCy Council 2015 This Filing 11/8/2015 OF PALM SPt; . �. I � 9 AREA CODEPHONENUMBER I.D. NUMBER OF app licablel ReportNo. 151106 fprm 2015NOY "$ tM 7t 53 For Official Use Only (760) 537-0061 1376i302 ca pac STREETADDRESS ❑Amendment 1455 N Vine Ave to Report No. CITY CLtRI; CITY STATE ZIP CODE -- No. of Pages 1 41 Palm Springs CA 92262 1. Contributions Received DATE RECEIVED FULL I+WME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CDNTRfBUTOR 'CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED .:;.. IND �.: I California Real Estate PAC L]COM $1, 000.00 11/09/2G15 525 S Virgil Ave :, '❑OTH . ` ❑Check if Loan Las Angeles, CA 90020-1403 ❑ R.T;Y ID. 890106 ❑scc 411 % Provideinterestrate Reason for Amendment: Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCCI OTH - Other fe.a., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 497 (MarchM11) FPPC Toll -Free HelDline: 8661ASK-FPPC (866f175-3772) 497 Contribution Report Typ-e or print in init. Amounts may be rounded to whole dollars, 7 CONTRIBUTION REPORT NAME OF FILER ? Date of 0 F PpetWl§�r AI Geoff Koxs for City council- 2d15 11/"-4`�1` This Filing -- -- Of5 NOV --2 A9 AREA GOQEtPHilNI NUMBER FORM 497 I.D. NUMBER fit applicable) 9: 50 For Official Use Only ?c ij 537-€386 3S 16802 Reportfiti, i�1J31 form mailer Jt>,t7ES [II.WtlY�t;;: STREET ADDRESS ❑Arrtendrnent I,d � CITY C L E P K 1455 N Vine Ave to Report Na, CITY STATE ZIP COD! No. of Napes Palm Springs CA 922E2 1. Contributions Received DATE FULL NAME. STREETADDRE55 ANDZiP CObE OF CONTRIBUTOR CONTRIBUTOR IF AN INC IVIDUAL, ENTER OCCUPATION ANDEMPLOYER AMOUNT RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NU3Vi81 R) GG✓<' ` 1F SELF-EMPLOYED. ENTER NAME of i3USii4E5S RECEIVED IND Desert Stonewall Democrats zCOM 5250.00 05/€01/2015 PO BOx �536 QOTH ❑Check if Loin Pain Sprinq,, , CA 92263-4536 []PTY 1D: 1.220539 �I Scc LJ Provide interest rate ❑ IND Desert StOre ;all DernoCrat:s zCOM $250.00 t /09/2i) 5 PO Brix 4536 ❑0TH CheokitLoan Patin SpringE, CA 92263- 336 EjPTY ID: 1220539 ❑ SCC % Provide interest rate ❑ IND Desert Stonewall Democrats j7v com 1 }/.31/2015 PO Box 41�36 OOTH ❑Check if Loan `A 92263-4536 Palm'{ ❑PTY �S77p��ria(7s, ❑ SCC Provide interest rate ` Reason for Amendment: "Contributor Codes I IND - Individual C D M - Recipient CDMMittee (other than PTY of SCC) QTH - Other (e.g., business E ntity) I PTf - Political Party SCC - Smelt Contributor Committee FPPC Potm 497 (March12011) FPPCTat4Fme Helpline:8BSIASK-FPPC f8%2T5-3772) N a LL R, 0 a m w m 0 a LL 497 Contribution Report Type or print in ink. Amounts may be rounded to whole dollars. ^ktgl,97 CONTRIBUTION REPORT NAME OF FILER Date of c , Geoff Kars for City Council 2015 This Fling 10/26/2015 M'p" 2015 OCT 26 AM 1013For Official Use7Only AREA CODEJPHONE NUMBER I.D. NUMBER (if applicable) ReportNo. 151023 form (-�50) 537-0061 1376802nor J.RiS STREETADDRESS ❑Amendment CITY CLERK 1455 N Vine Ave to Report No. CITY STATE ZIP CODE No. of Pages 1 Palm Springs CA 92262 1. Contributions Received DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED Q IND Honor PAC nCOM $1, 000. 00 1427 Lincoin Bivd 10/23/2015 Ste E ❑OTH ❑ Check ifLoan Santa Monica, CA 90401-2771 ❑PTY -era T D: 1276587 ❑ SCC Provide interest rate Reason forAmendment: Contribulor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.q., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 497 (March/2011) FPPC Toll -Free HelDline: 8661ASK-FPPC (866)275-37721 Recipient Committee Campaign Statement Cover Page (Goverment Code Sections 84200-84216.5) Type or print in ink Statement covers period from 9/20/2015 through 10 / 17 / 2 01:5 1. Type of Recipient Committee: All Comenittees- Complete Parts 1, 2,3, and4. Officeholder, Candidate Controlled Committee ❑State Candidate Election Committee ❑ Recall (Also Complete Part s) ❑General Purpose Committee ❑Sponsored ❑Small Contributor Committee ❑Palitical Party/Central Committee 3. Committee information COMMITTEE NAME (OR CANDIDATE'S NAME: IF NO COMMITTEE) Geoff Kors for City Council 2015 ❑ Primarily Formed Ballot Measure Committee ❑ Controlled ❑Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate! Officeholder Committee (Also Complete Part 7) Date of election if applicable: (Month, Day, Year) 11/3/2015 2015 OCT 22 PH 1F� III'"'S l E'0i p C I T Y CL€:i-e'l 2. Type of Statement: QPreelection Statement ❑Semi-annuat Statement []Termination Statement (Also file a Form 410 Termination) ❑Amendment (Explain below) lD. NUMBER Treasurer(s) 1376802 NAME OF TREASURER James Williamson STREET ADDRESS (NO P.O. BOX) 1455 N Vine Ave CITY STATE ZIP CODE AREA CODEIPHONE Palm Springs CA 92262 (760) 537-0061 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX PO Box 1585 CITY STATE ZIP CODE AREA CODEIPHONE Palm Springs CA 92263 (760) 537-0061 COVER PAGE Page 1 of 27 For Official Use Only []Quarterty Statement []Special Odd -Year Report []Supplemental Preelection Statement -Attach Form 495 MAILING ADDRESS 1455 N Vine Ave CITY STATE ZIP CODE AREA CODE/PHONE Palm Springs CA 92262 (760) 537-0060 NAME OF ASSISTANT TREASURER, IF ANY Steven Mele MAILING ADDRESS 611 Pennsylvania Ave SE Ste 143 CITY STATE ZIP CODE AREA CODEfPHONE Washington DC 20003-4303 OPTIONAL: FAXIE-MAIL ADDRESS OPTIONAL: FAXIE-MAIL ADDRESS geoffkorsps@gmail.Corn will`iamsonjg@gmail.00m 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the hest of my knowledge the information Gontaiwd herein and in the attached schedules is true and complete. I certify under penalty of erjury under the laws of the State of California that the regoing is true and correct. Executed on tM Y1, 7-0 115 By " ATE I" !�_� TUq TREASURER OR AS&STA TREASURER FPPC Faun 460 (Jar►uary106) Executed on �% •7 n /tY FPPC Toll -Free Helpkne: DAT ��' SIGNAFURE Of CONTROLLING . CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF PROPONENT 6661ASK.FPPC Executed on $y j86611763772) DATE Sr AATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT state of California Executed on By DATE SIGNATURE Or CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Recipient Committee Type or print in ink Campaign Statement Cover Page -Part 2 5.Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Geoff Kors OFFICE SOUGHT OR HELWNCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Sought: City Council Member City RESIDENTIAL7BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 1455 N Vine 5t Palm Springs CA 92262 Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. NAME 1I.D. NUMBER NAME OF TREASURER COMMITTEE ADDRESS STREET YES []NO STATE ZIP CODE AREA CODE/PHONE COVER PAGE -PART 2 Page 2 of 27 6.Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE SUPPORT Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHLOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List namesof oflceholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT —(OPPOSE Attach continuation sheets if necessary FPPC Form 466 (January106) FPPC Toll -Free Helpllne: SSWASK-FPPC (SOM76-3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. SUMMARY PAGE Amounts may be rounded Staternent covers period - towholedollars. / • from 9/20/2015 � - through 10/17/2015 pas@ 3 of 27 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 Contributions Received Column A Column B Calendar Year Summary for Candidates Total This Period CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE; General Elections 1. Monetary Contributions .............................................. Schedule A, Line 3 $ 2 0 , 0 8 5 . 00 $ 214 , 018 . 0 0 111 through 61310 711 to Date 2. Loans Received......................................................... Schedule B, Line 3 $0.00 $0.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ........................... Add Lines 1 + 2 $ 2 0 , 0 8 5. 00 $ 214 , 018. 0 0 Received 4. Nonmonetary Contributions .................................... Schedule C, Line 3 $7, 450 . 00 $17 , 5 91 . 14 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ..................... Add Lines 3 + 4 $ 27, 535. 00 $231, 609. 14 Made Expenditures Made 6. Payments Made ........................................................ Schedule E, Line 4 7. Loans Made............................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) .............................. Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE .............................. Add Lines 8 +9 + 10 Current Cash Statement 12. Beginning Cash Balance ................. Previous Summary Page, Line 16 13. Cash Receipts .................................................... Column A, tine 3 above 14. Miscellaneous Increases to Cash ................................. Schedule 1, Line 4 15. Cash Payments ................................................. Column A, Line 8 above 16. ENDING CASH BALANCE..Add Lines 12+13+14, then subtract Line 15 If this Is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED .............. Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ....................................... See instructions on reverse 19. Outstanding Debts ....................... Add Line 2+Line 9 in Column B above $70,285.24 $106,855.66 $0.00 $0.00 *70,285.24 $106,855.66 $22,805.21 $38,701.82 $7,450.00 $17,591.14 $100,540.45 $163,148.62 $157,150.58 $20,085.00 $0.00 $70,285.24 $106,950.34 $0.00 $0.00 $38,701.82 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (f any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made " Of Subject to VorurAary Expenditure Limi) Date of Election Total to Date (mmlddlyyyy) *Amounts in this section may be different from amounts reported in schedule B. FPPC Fonn460 (January106) FPPC Toll Free Helpline: 8661ASK-FPPC (86612763772) Sr_har#I da O Type or print in ink. SCHEDULE A —�.. Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460 trom 9f24/2015FORM titraugh 10 / 17 / 2 015 Page 4 of 27 NAME OF FILER I.D_NUMBER Geoff Kars for City Council 2015 376802 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 1.DEC. 31) (IF REQUIRED) IND Jacqueline (Jackie) Evelyn Autry ❑ COM 10/07/2015 328 West Mountain View Place ❑ OTH Retired Investor $2,500.00 $5,000.00 Palm Springs, CA 92262 ❑PTY Jacqueline Autry SCC 2] IND Jacqueline (Jackie) Evelyn Autry ❑ COM 10/14/2015 328 West Mountain View Place ❑ OTH Retired Investor $2,500.00 $5,000.00 Palm Springs, CA 92262 ❑PTY Jacqueline Autry SCC R] ND Daniel P Barber ❑ COM 09/30/2015 1461 S. San Joaquin Dr q ❑ OTH Retired $150.44 $250.00 Palm Springs, CA 92264 ❑PTY None SCC WIND Carolyn Caldwell ❑COM Executive 10/03/2015 2005 S Camino Monte ❑ OTH Desert Regional $100.00 $100.00 Palm Springs, CA 92264 EPTY Medical Center SCC SUBTOTAL $5,250.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... $19, 635 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines t and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $450 $20,085 'Contributor Codes IND- individual .00 COM- Redpient Committee 000 (other than PTY or SCC) _ OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee 0 0 FPPC Farm 480 (Januarylos) FPPC Toll -Free Helpline: NWASK-FPPC (866Y175.3T?2j Schedule A Type or print in ink. SCHEDULE Amounts may tie rounded Statement Covers period • - CALIFNIA Monetary Contributions Received to wholedailars. 460 from 9/20/2015 FORM through 10 / 17 / 2 015 Page 5 of 27 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376 0 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER [D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IFSELF.EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE (IF REQUIRED) OFEUSINESSj PERIOD (JAN, 1-OEC, 31j ❑IND Coachella —Imperial Valleys ZCOM Strategies 10/13/2015 75100 Mediterranean ❑ OTH $1,000.00 $1,000.00 Palm Desert, CA 92211-9069 El PTY ID: 1351123 ❑Scc INC) Peggy Cravens ❑ COM Retired 10/15/2015 899 Island drive, #213 ❑ OTH $250.00 $250.00 Rancho Mirage, CA 92270 ❑PTY None sec INC) Mike Cullen ❑ C0M Commercial Real 10/03/2015 1000 S.Calle Marcus ❑ OTH Estate Agent $250.00 $250,OD Palm Springs, CA 92262 ❑PTY Walsh Financial Services SCC ❑ IND Dead Or Alive, LLC ❑ COM 09/30/2015 150 E Palm Canyon Dr ❑J OTH $150.00 $130.00 Palm Springs, CA 92264-8822 ❑PTY SCC SUBTOTAL $1,650.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $19 , 6 35 . 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period--unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, tine 1.)........................................................ TOTAL $ 4 5 0. 0 D OTH- Other (e business MR.) $20,085 .g., PTY- Political Patty SCC- Small Contributor Committee D 0 FPPC Form 480 IiJanuary106) FPPC Tall -Free Helpline: $MASK-FPPC 18661276-3T72) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period ` to whole dollar:. ftom 9/20/2015 - through 10 / 17 / 2 015 Page 6 of 27 I.D. NUMBER 1 gr7AAfl> DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE' IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER l.D. NUMBER) ZIFSELF-EMPLOYED, ENTER NAME OFBUSINESS) PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) ❑ IND Destination PSP ❑ COM 09/21/2015 170 N Palm Canyon Dr ✓❑ OTH $35.00 $135.00 Palm Springs, CA 92262-5504 ❑ PTY 5CC ZINO Robert Dickinson ❑ COM Lighting Designer 10/17/2015 460 W. Canyon Place ❑ OTH Full Flood, Inc. $500.001 $500,00 Palm Springs, CA 92262 ❑PTY 5CC ❑ IND Elena Bulatova Fine Art LLC ❑ coM 09/25/2015 2652 S Cherokee Way Q OTH $500.00 $500.00 Palm Springs, CA 92264-SE05 El PTY SCC Q IND ❑ COM 10/04/2015 Raymond Bert Gregory ❑ OTH$100.00 Assistant Sheriff $100.D0 Palm Springs, ❑ PTY County of Riverside 5CC SUBTOTAL $1,135.00 Schedule A Summary *Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- individual (Include all Schedule A subtotals.)....................................................................................................................................... $19 , 63 5 . 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... $ 4 5 0 • 00 OTH- Other (e.g., business entity) PTY- Political Party 3. Total monetary contributions received this period. SCC- small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $ 2 0 , 0 B 5. 0 0 FPPC Form 460 (JanuaryMS) FPPC Toll -Free Helpline: NWASK�FPPC (SBW275-3772) Schedule A Monetary Contributions Received Geoff Kors for city Council 2015 Type or print in ink. Amounts may he rounded to whole dollars. covers ftm 9/20/2015 through l U/ l f/ 2 U 13 SCHEDULE A Page 7 of 27 I.D. NUMBER 1 9 'T G O n'] DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE ' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BU5MESSj PERIOD (JAN. t-DEC. 31) (IF REQUIRED) ❑J IND Beth Harris ElCoM 10/08/2015 360 Newbury Street DOTH Writer $1,000.00 $1,000.00 Unit 711 �PTY Beth Harris Boston, MA 02115 scC Q IND Sandra G Hodges L]COM 10/10/2015 1203 E Buena Vista Dr OTH Retired $200.00 $200.00 Palm Springs, CA 92262-5832 DPTY None SCC IND International Brotherhood of Labor, �COM 09/21/2015 Loccal Union 440 Q OTH $500.00 $500.00 1405 Spruce Atreet, Ste G �PTY Riverside, CA 92507 SCC Q IND Ken Irwins OCOM 10/05/2015 1077 E. Granvia Valmonte OTH Retired $250.D0 $250.00 Palm Springs, CA 92262-6104 �PTY :Kane SCC SUBTOTAL $1,950.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions, IND- Individual (Include all Schedule A subtotals.) ....................................................................................................................................... $19 , 6 35 . 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period -Jnitemized monetary contributions of less than$100.......................................................... $ 4 5 0 . 0 D OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political PartySCC- Small Co,mibutorCommittee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $20, 085 . OD FPPC Form460 (JanuarylOfi) FPPC Toil -Free Helpline: t1661ASK-FPPC (866W6-3772) Cr hg%141 r In A Type or print in ink. SCHEDULE A W V!lV MMlV T\ rnou tsrna be rou�eJ lV�R1YH0 x YG �RiCY Statement covers period Monetary Contributions Received to whole dollars. I11 From 9/20/2015 • ' through 10 / 17 / 2 015 Page 8 of 27 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF4=MFL0YED, EWER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) IND Q Michael Kassinger 09f25/2015 780DO Fred Waring Dr ❑ QOM Realtor $1,000.00 $1,DDQ.QO Ste 200 El PTY Coldwell Banker Palm Desert, CA 92211-9266 scc Z IND Jeff Keane ❑ COM Attorney 10/15/2015 171E Hot Springs Way ❑ OTH Kramer, DeBoer & $250-00 $250,00 Palm Springs, CA 92262-8816 ❑PTY Keane, LP SCC Z IND Michael Marler ❑ COM 09/21/2015 460 W. Canyon Place ❑ OTH Business Manager $500.00 $500.00 Palm Springs, CA 92262 ❑P� Full Flood, Inc. SCC QIND Michael Andrew Miner ❑ Cant Fundraiser 09/26/2015 3026 N Avenida Caballeros ❑ OTH Palm Springs Art $1D0.00 $100.00 Palm Springs, CA 92262-2390 ❑PTY Museum SCC SUBTOTAL $1,850.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)............................................................................................................... ........................ 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period, (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Gontributor Codes IND - Individual $19 , 6 3 5. 0 0 COM- Recipient Committee $ 4 5 0 . 0 0 (other than PTY or $CC) OTH- Other (e.g., business entity) PTY- Political Party SCC- Sneed Contributor Committee $ 2 0, 0 8 5, 0 0 FPPC Form 460 (January/96) FPPC ToII-Free Helpline: 86WASK-FPPC 1866)276-3772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period , Ll FORNIA to whole dollars. rrarrr 9 / 2 0 / 2 015 FORM through 10 / 17 / 2 015 Page 9 of 27 ).NUMBER -�'7cnn9 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE' IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER LD. NUMBER) {IFSELF-EMPWYED, ENTER NAME PERIOD (JAN. ?-DEC. 3t) (IF REQUIRED) OF BUSINESS] �flIND John Monahan ❑ COM Owner 09/28/2015 1550 Avenida Sevilla ❑ OTH The Five Hundred $250.00 $250.00 Palm Springs, CA 92264 ❑PT SCC Z IND Tyler Morgan Elcom Sales 10/08/2015 404 Camino Sur ❑ OTH Tyler Morgan $500.00 $500.00 Palm Springs, CA 92262 ❑PTY SCC D IND Richard James O'Linn []CoM Founder 09/24/2015 1022 Sierra Way ❑ OTH O'Linn Security, $500.001 $650.00 Palm Springs, CA 92264 []PTY Inc SCC IND Richard James O'Linn ❑ COM Founder 09/30/2015 1022 Sierra Way [ OTH O'Linn Security, $150.00 $650.00 Palm Springs, CA 92264 [}PTY Inc SCC SUBTOTAL $1,400.0(i Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $19, 635 00 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... $ 4 5 0 . 0 0 OTH- Other (e.g., business entity) PTY- PoRticai Party 3. Total monetary contributions received this period. SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $ 2 0 , 0 B 5 . 0 0 FPPG Fonn 460 Wanuaryffi61 FPPC Toll -Free Helpllne: $MASK-FPPC (866a76-3772) Schedule A Typeor print in ink. SCHEDULE Amounts: may be rounded Statement covers perkxl JLWO Monetary Contributions Received to wholedoilars., ef�, 9/20/2015 through l U/ 1 I/ Z U l::� Geoff Kors for City Council 2015 Page 10 of 27 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER W. NUMBER) CODE ' OCCUPATION AND EMPLOYER (If SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS] PERIOD (JAN. 1d1EC.31) (IF REQUIRED) IND Scott R Palermo ❑COM 09/25/2015 496 Paseo Soleadc ❑ OTH Real Estate Agent $250.00 $500.00 Palm Springs, CA 92264-8477 ❑P�, Scott Palermo SCC ❑ IND Palm Springs Modern Heritage Fund ❑ COM 10/09/2015 PO Box 4758 Q OTH $2,000.00 $2,000.00 Palm Springs, CA 92263-4158 ❑PTY SCC ❑ IND Robert Parrott ❑ COM 09/27/2015 864 N Avenida Palmas ❑ OTH Retired $100.04 $100.00 Palm Springs, CA 92262-5708 [—]PTY None SCC ZINO Sarah Ries E]COM 10/05/2015 14 W Kemp?'tanager ❑OTH $100.00 $100.00 Waverly, SD 57201-3538 ❑PTY IJY SCC SUBTOTAL $2,450.00 Schedule A Summary 'Contributor Codas 1. Amount received this period -itemized monetary contributions. IND- individual (Include all Schedule A subtotals.)....................................................................................................................................... $19 , 6 35 . 0 0 GOM- Recipient CommKtee (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... $ 4 5 0 . 0 0 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political PartySCC- small Contributor Committee (Add Lines 1 and 2. Enter here on the Su mmary Page, Column A, Line 1.)........................................................ TOTAL. $ 2 0 , 0 8 5.0 0 FPPC Forth 480 (Jenuaryr`Oti) FPPC Toll -Free Helpline: NWASK-FPPC (8661276-3772) Schedule A Type or print In Ink SCHEDULE A Amounts may be rounded Statement covers period , a Monetary Contributions Received to whole dollars. from 9/20/2OL5 • " through 10/1//ZU15 Geoff Kors for City Council 2015 Page 11 of 27 LD.NUMBER 117CAn] DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE' IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER E.D. NUMBER) (OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1-0EG.31) (IF REQUIRED) OFBUSFNESS} ❑ IND Riverside County Democratic Central El Com 09/25/2015 Q OTH $250.00 $250.00 113Com33 Lae 11333 Lakeport Dr ❑PTY Riverside, CA 92505-3470 SCC ZiND Alex Roldan ❑ COM Owner 10/10/2015 PO Box 90213 ❑ OTH Alex Roldan Salon $250.00 $25a.ao Beverly Hills, CA 90213 ❑PTy 5CC QIND Jacqueline Ann —Marie Thomas Elcom Real Estate 09/23/2015 2295 S Alhambra Dr ❑ OTH ThomboorPropertier Tttomboy Properties, $250-00 $250.00 Palm Springs, CA 92264-9401 ❑ PTY Inc scC R1 IND Robert H Thorson EICOM Retired 09/21/2015 1225 E Deepwell Rd ❑ OTH None $150.00 $350.00 Palm Springs, CA 92264-8500 ❑PTY 5CC SUBTOTAL $900.00 Schedule A Summary *Contributor Codes 1. Amount received this period -itemized monetary contributions. IND - Individual (Include all Schedule A subtotals.)....................................................................................................................................... $19 , 635,00 COM- Recipient Committee $ 4 5 0 0 0 (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than$100......................................................... OTH- Other (e.g., business entity) PTY- Political Party 3. Total monetary contributions received this period. 5CC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $ 2 0 , 0 B 5 . 0 0 FPPC Form 460 (January106) FPPC Toll -Free Hetpline: BWASK-FPPC (66612±6-3772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2315 Type or prink in ink. SCHEDULE A Amounts: may be rounded Statement covers perk;d , - to whole dollars. NIA 460 from 9/20/2015_ FORM through 10/17/2015 Page 12 of 27 I.O. NUMBER 1 Z7r;Off7 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE (IF REQUIRED) OF BUSINESS) PERIOD (JAN. 1-DEC. 31) IND Jeffrey Towns El COM 10/13/2015 15823 S. Western Ave ❑ pTM Attorney $1,000.00 $1,000.00 GardenaGardena, CA 90247 ❑PN Jeffrey Towns SCC ZIND Sven Vennen ❑ COM Realtor 09/25/2015 1271 E Amado Rd ❑ OTH Windemere Real $500.00 $500.00 Palm Springs, CA 92262-6475 ❑ PTY Estate SCC QIND Ron Wallen ❑COM 09/30/2015 2833 Sundance Cir W ❑ OTH Retired $50.00 $250.00 Palm Springs, CA 92262-2053 ❑PTY None sec P9INO Jonathan Wasser ❑COM Business Owner 10/05/2015 777 E Tahquitz Canyon Way ❑ OTH Chill Bar and Fox $500.00 $500.00 Palm Springs, CA 92262-6784 ❑PTY Properties scc SUBTOTAL $2,050.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $19 , 635. 00 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 45 0 . 00 OTH. Other (e.g., business entity) PTY- Political Party 3. Total monetary contributions received this period. SCC-Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $ 2 0 , 0 8 5 . 0 0 FPPC Form 460 (January/05) FPPC Toll -Free Heipline: 81961ASK-FPPC (66612763772) Crharleela s Type or print in ink. SCHEDULE A VMV MMV �� Amounts may be rounded Monetary Contributions Received to whole dollars. statement covers period iiii CALIFORNIA 1 From 9/20/2015 FORM through 10 / 17 / 2 015 Page 13 of 27 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 7680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.Q. NUMBER) CODE' OCCUPATION AND EMPLOYER (IFSELF4=MPLOYEO, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE (IF REQUIRED) OF BUSINESS) PERIOD (JAN. 14DEC. 31) R]IND Thomas Watson ❑ COM 10/17/2015 7582 Mulholland Dr ❑ OTH Attorney $100.00 $354.40 Las Angeles, CA 90046 ❑PTY McKool Smith, PC sec ❑✓IND Stephen Eugene White ❑ 10/01f2415 4798 S Winners Cix ❑ CTOH Retired $50-00 $150.40 # A ❑PTY None Palm Springs, CA 92264-5879 SCC ❑I IND Joseph J Wild, II ❑ coM 09/25/2015 2347 E,San Ynez WayOTH ❑ Retired $100.00 $100.00 Palm Springs, CA 92264 ❑PTY None sCC IND Gregory Willenborg ❑COM 10/10/2015 1268 N Fairfax Ave ❑ OTH President $500_00 $500.00 West Hollywood, CA 9DO46-5206 ❑PTY Willenborg SCC SUBTOTAL $750.00 Schedule A Summary Contributor Cod" 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $19, 635 .00 COM- Recipient Committee 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period, (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL, $450 $20, 085 (other Man PTY or SCC) O U OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee .00 FPPC Form "0 (January106) FPPC ToA•Free Helpline: IIBBIASK-FPPC (96612753772) Schedule A Type or prkd in ink. SCHEDULE A Amounts may be rounded Statement covers °wW CALIFORNIA Monetary Contributions Received to who Miars. 460 from 9/20/2015 FORM through 10 / 17 / 2 015 Page 14 of 27 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 137690 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.Q. NUMBER) CODE' OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFslzr-r-MPLoreo, ENTER NAME of BUSINESS) PERIOD (JAM 1-DEC.31) (IF REQUIRED) Q IND Chet C Zilionis COM 10/10/2015 71420 Gardess Rd OTH President $250.00 $250.00 Rancho Mirage, CA 92270-4217 LJPTY Altura Graphics 5CC SUBTOTAL $250.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period -units mized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL "Contributor Codes IND - Individual $19 , 6 3 5. 0 0 COM- Reciplent Committee $ 4 5 0 0 D (other than PTY or SCC) . OTD - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee $ 2 0, 0 8 5. 0 0 FPPC Form 460 (January106) FPPC Tog -Free Helplirw 8661ASK-FPPC (6661276-3772) Schedule C Nonmonetary Contributions Received NAME OF FILER Geoff Kors for City Council 2075 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE C Statement covers period CALIFORNIA 461 from 9/20/2015 i RM tnraugh 10/17/2015 Page 15 of 27 E.D. NUMBER 1376BO2 DATE FULL NAME, STREET ADDRESS AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNTIFAIR CUMULATIVE TO DATE PER ELECTION RECEIVED CODE OF CONTRIBUTOR CODE OCCUPATION AND EMPLOYER GOODS OR MARKET VALUE CALENDAR YEAR TO DATE OF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME OF SERVICES (JAN. 1-DEG. 31) OF REQUIRED) BUSINESS) QIND Levvy R Carriker ❑ COM Full page 10/08/2015 611 S Palm Canyon Dr # 7-548 ❑ OTH PTY Publisher ads (2) in $1,250.00 $1,250.00 Levvy Carriker LIVE Palm Springs, CA []SCC magazine 92264-7213 Frederick W. Noble and ❑INO Affiliated Entities ❑ COM 09/22/2015 2045 E Tahquitz Canyon Q OTH ❑PTY Survey $1,600.00 $2,050.00 Way results Palm Springs, CA ❑SCC 92262-7003 ❑IND Room Hilton Palm Springs ❑COM rental for 400 E Tahquitz Canyon ,/ OTH Hall 09/21/2015 Way ❑PT, +osu $1,005.00 $1,003.00 py Of Palm Springs, CA ❑SCC audio 92262--6605 visual SUBTOTAL $3,655.00 Schedule C Summary 'Contributor Codes 1. Amount received this period -itemized non monetary contributions. IND- Individual Include all Schedule C subtotals. COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period -unitemized nonmonetary contributions of less than$100.................................................... $0.00 OTH- Other (e.g., business entity) PTY- Political Party 3. Total nonmonetary contributions received this period. SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Lines 4 and 10.)............................................ TOTAL $ 7 , 450,00 FPPC Form 460 (January105) FPPC Tall -Free Helpline: DWASK-FPPC (96612753772) Schedule C Nonmonetary Contributions Received Type or print in ink Amounts may be rounded to whole dollars. covers SCHEDULE C from 9/20/2015 through 10 / 17 / 2 015 Page 16 Of 27 NAME OF FILER I.D. NUMBER Geoff Koss for City Council 2015 1376802 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR pF COMMITTEE, ALSO ENTER I.O. NUMBER) CONTRIBUTOR CODE' IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUNTIFAIR MARKET VALUE CUMULATIVE TO CATE CALENDAR YEAR (IIw. 1•DEC. 31) PER ELECTION TO DATE (FF RE4UIRt Dj Q IND David Clark Lee DCOM 09/25/2015 800 W Stevens Rd �OTH PTY Producer Catering $2,095.00 $7,095.00 Palm Springs, CA David Lee for event 92262-4131 ❑SCC IND Mr Lyons Steakhouse [JCOM �OTR Catering 09/28/2D15 233 E Palm Canyon Dr [:]PTY for an $1,500.00 $1,500.00 Palm Springs, CA ❑SCC event 92264-8B23 SUBTOTAL $3,595.00 Schedule C Summary 'Corrtributor Codes 1. Amount received this period -itemized nonmonetary contributions. IND- Individual (Include all Schedule C subtotals.) ................................................ $ 7 , 450 . 00 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than$100.................................................... OTI+Other (e.g., business entity) PTY- Polftical Party 3. Total nonmonetary contributions received this period. SCC- Small Contributor Committee (Add Lines 1 and 2 E 1 h th S P C I A L' 4 1 n er ere on a ummary o um age, n , Ines and 0.)............................................ TOTAL $ 7, 450 . 00 FPPC Form 466 (Januarylo6) FPPC Toll -Free Hetpline. tr661ASK-FPPC 186612753772) Schedule E Payments Made NAME OF FILER Geoff Kars for City Council 2015 Type or print in ink. Amourds may be rounded to wihole dollars. covers from 9/20/2015 thmugh 10/17/2015 SCHEDULE E Page 17 of 27 I.D. NUMBER L376602 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTI3 contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FWD fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costa (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER J.D. NUMBER) Brighthaus Marketing LLC 125 E Tahquitz Canyon Way Ste 203 CMP Marketing and graphic design services $400.00 Palm Springs, CA 92262-6464 Citibusiness Card 1500 Boltonfield St OFC Credit card payment - itemized below $6,756.27 Columbus, OH 43228-3669 First Bank Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant services $57.01 Atlanta, GA 30342-1651 ' Payments that are contributions or Independent expenditures must also be summarized on schedule: D. SUBTOTAL $ 7 , 213 . 28 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $70, 190 . 24 2. Unitemized payments made this period of under $100....................... ... $ 95 . 0 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $ 7 0 , 2 8 5 . 2 4 FPPC Form 460 (JanuarylOS) FPPC Toll -Free Helpline, NOIASK-FPPC (965a76-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print In ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period!CALIFORNIA 460 ROM 9/20/2015 r• through 10/17/2015 Page 18 of 27 I.D. NUMBER 11376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment, CMP campaign parapherrtalialmisc. CNS campaign consultants CTB contribution (explain nonmonetery)' CVC civic donations FiL candidate filinglballot tees FND fundraising events IND independent expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAID radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t,v, or cable airtime and production casts TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meak TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) First Bank Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant services $45.62 Atlanta, GA 30342-1651 First Bank Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant services $23.10 Atlanta, GA 30342-1651 KDN Homes, Inc 1041 Market St # 203 OFC Cleaning campaign office $220.00 San Diego, CA 92101-7233 " Payments that are contributions or Independent expenditures must also he summarized on Schedule D. SUBTOTAL $ 2 8 8 . 7 2 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $70, 190.24 2. Unitemized payments made this period of under $100................... $ 9 5 . 0 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 0 0 4, Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $ 70 , 2 8 5 . 2 4 FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASK-FPPC 126612763772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA 46 from 9/20/2015 M RM through 10/17/2015 Page 19 of 27 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign perephernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearences RFD returned contributions CTB contribution (explain nonmonetaryl' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate fiking/baWt fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising everts POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same eandidetelsponsor LEG legal defense PRO professional services (legal, aecourting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Itternet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE. ALSO ENTER I.D. NUMBER) Payroll Data Processing 4224 Henderson Blvd SAL Salary - Field Director $1,676.25 Tampa, FL 33629-5611 Suhvendor: Internal Revenue Service 2525 Capitol St SAL Memo: $404.91 Payroll - Federal taxes $0.00 Fresno, CA 93721-2227 $404.91 Subvendor: Franchise Tax Board 1500 llth St Sacramento, CA 95814-57DI SAL Memo: $102.10 Payroll - State taxes $0.00 $102.10 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1 , 67 6. 25 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $ 7 0 , 190.24 2. Unitemized payments made this period of under $100.................. ............. $ 95 . 00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $0.00 4, Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $70, 2 8 5 . 2 4 FPPC Form 460 (Jahuaryl05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8681275-3772) Schedule E Payments Made Type or prim in ink. Amounts may be rounded to whole dollars. covers period from 9/20/2015 through 10 / 17 / 2 015 SCHEDULE E Page 20 of 27 NAME OF FILER I.D. NUMBER Geoff Kors for City Council. 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the Code. Otherwise, describe the payment. CMP campaign paraphernalialmist. MBR member communications RAD radio airtime and production costs CN5 campaign consultants MTG meetings and appearances RFD returned contributions CTS contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filirWballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration I IT "rnhainn literature end mailinos PRT Drint ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D_ NUMBER) Subvendor: Jacob Daruvala 2300 Vista Ridge Circle SAL Memo: $1169.24 Salary - Field Director $0.00 Norco, CA 92860 $1,169.24 Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fee $31.97 Tampa, FL 33629-5611 Payroll Data Processing 4224 Henderson Blvd SAL Payroll - Field Staff $1,173.38 Tampa, FL 33629-5611 " Payments that are contributions or Independent expenditures must also be summarized an Schedule D. Schedule E Summary SUBTOTAL 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... 2. Unitemized payments made this period of under$100.................................................................................................................................................................................. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $1,205.35 $70,190.24 $95.00 $0.00 $70,285.24 FPPC Form 460 (Januaryl08) FPPC Toil -Free Helpline: 86WASK-FPPC (666a76-3772) Schedule E Payments Made Type or print in Ink. Amourds may be rounded to Whole dollars. covers from 9/20/2015 through 10 / 17 / 2 015 SCHEDULE E Page 21 of 27 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmise. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetinas and appearances RFD returned contributions CTB contribution (explain nonmonetery)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglballot fees PHO phone bunks TRC candidate travel, lodging, and meals FND fundraising, events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services pegal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information tachnology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Franchise Tax Hoard 1500 llth St Sacramento, CA 95814-5701 SAL Memo: $59.74 Payroll - State taxes $0.00 $59.74 Subvendor: Internal Revenue Service 2525 Capitol St Fresno, CA 93721-2227 SAL Memo: $265.87 Payroll - Federal taxes $0.00 $265.87 Subvendor: Cody Hines 230D Vista Ridge Cir Norco, CA 92860-3734 SAL Memo: $847.77 Payroll - Field Staff $0.00 $847.77 Payments that are contributions or Independent expenditures must also be summarized on Schedule: 0. SUBTOTAL $0.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotats.)..................................................................................................................................................... 2. Unitemized payments made this period of under$100.................................................................................................................................................................................. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $70,190.24 $95.00 $0.00 $70,285.24 FPPC Form 460 (Januaryl06) FPPC Toll -Free Helpline: $MASK-FPPC (8661276-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print In Ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA 46 from 9/20/2015 FORM through 10/17/2015 Page 22 of 27 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the Code, Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, fudging, and meals FND fundraising everts POL polling and survey research TRIi stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO pfofeasional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internal, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fee $1,99 Tampa, FL 33629-5611 Payroll Data Processing 4224 Henderson Blvd SAL Salary - Field staff $3,285.45 Tampa, FL 33629-5611 Subvendor: Internal Revenue Service 2525 Capitol St Fresno, CA 93721-2227 SAL Memo: $791.28 Payroll - Federal taxes $0.00 $791.28 " Payments that are contributions or independent expenditures must also be summarized on Schedule b. SUBTOTAL $ 3 , 2 8 7 . 4 4 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $70, 190.24 2. Unite mized payments made this period of under $100................. ..... $ 95 . 0 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and an the Summary Page, Column A, Line 6.)................................................................TOTAL $70, 285 . 24 FPPC Form400 (January106) FPPC Tall -Free Helpline. 8661ASK.FPPC (8661276-3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. covers from 9/20/2015 through 10/17/2015 SCHEDULE E Page 23 of 27 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. M8R member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain honmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging. and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Franchise Tax Board 1500 llth St Sacramento, CA 95814-5701 SAL Memo: $197.60 Payroll - State taxes $0.00 $197.60 Subvendor: Jacob Daruvala 2300 Vista Ridge Circle Norco, CA 92860 SAL Memo: $1169.24 Salary - Field Director $0.00 $1,169.24 Subvendor: Cody Hines 230D Vista Ridge Ciz Norco, CA 92860-3734 SAL Memo: $1127.33 Payroll - Field staff $0.00 $1,127.33 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $0.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $ 7 0 , 190.24 2, Unitemized payments made this period of under $100.............. $ 95 . 0 0 3. Total interest paid this period on loans. (Enter amount fro m Schedule B, Part 1, Column(e).).................................................................................................................... $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $ 7 0 , 2 8 5 . 2 4 FPPC Form 460 jJanuary106) FPPC Tolt4 ree Helpline: 266JASK.FPPC (86612763772) Schedule E Payments Made NAME OF FILER Geoff Kars for City Council 2015 Type or prim in Ink. Amountsmay be rounded to whole dollars. SCHEDULE E Statement Covers period CALIFORNIA 1 & from 9/20/2015 • - 10/17/201.5 Page 24 of 27 through _ I.D. NUMBER 11376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernallatmisc. CNS campaign consultants CTS contribution (explain nonmonetaryl` CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and surrey research POS postage, delivery and messenLler services PRO professional services (legal, accounting) PRT print ads RAID radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v, or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.0_ NUMBER) Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fee $33.96 Tampa, FL 33629-5611 Screen Strategies Media 15409 Whitechapel Ct TEL TC/Cable airtime purchase $28,884.00 Centreville, VA 20120-3944 Screen Strategies Media 15409 Whitechapel Ct TEL TV/Cable airtime purchase $22,709.00 Centreville, VA 20120-3944 Payments that are contributions or Independent expenditures must also be summarized on Scheduh: D. SUBTOTAL $ 51, 6 2 6 . 9 6 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............... 2. Unitemized payments made this period of under$100........................................................................................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................. ........................... $70, 190.24 $95.00 ................................................................ $ 0. 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, line 6.)................................................................ TOTAL $ 7 0 , 2 8 5 . 2 4 FPPC Form 440 1.1anuary1081 FPPC Toll -Free Hetpline: 8661ASK-FPPC (86W276-3772) Schedule E Payments Made NAME OF FILER Geoff Kars for City Council 2015 Type -or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period iCALIFORNIA 46ii 9/20/2015 FORM from Page 2 5 of 2 7 through 1 fl / 17 / 2 015 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. CNS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations F1L candidate filinglballot fees FND fundraising events IND independent expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airtime and production costs RFD returned contribttions SAL campaign warkers' salaries TEL t.v, or cable airtime and production casts TRC candidate travel, lodging, and meals TRS stafflspause travel, lodging, and meals TSF transfer between committees of the same candidatelsponsot VOT voter registration WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE QF COMMITTEE, ALSO ENTER I.O. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAIL] Southern California Edison PO Box 600 OFC Utilities $892.24 Rosemead, CA 91770-0600 Trick Dog Films 2232 N Palermo Dr TEL Webspot and tv ad production $4,000.00 Palm Springs, CA 92262-2736 " Payments that are contributlons or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4 , 8 92 . 2 4 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $ 7 0 , 190.24 2. Unitemized payments made this period of under$100.................................. ......... $ 95 . 00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3, Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $0.00 $70,285.24 FPPC Form 460 lianuary(0ti) FPPC Toll -Free Helpline: 8661ASK-FPPC (866a76-3772) Schedule F Accrued Expenses (Unpaid Bills) NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. SCHEDULE F Amounts may be rounded statement covers period FP191 to whole dollars. from 9/20/2015through10/17/2015 26 of 27 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc, CMS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations FIL candidate flinglballot fees FND fundraising events IND independentexpenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads I.D. NUMBER 1376802 RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL I.v. or table airtime and production costs TRC candidate travel, lodging, and meals TRS staflspouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (Internet, e-mail) (a) (b) (c) (it)NAME AND ADDRESS OF CREDITOR CODE OR DESCRIPTION OF OUTSTANDING BALANCE AMOUNT INCURRED AMOUNT PAID THIS OUTSTANDING OF COMMITTEE, ALSO ENTER I.D. NUMBER) PAYMENT BEGINNING OF THIS THIS PERIOD PERIOD BALANCE AT CLOSE PERIOD (ALSO REPORT ON E) OF THIS PERIOD Citibusiness Card 1500 Boltonfield 5t CMP, Outstanding $6,756.27 $0.00 $6,756.27 $0.00 Columbus, OH 43228-3669 credit card charges Citibusiness Card 1500 Boltonfield 5t LIT, Credit card $0.00 $24,420.81 $0.00 $24,420.81 Columbus, OH 43226-3669 debt Morel Ink 4824 NE 42nd Ave LIT, Mailing $9,140.34 $0.00 $0.00 $9,140.34 Portland, OR 97218-1661 services 'Payments that are contributions or independent expendtlurea must also be SUBTOTALS $15 , 896. 61 $ 2 4 , 420.81 $ 6 , 7 5 6 . 2 7 $ 3 3 , 5 61. 15 summarized on Schedula D. Schedule F Summar'V 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for INCURRED TOTALS accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)............................................................ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .................... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here andon the Summary Page, Column A, Line 9.)........................................................................................................................................................... $29,561.48 PAID TOTALS $6,756.27 NET $22,805.21 May be a negative number) FPPC Form 460 (Januaryl06) FPPC Toll -Free helpllne: $MASK-FPPC (866l276-3772) Schedule F AmType or prim in ink. SCHEDULE F ounts may be romWed Statement covers W* CALIFORNIA Accrued Expenses (Unpaid Bills) towhole dollars. ftlo„r 9/20/2015 FORM 460 through 10/17/2015 page 27 of 27 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemafia/mire. GNS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations FIL candidate filirg/baltatfees FIND fundraising events IND independent expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating RHO phone banks POL polfing and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airtime and production costs RFD returned contribr.liens SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel., lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (Internet, e-mail) tat rot W (d) NAME AND ADDRESS OF CREDITOR CODE OR DESCRIPTION OF OUTSTANDING BALANCE AMOUNT INCURRED AMOUNT PAID THIS OUTSTANDING OF COMMITTEE, ALSO ENTER I.i3_ NUMBER) PAYMENT BEGINNING OF THIS THIS PERIOD PERIOD BALANCE AT CLOSE PERIOD(ALSO REPORT ON E) OF THIS PERIOD Morel Ink 4824 NE 92nd Ave LIT, Campaign $0.00 $5,140.67 $0.00 $5,140.67 mailer Portland, OR 97218-1661 'Payments that are contributions or independent expend4ures "WW also be SUBTOTALS $0.00 $ 5, 14 0 . 67 $0.00 $ 5 , 140.67 sumnnrized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include al Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)............................•.•................•••.......•••••• 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)............................................................... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)........................................................................................................................................................... INCURRED TOTALS $29, 561 . 48 PAID TOTALS $6, 756. 27 NET $22,805.21 (May be a negs&e number) FPPC Fort 460 Vanuaryl06) FPPC Toll -Free Helpline. 8661ASK-FPPC (066/276-3772) RECEIVED 497 Contribution Report Tye or print in ink. 7 'r OF PALM S P; ,,�" Arnourits may be rounded fovAhalc dollam. `%7 CONTRIBUTION REPORT NAME OF FILER Geoff KOTS for City Council 2014 flats of _ i This Filing 11 /15 f 201.5 9 JAMS 1 H U M# ,!: f Far i]tY�cial use OnRy AREA CODE)PHONE NUMBER I.D. NUMBER j(fapplicablej ReportNo. 151014 form (750) 5;37-0061 1376902 CITY CLERKI autry STREET ADDRESS ❑Amendrnent 1455 N Vine AVe to Report No, CITY STATE 21P CODE Palm spr• ngs CA 92262 No. of Pages 1 1. Contributions Received PATE: FULL NAME, STREET A[IDf;ESS AND ZIPCODE OF CONTRIBUTOR CONTRIBUTOR. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED (IF COMMITTEE, ALSO ENTER i_d_ NUMBER} Ggl]E IF SELF-EMPLQYED, ENTER NAME OF BUSINESS RECEIVED .IND Jacqueline (Jackie) Autry ❑CqM Retired Investor $2, 500, 00 10/07/2015 328 West Mountain View Place: []OTH Self [ICheckifLoan Palm Springs, CA 92262 []PTY 4 [18cc Provide interest rate E,/] INCH 10/wgi201� Jacqueline (Jackie) Autry FICCM � Retired Investor $2, 5i70. 00 [J- CheckifLoan 328 West Mountain view Place❑OTH Self Palm Springs, CA K262 []PTY `a,a 0 SCC Pravrde interest rate Reason for Amendment 'Caniripr�tor Cgdes IND - Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., bU9rheVE entity) PTY - Political Party SCC - Small Contributor Committee FPPC Farm 497 (MarchMl i) FPPC Toll -Free hielpline: B66IASK-FPPC f86M75-3772) 497 Contribution Report Type ar print in ink. NAME Amounts may he roi.mded to whole datfam, CONTROLITION REPORT F FICKA GeoffOxors Foz City Council 2015 Dale of t ' {�r�l4ms 700y: This Filing 10/14/2C15 ry�+ r�qAREA CODEIPHONE NUMBER I.D. NUMBER llf applicable) 20I5 OCT (4 PM 4s 3 3 For 0tkidt(7eO) 537-0061 1376802 ReportNo. 151013 form STREET ADDRESS ❑ jkrnentltmnt LEPI 1455 N Vine Ave to Report No. CITY C CITY STATE ZIP CODE No. of Pages Palm Springs CA 922E2 1 1. Contributions Received) DATE RECEIVEDNTER FUL, NAME, STREET ADDRESS AND ZIP CODE OF GONTRIBUTC7R (IF COMMITTEE, ALSO ENTER I.Q.IqNUtvlBEftj CONTRIBUTOR CODE IF AN INDIVIDUAL. OCCUPATION AND EMPLOYER AMOUNT IF' SELF-WPLOYED, ENTER NAME OF BUSINESS)-RECEIVED IND Coachella -Imperial Valleys Strategies ✓❑.com $11000 . Q0 10/13/2015 75100 Mediterranean ❑OTH []Check if Loan Palm Desert, CA 92211-9069 LIP TD: "51123 ❑SCG b Provide interest rate IND Jeffrey Towns ❑COM $1,OOO.OL� 10/13/2013 15B23 S. Western Ave ❑OTH Attorney ❑Check it Loan GardenaGardena, CA 9€?247 ❑PTy Self Employed ❑ SCC Provide interest rate Reason lot Amendment: 'CaNribwor Codes IND - Individual COM - Re6pient Committee (other Iham PTY or SCC) OTH- Other (e,g„ business entity) PTY - Political Party SCC-Small Conlrib:rlor Committee FAPC Form 497 (March17041I FPPC Tolt-Free l-Wiplim: 85&ASK-FPPC (NW75-37721 a 5 m a N co i7. n M LL 0 >:co ds m co 00 m LL N o` Y T m a ro C7 E 0 ri 497 Contribution Report Typo or print in ink. AmouN6 may be rout4ed to wfiote dollars. 97 GONTROUT1©N REPORT RAMP of FILER . Bate at Date Stamp # Geoff hors for City Council 2LI25 10/13/2015 RECEIVED � This Filing OF PA L H AREA CCDF)PHONE NUMBER I.D. NUMBER fit applicable) . For cial Use Orty R (7ED; .537-Md 1/711112 eportNa. 7510tn ,�m Tinn � 2015OCT 13 AM 9: 36 STREETADOPESS ❑Amendment 1455 trine Ave tafieportNo. J HL5 'E HUr$!' 0 CITY CLERK CITY STATE ZIP Com No. of Pages i Palm spxings CA 922Ew j 1, Contributions Received DATE RECEIVEt� FULL NAMF,, STREET ADDRESS AND ZIP CODE 017 CONTRIBUTOR (1F COMMITTEE. ALSO ENTER I.D. NUMBER) CONTRIBUTOR CDDE-' IF AN 71ON AND E ENTER OGCUPA NTT AND EMPLOYER 1F SELF-EMPLOYEQ, ENTER NAME OF BUSINESS ANfOWi�T RECEIVED FIND ❑coy Palter Springs Modern Ell ritage Fund JOTFi [:]Check if Laan 10 09/2015 PO Box 9?58 Palm Springs, CA 92263-4758 DPTY Provide interest rate ❑ SCO Reason for Amendment: *Contributor Codes IND - lndividual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e,R„ business entity) PTY - Political Party SCG -Small Contributor Committee FPPC Farm 4497 (MarchrXIi) FPPC Toll -Free Helphne: 8661ASK-FPPC (OW275-3r2) P N 497 Contribution Report Geoff Koxs for city Council 2015 AREA CODEIPHONE NUMBER PEG) 537 -0061 i STREETADDRE53 1455 N ',tine Ave CITY Palm springs 1. Contributions Received Type or print in ink. Amounts mmy be rounded to wtxJe dollams Date, of This Filing 10 f 9r 2015 I.D. NUMBER jB applirabkl Report Na, 151009 fDrM 1376802 491 azrxs ❑ Amendment to Report No. STATE ZIP CODE No. of Pages CA 9 2 2 6 Z V7 CONTRIBUTION REPORT 2015 OC T 12 A 9: 2 r Official ure CI7 Y CEFR DATE FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDi;AL. ENTER OCCUPATION AND EMPLOYER AMOUNT" RECEIVED (IF COMMITTEE, ALSO ENTER I.). NUMBER) GODS - 1F SELF-EMPLOYED. ENTER NAME OF BUSINESS RECEIVED Q AND Tevvy Carriker []COM $1,250.00 1.0/08/20I5i' S Palm Canyon Dr [IOTH Publisher []Check if Loan ❑PTY l,evvy Carriker Palm Springs, CA 92264-721 3 Provide interest rate [✓� IND Bete, Harris []COM $1, 000.00 10/08/2015 360 Newbury Street ❑OTH Writer L]Check ifLoan Cini' 71 ❑PiY Seif F-tuployed Boston, 114 02115 o scc Provide interest rate Reason for Amendment: 'ConWr utor Codes IND-IndMdual COM - Recipient Committee (other than PITY or 5CC) OTH - Other (e.g., bu6ness entity) PTY - Polftal Party SCC - Small Contributor Committee FFIPG Form 497 (MatcKQG11) FPPC Toll -Free Helpline 8616lASK-FPPC (8W27S-37 72) m N CI M C ri 497 Contribution Report: Type or print in Ink. Amounts may be rounded to YAwle dollars. 7 CONTRIDUTON REPORT NAME F FILER Wte ~ - •` Geoff bore for City Council, 2315 ThisF! 1US/2015 4 OF 5P. FORM � 9 This Filing 5 �y�+T AREA CODEIPHONE NUMBER I.D. NUMBER (It applicable) Rerott No. 151888 .form Z015 OC 1 —8 AM 10` 50 For Oftial Use OhN (?ED) 537-0461 1376832 r au xy MEET ADDRESS [3flmendnx:nt j A ME .� T H U f t f (_ 1455 N Vine A ,,2 to Report No. CITY C L E R CITY STATE ZIP CODE No. of Pages 1 Palm Springs CA 922E2 1, Contributions Received DATE RECEIVER FULL NAME, STREET ADDRESS AND ZIP CC DE CIF CDNTRIBIJTOft ;IF COMMITTEE, ALSO ENTER i.R. NUMBER) CC3NTR[Bt1TOR CODE- IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER 'IF SELF-EIJIPLOYED, ENTER NAME Of BUSINESS) AMOUNT RECEIVED `[V IND Jacqueline I J�Cki e, Autry piicom Retired Investor $2, 500.00 10/D7/201 4 3?� 4��5�. I'�Ul.lntdln View ��r3G'� � C1Th{ Self Check ifLoan Farr Springs, CA 92262 EIPTY �fG ❑SCC PvnVida interest rate Reason far Amendment; 'Contributor Codes IND - Individual C©M - Recipient Committee (other than PTY or SCM, OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 497 (Mamhr4lI) FPPC Tall -Free I-lalpPle; 866/ASK-FPPC f866t275-3772) 497 Contribution Report Type or ;print in ink- ' E C E I V E D 97 CONTRIBUTION REPORT Amounts may be rounded to whole dollars. RIME 5F FILER FUtM Geoff Kors fox City Council 2015 of Elate Tttteofing 9J29/?015 20 q # • 015 SEP 29 PM 4: 43 For O�roiel flee Only 12E14 COt]FJPHONIE NUMBERi,l:►, NUMBER lif applicable) (7601 537-tl061 1376802 Re;)ortNo. form 497 ee STREET ADDREW ❑ Amendment CITY CLERK 1455 N Vine Ave toReport No. erry STATE 21PCODE Palm Springs CA 92262 No.otPages i 1. Contributions Received DATE RECEIVE? FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR COOL . IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) I� IND Michael Kassinger ❑COM $1, 000. 00 09f25112015 78000 Fred Waring Pr ❑OTH Realtor []Check if Loan Ste 200 ❑gTY ColdweA l Banker Palm Desert, CA 92211-9266 Provide interest rate 0 IND David Claris Lee DCOM $5, 000. 00 04/13/2015 800 W Stevens Rd ❑OTH Producer �Ctt ekifLnan Palm Springs, CA 92262-4131 ❑PTY David Lee ❑ scc Provide wrest rate [vj IND David Clark ❑COM $2, 095. 00 0 9 f 2 5 f 2 015 .Gee i:i00 [� Stevens Rd OTN Producer ❑ Check if Loan Palm Springs, CA 92262- 41:31 ❑-IIPTY David ?gee '�o EI SOO Provide interest rate Reason for Amendment_ 'Contributor Codes IND - Individual COM - Recitrient Committee (other than PTY or SCC) OTH - Other (e.g„ business aNity) PTY - PolEticai Patty SCC - Small Contributor Committee i FPPC Form 497 (Marnh12011) FPPC Toll -Free Helplioe- 8661ASK-FPPC W&275-3772) iv m N 0 ro rdLL v_ 0 H 497 Contribution Report Type or print in ink. Amounts may be rounded to whale dollars. 497 CONTRIBUTION REPORT NAME OF FILER Date Of Date Stamp Geoff Xors for City Counc i 2015 5/29J201S This Filing AREA CODEIPHONE NUMBER I.D. NUMBER III appllcabiei I or OKrcIal Use only RelaortNo. farm 497 (7bt1} 537--0061 ].�7560� � mr STREET ADDRESS {]Amendirnent lyons 1455 N Vine Ave to Report No. CITY STATE ZIP CODE Palm Springs CA 92262 No.oiPagcs 1. Contributions Received DATE RECEIVED FULL NAME, STREET ADDRESS AND SIP CODE OF CONTRIBUTOR (IF COMMfTME, ALSO ENTER S.D. NUMBER) CONTRIBUTORAMOUNT CODE ' IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER IF SELF-EMPLOYED, ENTER NAME OF BUSINESS RECEIVED El IND Mr Lyons Steakhouse ❑COM 09/28/201 233 E Palm Canyon Dr [V]OTH ❑Check it Loan Pain Springs, CIS 92264-8823 []PTY ° EI $CC Provide interest rate Reason For Amendment: *Contributor Codes IND - InclMduat COM - Recipient Committee (other than PTY or SCCJ OTH - Other (e.g., business entity) PTY - Poliwal Party SCC - Small Contributor Committee FPPC Form 497 (Maroh✓2(li 1) FPPC Toll -Free Helpline: I66IASK-FPPC (868/275-37721 N m N N M s x lL O H 497 Contribution Report Type or print in ink. Y Amounts mgty be rounded M whey dollars. 497 CONTRIBILMON REPORT IMME OF FILER Date Geoff Korn fot city council 2015 � 9/26/2.U15 This Filing �f (j 4 (� (� AREA CODElPHONE NUMBER I.D. NUMBER lit applicable] 9 1 `V I v SE1 28 AM+i FoWtkiel Use Only (7601 537-0061 1376802 � Re;portida. 15C119 ( M I ' STREET ADDRESS ❑Amendment J; H L J T H O Ci t"A CITY CLEPG 1455 N Vine Ave to Report No. CITY STATE IlP CODE No. of rages 1 Palm Springs CA 32262 1. Contributions Received GATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRf6UTOR (IF COMMITTEE. ALSO ENTER 1. D. NUMBER) CQN71tiBOi'OR CODE " 1F AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER 1F SW -EMPLOYED, ENTER NAME OF BUSINESS AMOUNT DECEIVED �✓ IND Michael hassinger []COM a1, 000. OU 09/25/2015 78000 Fred Waring Pr IJOTH Realtor []Check it Loan Ste 200 op Ty Coldwell Banker Palen Desert, CA 92211-9266 ❑CCG -. :�•: �o Pmvideintsfestrate Reason Car Amendment: 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY of $CC) OTH - Other (e.g., business entity) PTY - Poltttral Party SCC - Small Contributor Committee FPPG Form 497 (Marchl2011) FPPC Tolt•Free t-lelpline 866lA6K-FPPC (9651275-3i72) Recipient Committee Campaign Statement Cover Page (Goverment Code Sections 84200-84216.5) Type or print in ink Statement covers period from 7/1/2015 through 9/19/2015 1. Type of Recipient Committee: All Commiitees-Complete Parts1,2,3, and4. QOfficeholder, Candidate Controlled Committee ❑Primarily Formed Ballot Measure ❑State Candidate Election Committee Committee ❑ Recall ❑ Controlled (Also Complete Part 5) ❑Sponsored [] General Purpose Committee (Also Compiete Part 6) ❑Sponsored ❑Primarily Formed Candidate/ ❑Small Contributor Committee Officeholder Committee [] Political Party/Central Committee (Also Complete Part 7) 3. Committee Information 11376802 Geoff Kors for City Council 2015 STREET ADDRESS (NO P.O. BOX) 1455 N Vine Ave CITY STATE ZIP CODE AREA CODE/PHONE Palm Springs CA 92262 (760) 537-0061 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX PO Sox 1585 CITY STATE ZIP CODE AREA CODEIPHONE COVER PAGE "Ant p� c �CALIFORNIA � • - 0Daft of election if applicable: 2015 SPEC' 24 PM 3 (Month, Day, Year) ,- l y `Page 1 of 33 CITY C L E Ft For Official Use Only 11/3/2015 2. Type of Statement: Preelection Statement ❑Quarterly Statement ❑ Semi -an nual Statement ❑Special Odd -Year Report []Termination Statement [—]Supplemental Preelection (Also file a Form 410 Termination) Statement -Attach Form 495 ❑Amendment (Explain below) Treasurer(s) NAME OF TREASURER James Williamson MAILING ADDRESS 1455 N Vine Ave CITY STATE ZIP CODE AREA CODEIPHONE Palm Springs CA 92262 (760) 537-0060 NAME OF ASSISTANT TREASURER, IF ANY Steven Mele MAILING ADDRESS 611 Pennsylvania Ave SE Ste 143 CITY STATE ZIP CODE AREA CODE/PHONE Palm Springs CA 92263 (760) 537-001 Washington DG 2D003-4303 6 OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAXIE•MAIL ADDRESS geoffkorsps@gmail.cem williamsonjg@gmail.com 4. Verification I have used all reasonable diligence in preparing and reyiewing this statement and to the blast of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the fore oin is ue and rb Executed on S Ey7 !I 'Zo S By 4 v+ti.-a DA E OR ASSISTANT TREASURER FPPC Form 460 (January/05) Executed on Strr�r Z�33'Zd is By / f F FPPC Toll -Free Nelpline: DATE SIGNATURE OF CONTR ING OM?Eti GER, ATE. A MEASURE PRCPONENT, OR RESPONSIBLE OFFICER OF PROPONENT 8661ASK-FPPC Executed on By 6 (8661276-3772) DATE SIGNATURE: OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT State of California Executed on By DATE SIGNATURE OF CONTROLIJNG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Recipient T COVER PAGE-PART2 p Type or print in ink Campaign Statement CALIFORNIA 'i Cover Page -Part 2 FORM 5.Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Geoff Koss OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Sought: City Council MemlDer City RESIDENTIAUBUSiNESS ADDRESS (NO. AND STREET) CITY STATE ZIP 1455 N Vine St Palm Springs CA 92262 Related Committees Not Included in this Statement: List any committees not included in this statement that are cantrdled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) Page 2 of 33 G.Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHLOLDER, CANDIDATE, OR PROPONENT NO. IF ANY .D. NUMBER 7. Primarily Formed Candidate/Offiiceholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR YES NO CITY STATE ZIP CODE AREA CODEJPHONE Attach continuation sheets if necessary SUPPORT n OPPOSE FPPC Form 460 (January105) FPPC TWI-Free Helpline: 8661ASK-FPPC (2901278-]7721 State of California Campaign Disclosure Statement Type or print in ink SUMMARY PAGE Summary Page Amountsrnayberounded to whole dollars. Statement coversper;od CA LIFO RNIA ' from 7/1/2015 FORM 9/19/201 5 Page 3 of 33 through _ NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 11376802 Contributions Received Column A Column B Calendar Year Summary for Candidates Total This Period CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions .............................................. Schedule A, Line 3 $ 4 6 , 5 9 0 ., 0 0 $19 3 , 9 33 . 0 0 111 through 613t7 711 to Date 2. Loans Received......................................................... Schedule 8, Line 3 $ 0. 0 0 $ 0.0 0 3. SUBTOTAL CASH CONTRIBUTIONS ........................... Add Lines 1+2 $ 46, 590. 00 $193, 933.00 20. Contributions Received 4. Nonmonetary Contributions .................................... Schedule C, Line 3 $ 6 5 9 6. 0 0 $10 141. 14 r , 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ..................... Add Lines 3 + 4 $ 53, 18 6. 00 $204, 074 . 14 Made Expenditures Made Expenditure Lirnit Summary for State 6. Payments Made ........................................................ Schedule E, Line 4 $17, 751 . 27 $36, 570. 42 Candidates 7. Loans Made ................ ................................. Schedule H, Line 3 $ 0 , 0Q $ 0 00 22. Cumulative Expenditures Made " B. SUBTOTAL CASH PAYMENTS ................................. .. Add Lines 6 + 7 $17, 751.27 $36, 570. 42 (If Subject to Voluntary Expenditure Llmil) S. Accrued Expenses (Unpaid Bills) .............................. Schedule F, Line 3 $15 , 63 4 . 11 $15 , 8 9 6. 61 Date of Election Total to Date 10. Non monetary Adjustment .......................................... Schedule C, Line 3 $ 6, 596. 00 $10, 141 . 14 (mmlddfyyyy) 11. TOTAL EXPENDITURES MADE .............................. Add Lines 8 +9 + 10 $ 3 9 , 981. 38 $ 62 , 608.17 Current Cash Statement 12. Beginning Cash Balance ................. Previous Summary Page, Line 16 $12 8 , 311 . 8 5 13. Cash Receipts .................................................... Column A. Line 3 above $ 4 6 , 5 9 0 . 0 0 14. Miscellaneous Increases to Cash ................................. Schedule I, Line 4 $ 0 . 00 15. Cash Payments ................................................. Column A, Line 8 above $17, 751 . 27 16. ENDING CASH BALANCE -Add Lines 12+13+14, then subtract Line 15 $157, 150.58 If this is a termination statement, Line 16 must be zero. 17, LOAN GUARANTEES RECEIVED .............. Schedule B, Part 2 $ 0. 00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ....................................... See instructions on reverse $ 0. 00 19. Outstanding Debts ....................... Add Line 2+Line 9 in Column B above $15 , 8 9 6. 61 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts, If this is the first report being filed for this calendar year, orgy carry over the amounts from Lines 2, 7, and 9 (f any). `Amounts in this section may be different from amounts reported in schedule B. FPPC Form 460 (January105) FPPC Toll -Free Helpline: 0661ASK-FPPC (DOW2763772) Schedule A Monetary Contributions Received Geoff Kars for City Council 2G15 Type OF print in ink. SCHEDULE A Amounts may be rounded Statement corers period to whole dollars. from 7/1/2015 / - through 9/19/2015 Page 4 of 33 I.D. NUMBER DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.Q. NUMBER) CODE OCCUPATION AND EMPLOYER {IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF 6USINEW PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) QIND Joseph Ambrose ❑ COM 07/28/2015 Rl7 N Patencio Rd ❑ OTH Retired $200.00 $200.00 Palm Springs, CA 92262-4359 ❑PTY Bone SCC 0 IND Jeffrey Bernstein ❑ COM 09/18/2015 2471 E Camino Pelicanc ❑ OTH Travel Agent $100.00 $100.00 Palm Springs, CA 92262 ❑PTY Destination PSP SCC IND Paul Sonness ❑ COM 07/28/2015 3339 Central Ave NE CTH Retired $100.00 $100.00 Unit 305 ❑PTY None Albuquerque, NM 87106-1459 SCC QIND Elizabeth Butler ❑ COM 07/01/2015 4350 Via Dolce ❑ OTH EXecutive Director $100.00 $100.00 Apt 206 El PTY Women's Law Center Mazina Del Rey, CA 9D292-5268 SCC SUBTOTAL $500.00 Schedule A Summary `Contributor Codes i . Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)..................................................................... $ 4 6 , 2 0 0 . 0 0 COM- Redpient Committee (other than PTY or SCC) 2. Amount received this period {lndemized monetary contributions of less than$100.......................................................... $ 3 9 0 . 0 0 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period, PTY- Political Party SCC- Small Contributor Committee (Add Lines I and 2. Enter here on the Summary Page, Column A, Line 1,)........................................................ TOTAL $ 4 6, 5 90 . 0 0 FPPC Form 460 (Januarytdti) FPPC Toll -Free Helpline: NWASK.FPPC 188612753772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print In Ink. SCHEDULE A Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. • 7/1I2015 • - through 9 / 19 / 2 015 Page 5 of 33 .D. NUMBER 1'3-r ca n0 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE:. ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD I (AN. 1-DEC. 31) {IF REQUIRED ) Q IND Michael Cali E]COM 09/19/2015 2102 South Palm Canyon Drive Y � OTH Retired $254.44 $25D.D0 Palm Springs, CA 92264-8944 EIPTY None scC RJIND Kevin Corcoran E]COM 09/02/2015 3320 Andreas Hills Drive ❑ OTH Sales Consultant $250.00 $250.00 Palm Springs, CA 92264 �P� Artful Travelers SCC QIND Harry Courtzight DCOM 09/09/2015 3534 Penn Y Ln � OTH Retired $1D0.00 $100.00 Palm Springs, CA 92262-0408 OPTY None SCC IND Trae Daniel �COM 08/04/2015 2250 S Yosemite Dr OTH Retired $140.40 $100.00 Palm Springs, CA 92264-9442 []PTY None SCC SUBTOTAL $700.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $ 4 6, 2 0 0 0 0 GOM- Recipient Committee (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than $1 DD.......................................................... $ 3 9 0 . 0 0 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period, PTY- Political Party SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $ 4 6 , 5 9 0 . 0 0 FPPC Form 460 (Januaryms) FPPC Tull -Free Helpline: IlBB1ASK-FPPC (B8612763772) Srharillia e Type or print In Ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to uftle dollars. Staternent covers period :CALIFORNIA I • horn 7/1f2015FORM through 9 / 19 / 2 015 Page 6 of 33 MADE OF FILER Geoff Kors for City Council 2015 LD.NUMBER 11376802 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SaF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS] PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) IND Desert Stonewall Democrats QCOM 09/09/2015 1' Sox 4536 Palm Springs, CA 92263-4536 OTH $250.00 $500.00 ID: 1220539 ❑PTY SCC Eduardo Garcia for Assembly 2016 ❑IND 1787 'Tribute Rd QCOM 07/28/2015 Ste K [:]OTH $500.00 $500.00 Sacramento, CA 95815-4404 ❑PN ID: 1374231 ❑SCC ZIND David Feltman ❑ COM Marketing 09/05/2015 1076 E Deepwell Road ❑ OTH Consultant $500.00 $1,000.00 Palm Springs„ CA 92264 UPTY David Feltman SCC ZINC Donald Ferguson CCOM 07/03/2015 2424 E.Palm Canyon Drive, #2A OTH Consultant $500.00 $500.00 Palm Springs, CA 92264 ❑pTY Do Donald Ferguson sCC SUBTOTAL $1,750.00 Schedule A Summary Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals) ....................................................................................................................................... 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here an the Summary Page, Column A, Line 1.)........................................................ TOTAL $46,200 $390 $46,590 *Contributor Codes IND- Individual .00 COM- Recipient Committee 0 (other than PTY or SCC) _ OTH- Other (e.g., business antity) P7Y- Polltical Party SCC- Small Contributor Committee .00 FPPC Form 460 tJanuaryl06) FPPC Toll -Free Helpline: B66IASK-FPPC 18861276-3772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink. SCHEDULE A Amounts may be rounded g" nt - Period OCALIFORNIA to whole dollars. 7 / 1 / 2 015 FORM / • from through 9 / 19 / 2 015 Page 7 of 33 I.D. NUMBER �e^�rnnn DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE ' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE of 9l1SINESS) PERIOD (JAN. 1-DEC. 3t) (IF REQUIRED) IND Rick Hutcheson ❑ COM 07/23/2015 201 N Via Las Palmas ❑ 0TH Retired $500.00 $500.00 Palm Springs, CA 92262 ❑PTY None scc Q IND Craig Magaw ❑ CoM Administrator 08/04/2015 452 Chelsea Dr ❑ OTH Palm Springs $1,000.00 $1,000.00 Palm Springs, CA 92262-6193 ❑PTY Financial Group SCC ZIND Peter Mahler ❑ COM 09/05/2015 600 N BroadwayOTH ❑ Retired $250.00 $254,00 Milwaukee, Grit 53202-5009 ❑PTY None SCC IND Edward Marshall 47f28/2Q15 1717 E Vista Chino 0 OTH Retired $100,00 $1DQ.00 Ste 7141 ❑PTY None Palm Springs, CA 92262-3559 SCC SUBTOTAL $1,550.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $ 4 6 , 2 0 0 . 0 0 COM- Redpient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3 90 . 0 D OTH- Othet (e.g.. business entity) 3. Total monetary contributions received this period. PTY- Political PartySCC- Small Contributor Committee (Add Lines 1 and 2, Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL_ $ 4 6 , 5 9 0.0 0 FPPC Form 460 IJanuarylO6) FPPC Toll -Free Flelplilu: SWASK-FPPC (116612753772) Schedule A Type or print in ink. SCHEDULE A Amounts. may be roun& d Monetary Contributions Received tolerdoledollars. Statement covers period film,, 7/1/zo15 • - through 9 / 19 / 2 015 Page 8 of 33 NAME OF FILER Geoff Kars for City Council 2015 I.D. NUMBER 11376802 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE of BUSNESS} PERIOD (JAN. 1-0EC. 31) {IF REQUIRED ) IND Harold Matzner ❑COM 07/20/2015 181 S Civic Dr ❑ OTH Chairman, CEO $10,000.00 $35,450.00 Ste 1 ❑PTY Harold Matzner Palm Springs, CA 92262-7225 SCC Q IND Harold Matzner ❑ co 08/04/20i5 181 S Civic Dr Chairman, CEO $10,000.00 $35,450.00 Ste 1 ❑❑pTY Harold Matzner Palm Springs, CA 92262-7225 scC OIND Harold Matzner 09/17/2015 181 S Civic Dr ❑ com Chairman, CEO $10,000.00 $35,450.00 Ste 1 PTY Harold Matzner Palm Springs, CA 92262-7225 SCC ❑✓ IND Michael McLean ❑ CoM Property Manager 08/20/2015 477 S. Palm Canyon Dr ❑ OTH McLean Company $500.00 $500.00 Palm Springs, CA 92262 ❑PTY Rentals SCC SUBTOTAL $30,500.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL 'Contributor Codes IND- Individual $ 4 6, 2 0 0. 0 0 COM- Recipient Committee $ 3 9 0 . 0 0 (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee $ 4 6, 5 9 0. 0 0 FPPC Form 460 (January106) FPPC Tall -Free Helpline: 866JASK-FPPC (866P17S3771) Schedule A Monetary Contributions Received Geoff Kars for City Council 2015 Type or print In Ink. SCHEDULE A Amount:. may be rounded Statement covers period to whole dollars. from 7/1/2015 through 9 / 19 / 2 015 Page 9 of 33 D.NUMBER I r7 r-Qn7 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE " OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE (IF REQUIRED) OF euSINESSi PERIOD (JAN- 1-DEC. 31) IND QJ Frederick W. Noble 09/15/2015 2D45 E Tahquitz Canyon Way Do� President $5,DOO.D0 $7,500.00 Ste 200 OPTY Wintec Energy LTD Palm Springs, CA 92262-7003 SCC ZIND Donald Ricart []COM 07/06/2015 2127 Casitas WayOTH � Retired $200.00 $200,00 Palm Springs, CA 92264-8213 El PTY None SCC ZIND Stephan Riederer ❑ COM 07/08/2015 1617 Enclave Way �OTH Fashion $100.00 $100.00 Palm Springs, CA 92262 EPTY Stephan Riederer SCC QIND Jordan Roth ❑ COM Theatre 08/25/2015 400 West 12th Street LOTH Owner/Producer $250.00 $250.00 New York, NY 10014 El PTY Jujamcyn Theaters SCC SUBTOTAL $5,550.00 Schedule A Summary *Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.) ........................... ... $ 4 6 2 0 0 0 0 COM- Recipient Committee 2. Amount received this edod-unitemized monetary contributions of less than$100..........................................................$ 3 9 0 . 0 0 {der than PTY or sCC) p ry OTH- Other (e.g., business entity) PTY- Political Party 3. Total monetary contributions received this period. SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $ 4 6 , 5 9 0 . 0 0 FPPC Fare 400 (January/06) FPPC Toll -Free Helpline: 8SWASK-FPPC (8607763772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whoie dollars. 51AHeenent covers rs PW' perhod , , 460 from 7 / 1 015 FORM _ through 9 / 19 / 2 015 Page 10 of 33 NAME OF FILER I.D. NUMBER 11376802 Geoff Kars fox City Council 2015 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER (3FSELF-EMPLOYE, ENTER NAMAE RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 1-DEC. 31) (If REQUIRED) QIND Bond Shands ❑CoM 07/03/2015 2490 Oakcrest Drive South OTH Retired $500.00 $1,000.00 Palm Springs, CA 92264 El PTY None sce QIND Linda Usher ❑ COM OB/2B/2015 168 N Clinton St ❑ OTH Executive $1,000.00 $1,000.00 Ste 500 []PTY 02CCOL Chicago, IL 60661 SCC QIND Brian Webb ❑ COM 08/19/2015 1775 E Palm Canyon Dr OTH Realtor $500.00 $500.00 Ste 110-400 QPTY Deneen Real Estate Palm Springs, CA 92269 SCC IND Robert Weinstein ❑ COM .Attorney 09/13/2015 W Olympic Blvd ❑ OTH Robert Weinstein $1,000.00 $1,000.00 Stet120 Ste El PTY .Attorney at Law Los Angeles, CA 90064-1850 SCC SUBTOTAL $3,000.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)........................................................................................................................................ 2. Amount received this period -umitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Lane1.)........................................................ TOTAL. $46,200 $390 $46,590 'Contributor Codes IND- Indlvldual 00 COM- Recipient Committee 0 0 (other than PTY or SCC) 0 OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee 00 FPPC Form 400 (Januaryl06) FPPC TCdFFree Helpline. 8661ASK-FPPC 1666M76.2772) Schedule A Monetary Contributions Received Geoff Kars foe City Council 2015 Type or print in ink. Amount; may he rounded to whole, dollars. covers from 7/1/2015 through 9 / 19 / 2 015 SCHEDULE A Page 11 of 33 I.D. NUMBER 1 19'7 Co!111 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EIAP1.oyED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE Of: BUSFNESS) PERIOD (JAM 1-0EC. 31) (IF REQUIRED) Q IND Stephen White ❑COM 08/31/2015 4788 #A So. Winners Circle OTH Retired $100.00 $100.00 Palm SprPings, CA 92264 El PTY None SCC 0 IND John Williams E]COM 08/06/2015 385 INVereda Sur OTH Retired $250.00 $500.00 Palm Springs, CA 92262-4239 �PTY None 5CC QIND Robert W Wright ❑ COM 08/04/2015 PO Box 1900 OTH Retired $1,500.00 $1,500.00 Seaver Creek, CO 81620-1900 [—]PTY None sCC R]IND Robert Yates EICOM 07/28/2015 1208 S Calle De Maria OTH Retired $500.00 $500.00 Palm Springs, CA 92264-9573 [:]PTY None 5CC SUBTOTAL $2,350,00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Indtvidual (Include all Schedule A subtotals.)....................................................................................................................................... $ 4 6 , 2 0 0 . 0 0 COM- Recipient Committee (outer than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than $1 Q(1.......................................................... $ 3 90 . 0 0 OTH- Other (e.g., business entity) PTY- Political Party 3. Total monetary contributions received this period. SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1,)........................................................ TOTAL $ 4 6, 5 90 . 0 0 FPPC For; 460 (January106) FPPC Toll -Free Helpline: SWASK-FPPC (96W276-3772) Schedule C Nonmonetary Contributions Received Type or print in ink. SCHEDULE C Amounts may be rounded Statement covers period , to Whole dollars, i� � � 9 ' through 9 / 19 / 2 015 7/1/2015 � from Page 12 of 33 NAME OF FILER II.D. NUMBER Geoff Kors for City Council 2015 1376802 DATE FULL NAME, STREET ADDRESS AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNTIFAIR CUMULATIVE TO DATE PER ELECTION RECEIVED CODE OF CONTRIBUTOR CODE ' OCCUPATION AND EMPLOYER GOODS OR MARKET VALUE CALENDAR YEAR TO DATE OF GOMMtTTEE, ALSO ENTER I.D. NUMBER) OF SELF-EMPLOYED, ENTER NAME OF SERVICES (JAN. 1-DEC. 31) OF REQUIRED) BUSINESS) ❑IND Destination PSP ❑COM ✓❑ OTH Refreshmen 08/17/2015 170 N Palm Canyon Dr ❑PT, is for $100.00 $100.00 Palm Springs, CA ❑SCC event 92262-5504 Frederick W. Noble and ❑IND Affiliated Entities ❑ COM 06/21/2015 2045 E Tahquitz Canyon J❑ OTH ❑PTY Survey $450.00 $450.00 Way results Palm Springs, CA ❑ SCC 92262-7003 QIND Harold Matzner ❑GOM 07/21/2015 181 S Civic Dr Ste 1 ❑ OTH ❑p'I'�' Chairman, CEO Survey $450.00 $35,450.00 Palm Springs, CA ❑SCC Harold Matznex results 92262-7225 SUBTOTAL $1,()00.00 Schedule C Summary 'Contributor Codes 1. Amount received this period itemized nonmonetary contributions. IND- Individuaf Include all Schedule C subtotals. ...... $ 6, 5 96 00 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than$100.................................................... OTH- Other (e.g., business entity) PTY- Political Party 3. Total nonmonetary contributions received this period. SCC- SmallCuMbutorCommittee (Add Lines i and 2. Enter here on the Summary Page, Column A, Lines 4 and 10.)............................................ TOTAL $ 6, 5 9 6 . 00 FPPG Form 460 (Januaryl06) FPPC Tall -Free Helpline: SWASK-FPPC (866W5-3772) Schedule C Nonmonetary Contributions Received NAME OF FILER Geoff Kors for City Council. 2015 DATE FULL NAME, STREET ADDRESS AND ZIP RECEIVED CODE OF CONTRIBUTOR OF COMMITTEE, ALSO ENTER I.D. NUMBER) Richard Oberhaus 07/21/2015 1415 E Ocotillo Ave Palm Springs, CA 192264-5124 Trick Dog Films 09/14/2015 2232 N Palermo Dr Palm Springs, CA 192262-2736 Darrel Tucci 26D0 S Palm Canyon Dr 08/31/2015 Unit 8 Palm Springs, CA 92264-9368 Type or print in ink. SCHEDULE C Amounts may be rounded Statement covers period to whole dollars.CALIFORNIA ! ' # e From7I1/2a15 through 9 / 19 / 2 015 Page 13 of 33 CONTRIBUTOR IF AN INDIVIDUAL, ENTER CODE " OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) U COM public ❑ OTH Relations/Political ❑Pn Consultant []sCC Richard oherhaus ❑IND OCOM 0 OTH ❑ PTY ❑SCC IND ❑ COM OOTH Chief Development ❑PTY Officer El SCC Desert AIDS Project DESCRIPTION OF AMOUNTIFAIR GOODS OR MARKET VALUE SERVICES Banner $500.00 Shoot & edit 30 $5,000.00 second commercial Supply of wine for $96,00 event SUBTOTAL I.D. NUMBER 1376602 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) $500.00 $5,000.00 $256.00 PER ELECTION TO DATE OF REQUIRED) Schedule C Summary 1. Amount received this period -itemized non monetary contributions. 'Contributor Codes IND- Individual (Include all Schedule C subtotals.) .................................................. $ 6, 5 9 6. 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than $100.................................................... OTH- Other (e.g., business entity) 3. Total nonmonetary contributions received this period. PTY- Political Party SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Lines 4 and 10.)................. .. TOTAL $ 6 596 00 " FPPC Form 460 jJanuary/a6) Toll -Free Helpline: 8661ASK-FPPC (86W76-3772) Schedule E Payments Made Type or print in ink. SCHEDULE E Amounts may be rounded Statement covers to whole dollars, Period'CALIFORNIA J , from 7/1/2015 O RM through 9/19/2015 page 14 of 33 NAME OF FILER I.D. NUMBER Geoff Kars for City Council 2015 1376902 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemaiialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetims and appearances RFD Tetumed contributions CTB contribution (explain nonmonelary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production coats FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services pegal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENWR I.D. NUMBER) Michael Bernard 73373 Country Club Dr OFC Campaign office - labor for move & cleaning $150.00 Palm Desert, CA 92260-8624 Brighthaus Marketing LLC 125 E Tahquita Canyon Way Ste 203 WEB Marketing projects $262.50 Palm Springs, CA 92262-6464 Brighthaus Marketing LLC 125 E Tahquitz Canyon Way Ste 203 LIT Marketing projects $450,00 Palm Springs, CA 92262-6464 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 8 62 . 5 0 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $17 , 677.16 2. Unite mized payments made this period of under$100.................................................. $ 7 4 . 11 3. Total interest paid this period on loans. (Enter amount *Om Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period, (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $17 , 7 51 . 2 7 FPPG Form 400 IJanuaryl061 FPPC Toll-Frae Heipline: 8881ASKf1311C (8601275-3772) Schedule E Payments Made Type or print in ink. Amounts, may be rounded to whole dollars. Statement covers period from 7/1/2015 through 9 / 19 / 2 015 SCHEDULE E Page 15 of 33 NAME OF FILER I.D. NUMBER Geoff Kars for City Council 2015 1376602 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contribrAions CTB contribution (explain honmonetaryl* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filing/ballot tees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) Citibusiness Card 150D Boltonfield St WEB Credit card payment - itemized below $262.01 Columbus, OH 43228-3ee9 Subvendor: United States Post Office Amao Road PalmmSprings, CA 92263 OFC Memo: $9.80 Postage $0.00 $9.80 Subvendor: NGP VAN 1101 15th St NW Ste 500 WEB Memo: $150.00 Database and email $0.00 Washington, DC 20005-5006 $150,00 • Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2 62 . 01 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $17 , 67 7 . 16 2. Unite mized payments made this period of under $100................. ... $ 7 4 . 11 3. Total interest paid this period on loans. (Enter amount from Schedule 8, Part 1, Column(e).).................................................................................................................... $ 0 . 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $17 , 751.27 FPPC Four 460 (January106) FPPC Toll -Free Helpline: 866fA8K-FPPC (866M76-3772) Schedule E Type or print In ink. Amounts may be rounded Statement covers Payments Made towhole dollars. from 7/1/2015 through 9 / 19 / 2 015 SCHEDULE E Page 16 of 33 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB cantribution (explain nonmonetary)" CVC civic donations FIL candidate Cling/ballot fees FND fundraising events IND independent expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airtime and production casts RFD returned contributions SAL campaign workers' salaries TEL Lv. or cable airtime arm] production costs TRC candidate travel, lodging, and meals TRS stafflepouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.O. NUMBER) Citibusiness Card 1500 Boltonfield St OFC Credit card fees $12.50 Columbus, OH 43228-3669 Citibusiness Card 1500 Boltonfield St WEB Credit card payment - itemized below $172.62 Columbus, OH 43228-3669 Subvendor: United States Post Office Amado Road Palm Springs, CA 92263 OFC Memo: $16.32 Postage $0.00 $16.32 Payments that are contributions or Independent expenditures must also be summarized on Schedule 11. SUBTOTAL $18 5 . 12 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $17 , 677.16 2. Unitemized payments made this period of under $100.............. $ 7 4 . 11 3. Total interest paid this period on loans. (Enter amount from Schedule 6, Part 1, Column(e).).................................................................................................................... $ 0 . 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line S.)................................................................ TOTAL $17 , 751.27 FPPC Fonn 460 (.lanuaryl(16) FPPC Toll -Free Helpline: 8661ASKfP13C (606l276-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to witole dollars. SCHEDULE E Statement covers period CALIFORNIA I 6 from 7/l/2015 # RM �/19/2017 Page 17 of 33 through I.D. NUMBER 1376BO2 CODES: If one of the following codes accurately describes the payment, you may enter the Code. Otherwise, describe the payment. CMP campaign perapherneWhnisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internal, e-mail) NAME AND ADDRESS OF PAYEE I CODE OR DESCRIPTION OF PAYMENT I AMOUNT PAID (IF COMMITTEE, ALSO ENTER E.D. NUMBER) Subvendor: United States Post Office Amado Road Palm Springs, CA 92263 WEB Memo: $4.90 Postage $0.00 $4,90 Subvendor: United States Post office Amado Road Palm Springs, CA 92263 OFC Memo: $1.40 Postage $0.00 $1.40 Subvendor; NGP VAN 1101 15th St NW Ste 500 WEB Memo: $150.00 Database & Email $0.00 Washington, DC 20005-5006 $150.00 ' Payments that are contributlons or independent expenditures must also be summarized on Schedule D. SUBTOTAL $0.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $17 , 677.16 2. Unitemized payments made this period of under $100.................. $ 7 4 . 11 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $17 , 751.27 FPPC Form 400 (January106) FPPC Tall -Free Helpline: 8661ASK-FPPC J11101276,3772) Schedule E Payments Made NAME OF FILER Geoff Kars for City Council 2015 'type or print in ink Amounts may be rounded to wlhote dollars. SCHEDULE E Statement covers perod CALIFORNIA 46, from 7/1/2015 O• through 9 / 19 / 2 015 Page 18 of 33 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign peraphernafiahnisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)• OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and mean [ND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatal ponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign blerature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALso ENTER I.D. NUMBER) City of Palm Springs 320D E Tahquitz Canyon Way FIL Filing fee - candidate ballot statement $725.00 Palm Springs, CA 92262-6959 City of Palm Springs 3200 E Tahquitz Canyon Way OFC Reproduction costs $5.5D Palm Springs, CA 92262-6959 City of Palm Springs 3200 E Tahquitz Canyon Way OFC Copies of Form 460 $3.60 Palm Springs, CA 92262-6959 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 7 3 4 . 10 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $17 , 677.16 2, Unitemized payments made this period of under $100............... $ 74 . 11 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $17 , 7 51 . 2 7 FPPC Form 460 (January105) FPPC Toll -Free Helplins: SWASK#PPC (WV275a772) Schedule E Type or print in ink. Amounts may be rounded Statement covers Payments Made to whole dollars. from 7/1/2015 through 9/19/2015 SCHEDULE E Page 19 of 33 NAME OF FILER II.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphematialmisc. CNS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' sataries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS stafflspouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (Internet, e-maif) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) First Bank Merchant Services 5565 Glenridge Connector NE Ste 2D00 OFC Merchant services $207.49 Atlanta, GA 30342-1651 First Bank Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant services $205.16 Atlanta, GA 30.342-1651 First Bank Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant services $28.95 Atlanta, GA 30342-1651 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4 41 . 60 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $17 , 677.16 2. Unite mized payments made this period of under $100................. $74 . 11 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $17 , 7 51 . 2 7 FPPC Forth 400 (Janulary106) FPPC Toll -Free Helpiine., 6661ASK-FPPC (8661275-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type OF print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA 461 from 7/1/2015 •- through 9/19/2015 page 20 of 33 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign parapherrslialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetwy)• OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL tv. or cable airtime and production costs FIL candidate fiiinglballot fees PHO phone hanks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) First Bank Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant Services $271.32 Atlanta, GA 30342-1651 First Bank Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant Services $117.55 Atlanta, GA 30342-1651 First Bank Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant services $26.75 Atlanta, GA 30342-1651 Payments that are contributions or independent expenditures must also be summarized on Schedule D, SUBTOTAL $ 415 . 62 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals) ..................................................................................................................................................... $17, 677 . 16 2, Unite mized payments made this period of under $100.................... .... $74 . 11 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)....................................... ..........,.TOTAL $17,751.27 FPPC Form 460 (Januaryl06) FPPC Toll -Free Helpline: t1661ASK-FPPC (6661Z763772) Schedule E Type or print in ink SCHEDULE E Amounts may be rounded Statement covers period C , LI F 0 R N I a Payments Made towhole dollars. / e from7/1/2415 FORM through 9/19/241,5 Page 21 of 33 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 11376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CAMP campaign paraphernakalmisc. MBR member communications RAD radio airtime andi production costs CNS campaign consultants MTG meelings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/begot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER IA. NUMBER) First Bank Merchant Services 5565 Glenridge Connector NE OFC Merchant services $22.35 Ste 2000 Atlanta, GA 30342-1651 First Bank Merchant Services 5565 Glenridge Connector NE OFC Merchant services $32.38 Ste 2000 Atlanta, GA 30342-1651 First Sank Merchant Services 5565 Glenridge Connector NE OFC Merchant services $189.61 Ste 2D04 Atlanta, GA 30342-1651 a Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2 4 4 . 3 4 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $17 , 677.16 2. Unite mized payments made this period of under $100................... .... $ 7 4 . 11 3. Total interest paid this period on loans. (I -inter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................TOTAL $17, 751 . 27 FPPC Form 460 (January103) FPPC Toll -Free Helpline: SMASK.FPPC (8861275.3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. covers horn 7/1/2015 through 9 / 19 / 2 015 SCHEDULE E Page 22 of 33 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign parephemalialmisc. MBR member communications RAD radio airtime and production costs CN6 campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t,v, or cable airtime and production costs FIL candidate flinglballot Fees PHO phane banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND 'Independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology coats (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) Jewish Community Center 332 W Alejo Rd MTG Rent of space for Town Hall Part I $212.00 Palm Springs, CA 92262-5606 Morel Ink 4824 NE 42nd Ave CMP Campaign buttons $598.50 Portland, OR 97218-1661 Payroll Data Processing 4224 Henderson Blvd SAL Salary - Campaign Coordinator $838.13 Tampa, EL 33629-5611 * Payments that are contributions or Independent expenditures trust also be summarized on Schedule D. SUBTOTAL $1, 648. 63 Schedule E Summary 1. Itemized payments made this period. (include all Schedule E subtotals.)..................................................................................................................................................... $17 , 67 7 . 16 2. Unite mized payments made this period of under $100................. $74 . 11 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $17, 751 . 27 FPPC Form 400 (January105) FPPC Toll -Free Helptine: 8661ASK-FPPC (866I275-3772) Schedule E Payments Made NAME OF FILER Geoff KorS for City Council 2G15 Type or print In ink. Amountsmaybe rounded to whole dollars. covers perlod from 7/1/2015 through 9/19/2015 CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E --ALIFORNIA FORM Page 23 of 33 I.D. NUMBER 1376802 CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate fi(inglballot fees PHO phone banks TRG candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voler registration WEB information technology costs (Internet, e-mail) LIT campaign literature and mailings PRT print ads I rnnp OR DESCRIPTION OF PAYMENT AMOUNT PAIL OF COMMITTEE, ALSO ENTER I.D_ NUMBER) Subvendor: Karalee C Hargrove 6988 E1 Sol Ave SAL Memo: $685.e7 Salary - Campaign Coordinator $0.00 Twentynine Palms, CA 92277-2921 $685.87 Subvendor: Internal Revenue Service 2525 Capitol St SAL Memo: $119.26 Payroll - Federal taxes $0.00 Fresno, CA 93721-2227 $119,26 Subvendor: Franchise Tax Board 1500 lith St SAL Memo: $33.00 Payroll - CA State taxes $0.00 Sacramento, CA 95B14-5701 $33.00 Payments that are contributions or Independent expenditures must also be summarized an Schedule 0. SUBTOTAL $0.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $17 , 67 7 . 16 $74.11 2. Unite mized payments made this period of under$100.................................................................................................................................................................................. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)......................................................................................................... $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $1'7 , 7 51 . 2 7 FPPC Form 460 (Januaryt06) FPPC ToIIJ:ree ffelplfne: 8661ASK-FPPC (8661276-3772) Schedule E Payments Made Type or print in ink. SCHEDULE E Amounts may be rounded Statement covers period 1 , to whole dollars. torn 7/1/2015 � through 9/19/2015 Page 24 of 33 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code, Otherwise, describe the payment. CMP campaign paraphemalialmisc. MBR member communications RAO radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filinglbalbt fees PHO phone banks TRG candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMM[TTEE, ALSO ENTER E.D. NUMBER) Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fee Y P g - period ended $31 97 Tampa, EL 33629-5611 7/15/2015 Payroll Data Processing 4224 Henderson Blvd SAL Salary - Campaign Coordinator $838.13 Tampa, FL 33629-5611 Subvendor: Karalee C Hargrove 6988 El Sol Ave Twentynine Palms, CA 92277-2921 OFC Memo: $685.88 Salary - Campaign Coordinator $0.00 $685.88 . Payments that are contributions or Independent expenditures must also be summarized on schedule D. SUBTOTAL $ 8 70 . 10 Schedule E Summary t . Itemized payments made this period. (Incllude all Schedule E subtotals.)..................................................................................................................................................... $17 , 67 7 . 16 2. Unite mized payments made this period of under $100................... .. $74 . 11 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)..........................................................................................................I-- ... $ 0 . 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 5.)................................................................ TOTAL $17 , 7 51 . 2 7 FPPC Form UO (January108) FPPC Toll -Free Helpline: NSIASK.FPPC (8861276-37721 Schedule E Payments Made Type or print in Ink. SCHEDULE E Amounts may be rounded statement covers periodCALIFORNIA to whole dollars. 460 From 7/1/2015 • RM through 9 / 19 / 2 015 Page 25 of 33 NAME OF FILER I.D. NUMBER Geoff Kors fox City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs GNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMnTE£, ALSO ENTER 1.0, NLWER) Subvendcr: Franchise Tax Board 1500 11th St OFC Memo: $33.00 Payroll - CA State taxes $0.00 Sacramento, CA 95814-5701 $33.00 Subvendor: Internal Revenue Service 2525 Capitol St CFC Memo: $119.25 Payroll — Federal taxes $0.00 Fresno, CA 93721-2227 $119.25 Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fee - period ended $31.97 7/31/2015 Tampa, FL 33629-5611 Payments that are contributions or Independent expenditures must also be summarized an Schedule D. SUBTOTAL Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... 2. Unite mized payments made this period o'f under$100.................................................................................................................................................................................. $31.97 $17,677.16 $74.11 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the summary Page, Column A, Line 6.)................................................................ TOTAL $17 , 7 51 . 2 7 FPPC Form 460 (Januaryt0g) FPPC Toll -Free Helpline: 8661ASK.FPPC 18681276-3772) Schedule E Payments Made Type or print in ink. SCHEDULE E Amounts may be rounded Statement covers period .Ll F 0 R, to whole dollars. � e from7/1/2015 O• through 9/19/2015 Page 26 of 33 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemallalmisc. MDR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTS contribution (explain nonmenetafy)' OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglballol fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staffispouse trawrl, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, a -mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID PF COM1JlRTEE, ALSO ENTER J.D. NUMBER) Payroll Data Processing Payroll processing fee - period ended 4224 Henderson Blvd OFC 7f31/2015 $75.00 Tampa, FL 33629-5611 Payroll Data Processing 4224 Henderson Blvd SAL Salary - Campaign Coordinator $838.13 Tampa, FL 33629-5611 Subvendor: Karalee C Hargrove 698E Ej Sol Ave SAL Memo: $685.87 Salary - Campaign Coordinator $0.00 Twentynine Palms, CA 92277-2921 $685.87 " Payments that are contributions or Independent expenditures must also be summarized an Schedule D. SUBTOTAL $ 913 . 13 Schedule E Summary 1. Itemized payments made this period. (include all Schedule E subtotals.)..................................................................................................................................................... 2. Unitemized payments made this period of under$100.................................................................................................................................................................................. $17,677.16 $74.11 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Lane 6.)................................................................ TOTAL $17 , 7 51 . 2 7 FPPC Forth 460 (January105) FPPC Toll -Free Helpline: 866lASK-FPPC (0661276-3772) Schedule E Type or prim in Irdr. Amounts may be rounded Statement covers Payments Made to whole dollars. from 7/1/2015 through 9/19/2015 SCHEDULE E Page 27 of 33 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376BO2 CODES: If one of the following tildes accurately describes the payment, you may enter the Code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. CNS campaignconsukants CTS contribution (explain nonmonstary)' CVC civic donations FIL candidate filing/ballot fees FND fundraising events 1ND independent expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meebryls and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAI) radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staffispouse travel, lodging, and meals TSF transfer between committees of the same candidatelsponsor VOT voter registration WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Franchise Tax Board 1500 llth St Sacramento, CA 95814-5701 SAL Memo: $33.00 Payroll - CA State taxes $0.00 $33.00 Subvendor: Internal Revenue Service 2525 Capitol St Fresno, CA 93721-2227 SAL Memo: $119.26 Payroll - Federal taxes $0.00 $119.26 Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fees $31.97 Tampa, FL 33629-5611 Payments that are contributions or Independent expenditures must also be summarized an Schedule D. SUBTOTAL $ 31 . 9 7 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $17, 677.16 2, Unite mized payments made this period of under $100..................... $ 7 4 . 11 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................TOTAL $17, 7 51 . 27 FPPC Form 460 (Januarylo8) FPPC Toll -Free Helpline: 0861ASK-FPPC (9Stffl76-3772) Type or print in ink. SCHEDULE E Schedule E Amounts may he rounded Statement covers period Payments Made to whole dollars. . 1 From 7/I/2015 • - through 9 / 19 / 2 015 Page 28 of 33 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign parephernalialmisc_ MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVG CIVIC donations PET petition circulating TEL cv, or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same eandidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, a -mail) OF COMMITTEE, ALSO ENTER I.D. Payroll Data Processing 4224 Henderson Blvd SAL Salary - Field Director $1,676.25 Tampa, FL 33629-5611 5ubvendor: Franchise Tax Board 1500 llth St SAL Memo: $102.14 Payroll - CA State taxes $0.00 Sacramento, CA 95814-5701 $102.10 5ubvendor: Jacob Daruvala 2300 Vista Ridge Circle SAL Memo: $1169.24 Campaign salaries - 8/31/2015 $0.00 Norco, CA 92860 $1,169.24 ' Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $1, 6 7 6 . 2 5 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... 2. Unite mized payments made this period of under$100.................................................................................................................................................................................. 3, Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $17,677.16 $74.11 $0.00 4. Total payments made this period. (Add 'Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $17 , 751 .27 FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASK*PPC 18661276-3772) Schedule E Type or print in ink. Amounts may be rounded Statement covers Payments Made to Whole dollars. from 7/1/2015 through 9 / 19 / 2 015 SCHEDULE E Page 29 of 33 NAME OF FILER I.D. NUMBER Geoff Kars for City Council 2015 1376602 CODES: If one of the fallowing codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. CNS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations FIL candidate filino/ballot fees FIND fundraising events IND independent expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research PDS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL kv, or cable airtime and production costs TRC candidate travel, lodging, and meals TRS stafflspouse travel, lodging, and meals TSF transfer between committees of the same candidatelsponsor VOT voter registration WEB information technology costs (Internet, a -mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Internal Revenue Service 2525 Capitol St Fresno, CA 93721-2227 SAL Memo: $404.91 Payroll - Federal taxes $0.00 $404.91 Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fee $31.97 Tampa, FL 33629-5611 Payroll Data Processing 4224 Henderson Blvd SAL Salary - Field Director $1,676.25 Tampa, FL 33629-5611 * Payments that are contributions or Independent expenditures must also be summarized on Schedule 0. SUBTOTAL $1, 7 0 8 . 2 2 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $17 , 6 77 . 16 2. Unite mized payments made this period of under $100............... $ 7 4 . 11 3. Total Interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $17 , 7 51 . 2 7 FPP(; Form 460 (January166) FPPC Toll -Free Helplhie: 6661ASK-FPPC (6661275-3772) Schedule E Payments Made Type or print In Ink. Amounts; may be rounded to whole dollars. covers from 7/1/2015 through 9/19/2015 SCHEDULE E Page 3 D of 33 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernaiialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t_v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staffispouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponaor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Franchise Tax Board 150D lath 5t Sacramento, CA 95814-5701 SAL Memo: $102.10 Payroll - CA State taxes $0.00 $102.10 Subvendor: Internal Revenue Sexvice 2525 Capitol St Fresno, CA 93721-2227 SAL Memo: $404.91 Payroll - Federal taxes $0.00 $404.91 Subvendor: Jacob Daruvala 2300 Vista Ridge Circle Norco, CA 92860 SAL Memo: $1169.24 Camapign salaries — 9/15/2015 $0.00 $1,169.24 *Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 0 . 0 0 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... 2. Unitemized payments made this period of under$100.................................................................................................................................................................................. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $17,677.16 $74.11 $a.00 $17,751.27 FPPC Form 4811(Januarylob) FPPC Toll -Free Helpline: SMIASK-FPPC 1866l275-3772) Type -or print in Ink. SCHEDULE E Schedule E Amounts; may be rounded Statement cows period • - , Payments Made to wholedortars. e from 7/1/2015 •- through 9/19/2015 rpaille 31 of 33 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia)misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees ofthe same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE. ALSO ENTER I.D. NUMBER) Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fees $31.97 Tampa, FL 33629-5611 Southern California Edison PO Box 600 OFC Deposit for campaign office utilities $4,5DO.00 Rosemead, CA 91770-0600 Southern California Edison PO Box 600 OFC Campaign office utilities $433.69 Rosemead, CA 91770-0600 *Payments that are contributions or Independent expenditures must also be summarized on Schedule 0. SUBTOTAL $ 4 , 965 . 66 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $17 , 67 7 . 16 2. Unitemized payments made this period of under $100.................... ... $ 7 4 . 11 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $17 , 751.27 FPPC Form 460 (January106) FPPC Toll -Free Nelpline: 8661ASK-FPPC (BBdl2763772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA 46 �� 7/1/2015 from through 9/19/2015 Page 32 of 33 I.O. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernaliaimisc. CNS campaign consultants CT8 contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FIND fundraising events IND independent expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airtime and production costs RFD returned contribUions SAL campaign workers' salaries TEL tv. at cable airtime and production costs TRC candidate travel, lodging, and meats TRS staff/spouse trawl, lodging, and meals TSF transfer between committees of the same candidatelsponsor VOT voter registration WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Time Warner Cable PO Sox 60074 OFC Internet - one stime set up fee + monthly $435.94 City Of Industry, CA 91716--0074 charge Wessman Holdings LLC dba The Center 68936 Adelina Rd OFC Campaign office rent 8/17-11/4/2015 $2,250.00 68936 Adeline Road Cathedral City, CA 92234-3747 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2 , 68 5 , 9 4 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $17 , 677.16 2. Unhemized payments made this period of under$100 .............................. $74.11 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line B.)................................................................ TOTAL $17 , 7 51 . 2 7 FPPC Form 460 (Januaryl05) FPPC Toltfree Helpline: ti66lASK-FPPC (869a76-3772) Schedule F Accrued Expenses (Unpaid Bills) NAME OF FILER Geoff Kors for City Council 2015 Type or print in Ink. Amounts may be rounded to whole dollars. SCHEDULE F Statement covers period CALIFORNIA 46 Born 7/l/2015 O- through 9/ 19 / 2 015 3 3 of 3 3 I.D. NUMBER 1376602 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernaliaimisc. CNS campaign consultants CTB contribution (explain nonmonetafy)' CVC civic donations FIL candidate filinglballotfees FND fundraising events IND independent expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAO radio airtime and prod+.wtion costs RFD returned contributions SAL campaign workers salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals THE stafflspouse travel, lodging, and meals TSF transfer between committees of the same eandidatelsponsor VOT voter registration WEB information technology costs (Internet, e-mail) (a) (b) (a) Id) NAME AND ADDRESS OF CREDITOR CODE OR DESCRIPTION OF OUTSTANDING BALANCE AMOUNT INCURRED AMOUNT PAID THIS OUTSTANDING (IF GONMITTEE, ALSO ENTER LD, NUW16ER) PAYMENT BEGINNING OF THIS THIS PERIOD PERIOD BALANCE AT CLOSE PERIOD (ALSO REPORT ON E) OF THIS PERIOD Brighthaus Marketing LLC 125 F Tahquitz Canyon Way WEB, Website edits $262.50 $4.00 $262.50 $a,ao Ste 203 and updates Palm Springs, CA 92262-6464 Citibusiness Card 1500 Soltonfield St CMP, Outstanding $0.00 $6,756.27 $0.00 $6,756.27 Columbus, OH 43228-3669 credit card charges Morel Ink 4824 NE 42nd Ave LIT, Mailing $0.00 $9,140.34 $0.00 $9,140.34 Portland, OR 97218--1661 services 'Payments that are contributions or independent expenditures must also be SUBTOTALS $ 2 6 2 . 50 $15 , 8 9 6. 61 $262.50 $15 , 8 9 6 . 61 arammarheed an Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (include all Schedule F, Column (b) subtotals for INCURRED TOTALS accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)............................................................. 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) PAID TOTALS 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)........................................................................................................................................................... NET $15,896.61 $262.50 $15,634.11 (May be a negativa number) FPPC Form 460 (January/06) FPPC Tall -Free Heipline: BW/ASK.FPPC ($BBf276-3772) 497 Contribution Report NAMC Ul" t =-K Geoff Kors for City Council 2015 AREA CODEIPHONE NUMBER I.D. NUMBER tit applicable) (7(0) 537 0061...... 1376802 STREET ADDRESS 1,455 N Vine Ave CITY Palm Springs 1. Contributions Received Type or print in ink. Amounts may be rounded to whole dollars, Bate of g j2q/201` This Filing ._ Report No, faun 4P? ❑Arnandinent hilrvrl to Report No. STATE ZIP CODE No, of pages 1 CA 92262 4 N' tyW 4 V G tJ Y {] 497 CONTRIBUTION REFw Ft Date ?OIL SEP 2i4 Stamp AN 10: tj FWUs.e- :. CiTy CL£R i fp BATE RECEIVED FULL NAME, STREET ApDRESS ANDZIP CODE OF CONTRte8UTOR (1F COMMITTEE. ALSO ENTER I.D. NUMBER) C4NTRlBUTOR CODE' IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER 'IF SELF-EMPLOYED, ENTER NAME OF BUSINESS AMOUNT. ; RECEjVEi}, a IND Hilton. Palm Springs ❑c0M 09/21; 2O15 900 E Tahguitz Canyon Way ,f OTH ❑ClinkteiLO Palm Springs, CA 92202-6645 ❑PTC ❑SCC Pravide interest m +_ V m o. IJ to m IJ _ a I 0..._.. M -. O_ i 'Contributor Curies i 01 A !Np - lodivldual COM - Recipient Committee (other than PTY or SCC) r, i OTH - Other (e.g., business entity) Reason for Arrtendmertt: PTY - Political Party l SCG - Small Contributor Committee FPPC Form 497 (Marchr411) FPPC Tall -Free Helpline: 86&ASK-FPPC (B661275-3772) N CJ CP M O LL 497 Contribution Report Geoff Kors for City Council 2015 AREACODEIPHONE NiJMBER J.D. NUMBER fo,aApfraw9) 760,537.0061 1 1376802 1455 N.Vine Ave CITY STATE Palm Springs CA 1. Contribution(s) Receiver[ Type or print in inn, Amounts may be rounded to whole dollars. Date of 9/23/2015 This Filing Report No. 150917497na ❑ Arnendment to Report No.... ZIP CODE (explam baow) 92262 No. of pages EU 2015 SEP 23 PM y' Ji�)CI"CY Cl1r'. is 4W CONTRIIUTiON REPORT DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED j1rC9M-0TiEr,ALSOEfJ7ER10 NUMKRr OODE f if SF#F-FCIYFE}, FUTeR NAME {7F 13.J5tNF44y RECEIVED 9/2212015 Frederick W. Noble & Affiliated Entities ❑ IND ❑ com $1,fiti0.00 2045 E.Tahquitz Canyon Way fX-1 OTH ❑ check it Lawn Palm Springs PTY CA 92263 ❑ SLrC % Provide interest rate ❑ IND ❑ com ❑ oTH © Cheek if Loan ❑ PTY [] SCC _ 96 Pmvide ioleroV reie ❑ IND ❑ com ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCc % Provide interest rate Reason for Arnendrnent; *Contributor Codes IND-- Individual COM —Recipient Committee (other than PTY or 5CC) OTM —der (e.g, business entity) PTY — Political Party 5CC — Small Contributor Committee FPPC FGFm 497 (November107) FPPC Toll -Free Helpl€ne., 8661ASK-FPPC (8661275.3772) 497 Contribution Report Type or print in ink. Amounts may be rounded to whole dollars, 497 CONTROUTIoid REPORT Geoff itcss for Cite Council 2015 Date of 9/20/�015 � SP Wordky This FilingAR A CODOPHONE NUMBER 1.D. NUMBER ill applicable) 2u1 � SEP 2V PM �' 44For {7E.a? 537—g0E;1 1376802 ReiportNO, 497150914tdE I STREET ADDRESS ❑,Amendmwnt 1455 N vise Ave toReponNo. CITY CLERK CITY STATE aP CODE Palm Springs CA 92252 No. of Pages 1. Contributions Received RATE RECEIVED FULL NAME, STREET At3i3hiESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I.D. NUM8ER) CONTRIBUTOR CODE' IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER 1F SELF-EMPLaYED, ENTER NAME OF BUSINESS AMOUNT RECEIVED [].I. ND Trick Dori Films ❑COM $5,000.00 09/14/2015 2232 N Palermo Dr R]QTH Ej Check if Loan Palm Springs, CA 92262-2736 ❑PTY i6fa SCC Provide interest ra e Reason for Amendment: 'Contributor Codes IND - Individual COO - Recipient Committee (other than PTY or SCC) OTH - Other *a- business entity) PTY - Political Patty SCC - Small Contributor Committee FPPC Form 497 (Marehf20111 FPPC TolWree Helplins: 866/AShf-FPPC (B6ti12713772) 497 Contribution Report Geoff Kors for City Council 2015 760.537.0061 1455 N.Vine Ave CITY Palm Springs 1. Contribution(s) Received D. NUMBER f appdiAft) 1376802 CA Type or print in ink_ Amounts may be rounded to whole dollars. Date of 9/1712015 This Filing Report No. 150917497hm ❑ ,Amendment to Report No. --- ZIP CCit7E (explain belaW) 92262 No. of Pages 1 OF PALM Sp" '015 SEP 17 PM 2: S JAHtS THt7t Ps ', ; CITY CLERIfi CONTRIBUTION REPORT DATE FUH NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED WCOMMITTEE ALSO ENTER i,DNUMBER) CODE � (1. Sires irM�lc3?'lrG, E3�T�'i NAME OF etJ51NE�i RECEIVED Harald Matzner © IND 9116/2015 181 S.Civic Drive ❑ CoM $10,000,00 Suite 1 ❑ OTH p Check if Loan Palm Springs ❑ PTY CA 92262 © SCC Provide sniereet rate ❑ IND © com ❑ OTH] Ghee if Loan ❑ PTY ❑ SCC Provide inter" rate ❑ IND ❑ CoM ❑ OTH © Check if Loan ❑ PTY ❑ SCC --- % Provide interest rate Reason for Amendment_ .'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or $CC) OTH — Other fe.g.. business entity} PTY — Political Party SCC — Small Contributor Committee FPPC Form 497 (March12011) FPPC Toll -Free Heipline: 8661ASK-FPPC (8661275-37722) Type or print in ink. 497 Contribution Report Amounts may be riaurded to whole dolfars. r? E it E I V E �7 OF PALM e ,; CONTRIBUTION REPORT NAME OF RLER Date of Date Stamp 015SEP 16 PM Geoff Kors for Ci Council 2015 �, g9/15/2015 This FilinAREACODEIPHONE 150916497fn 2= 1 J%HZJ TkiUhrv,. W seOnly NUMBER I.D. NUMBER trrapprradlaJ 760, 537.0061 1376802 Report No. ❑ Amendment CITY CLERK STREETADDRESS 1455 N.Vine Ave to Report No. (explain betow} CITY STATE ZIPCODE Palm Springs CA 92262 No. of Pages 1 1. Contribution(s) Received DATE FULL_ NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEVED PF CDMIA FEE. ALSO ENTER i o NUM3Ea} * CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED Frederick Noble ❑ IND President 9/15/2015 2015 E.Tahquitz Carryon Way, Ste 200 ❑ COM Wintec Energy LTD $5,000.00 Palm Springs X❑ OTH ❑ Check if Loan CA 92262 ❑ PTY ❑ SCC % Provide Interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC `y° Provde interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC % Provide Interest rate Reason for Amendment: "*Contributor Codes IND - Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC - Small Contributor Committee FPPG Form 487 (IMarcW2411) FPPG Toll -Free Helpline: 8661ASK-FPPG (8661275-3772) 497 Contribution Re ort Type for print In Ink. RECEIVED P Amounts may be rounded its whole dal lacs. OF PALM S �' 7 CONTRIBUTION REPORT NAME OF FILER a&4e 4F ate tamp Geoff Fars for City Council 2015 Tills Filing 911412015 �� SAP 14 PM I: ; Wig AREACODElPHONE NUMBER' I, I]- NUMBER (iranpkabkj J �' 11 � � E. �{)� t` Report Na. 150914497rw , `, ..y or a se n y (760) 537-0061 i 376$02 p CITY C C E K� STREET ADDRESS Amendment 1455 N.Vine Ave part No to R CITY -- STATE Z1P CODE (explain below) Palm Springs CA 92262 No. of Pages 1 1. Contribution(s) Received DATE RECEIVED FULL NAME, STREET ADDRE55 ANO ZIP CODE OF CONTRIBUTOR (IF CRMMUEE. ALAf"NTER 1.0 NUMBER) CONTRIBUTOR � IF AN INDIVIDUAL. ENTER OCCUPATIONAND EMPLOYER AMOUNT CODE SftF-EMPLOYEE. ENTER NAME OF WS!NE55) RECEIVED Robe Weinstein IND 9/13f201 a 11150 W OlyiTtpic Blvd, Suife 1120 ❑ C0m $1,000,0 Los Angeles ❑ OTH ❑ Check if Lnarr CA 90()64 ❑ PTY Prmride ir4erQ0 We ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC PraVidE ;nleresE rate ❑ IND ❑ com ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC P mIde Irrlerest rate Reason for Amendment: ""Contributor Codes IND — Indnridual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entsty) PTY Political Party SCC — SmaK Contributor Committee FPPC Form 497 (Marchl 011) FPPC Tail -Free Heiplirle.,866JASK#YPC (8661275-3772) 0 H 457 Contribution Report Type or print in ink, Amounts may be rounded to whole dollars. 7 CONTRIBUTION REPORT RIME OF MEN to rA Geoff Kars for City Cuuncil 2015 Date of �Z015 T iJ� P� Sp'Rc -T �I � This Filing . - - _ 4(y AUG �1 p 4 AREA CODOPHONE NUMBER I.O. NUMBER III applicable) Report NO. t 8 2 B 15-1 2015 AUG 31 AM 8` -T O For Ci�cial Use Only (760) 53-7--0061 137681?2 STR£ETAOD RESS ❑Amendment J A S TH 1455 N Vine Ave to Report No. cITY CL EVA CITY STATE ZIP CODE Nn, of Pages Palm 5pzings CA 92'�w 1. Contributions Received DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE' IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER tF SELF-EMPLOYED, ENTER MWE OF BUSINESS AMOUNT RECEIVED �✓ IND Linda Usher ❑COM $1,000.00 (� 8 /2 8 /201 v� 168 N Clinton Sit [�QTHCheek Executive if Lean SLe 500 ❑PTY WCOOL Chicago, IL 60661 SCC Provide interest rate Reason for Amendment: Contributor Codes IND - lMividuai COM- Recipient Committee Iother than PTY or SCC) OTH- tither (e.g., business entity) #STY - Political Party SCC - Small Contributor Committee FPPC Form 497 (MarchMl1) FPPC Toll -Free Fielpline BWASK-FPPC (866127 772) Recipient Committee Campaign Statement Cover Page (Goverment Code Sections 84200-84216.5) Type or print in ink statement covers period Date of elodk)n if (Month, Day, from 1/1/2015 through 6 / 3 0 / 2 015 1. Type of Recipient Committee: All Comniltees-Com}Nete PWIS t, 2.3. and 4. ✓❑Officeholder, Candidate Controlled Committee ❑Primarily Formed Ballot Measure ❑State Candidate Election Committee ❑ Recap (Also Complete Part 5) ❑General Purpose Committee ❑ sponsored ❑Small Contributor Committee ❑Political PartylCentral Committee: 3. Committee Information 4. GQMMiTTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Geoff Kars for City Council. 2015 Committee []Controlled ❑ Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Pat 7) RE C erVTIY )71 OF PALM SPF:i;: AUG -3 AM 11144 MIk,5 l HUhrl CITY CLER 2. Type of Statement: ❑Preelection Statement ❑✓ Semi-annual Statement ❑Termination Watement (Also file a Form 410 Termination) [] Amendment (Explain below) COVER PAGE 1 of 92 For Official Use Only []Quarterly Statement []Special Odd -Year Report []Supplemental Preelection Statement -Attach Form 495 Treasurer(s) NAME OF TREASURER James Williamson MAILING ADDRESS 1455 N Vine Ave STREET ADDRESS (NO P.O. BOX) C[ I T STATE ZIP CODE AREA CODEIPHONE 1455 N Vine Ave Palm Springs CA 92262 (760) 537-0060 CrTy STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANT TREASURER, IF ANY Palm Springs CA 92262 (760) $37-0061 Steven Mele MAILING ADDRESS OF DIFFERENT) N0, AND STREET OR P.O. BOX MAILING ADDRESS PO Box 1585 611 Pennsylvania Ave SE Ste 143 CITY STATE ZIP CODE _ AREA CODEIPHONE CITY STATE ZIP CODE AREA CODFJPHONE Palm Springs CA 92263 (760) 537-0061 Washington DC 20003-4303 OPTIONAL. FAXIE-MAIL ADDRESS OPTIONAL: FAXIE-MA14 ADDRESS geoffkorsps@gmail.com williamsonjg@gmail.com Verification l have used all reasonable dlrpBnce In preparing and reviewing this statement and to the txnat of my knowledge th 'a4to ton contained herein and in the attached schedules is true and complete. I certify under penalty of erJunr under a laws of the State of California that the forego' is true and Exearted on LX i7 By ✓ K j _. � j LIRE EA6U ER ORABBIBTAREA TBLIR FPPC Form WO(JanuprylGti) Executed on { l FPPC Taltfree Helprme: DATE SIGNATURE F CONTROW • , CANDpATE. BTAT£ MEASURE PROPONETIT, OR RESPONSIBLE OFFICER OF PROPONE14T INIASK#PPC Executed an By (M/2763772) DATE SIGNATURE: OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Slate of California Executed on RV DATE 1376802 SIGNATURE: OF CONTROLLING OFMEHOLDER, CANDIDATE, OR STATE MEASURE PROPON ENT Recipient Committee Type or print in ink Campaign Statement Cover Page -Part 2 5.Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Geoff Kors OFFICE SOUGHT OR HELD(MCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Sought: City Council Member City RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 1455 N Vine St Palm Springs CA 92262 Related Committees Not Included in this Statement: Ustany cornndees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME NAME OF TREASURER STREET ADDRESS (NO P.O. BOX) la ❑ YES NO CITY STATE ZIP CODE AREA CODElPHONE COVER PAGE -PART 2 Page 2 of 92 6.Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I SUPPORT 1 OPPOSE ldentify the controlling officeholder, candidate, or state measure proponent, if any. OF OFFICEHLOLDER, CANDIDATE, OR PROPOIJENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Uat names or officeholder(s) or candidate(s) for which this committee Is primarily farmed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT -1 OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Januaryltl6) FPPC Toll -Free Helpline. MIASK-FPPC (86=75.9772) State of California Campaign Disclosure Statement Summary Page Type or print in Wk. SUMMARY WAGE Anwunts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 1/1/2015 FORM through 6/3D/2015 Page 3 of 92 NAME OF FILER I.D. NUMBER Geoff Kors >=or City Council 2315 11376802 Contributions Received 1. Monetary Contributions .............................................. Schedule A, Line 3 2. Loans Received......................................................... Schedule B, Line 3 3, SUBTOTAL CASH CONTRIBUTIONS ........................... Add Lines 1+2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ..................... Add Lines 3 +4 Expenditures Made 6. Payments Made ........................................................ Schedule E, Line 4 7. Loans Made............................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 9, Accrued Expenses (Unpaid Bills)—_ ........................ Schedule F, Line 3 10. Non monetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE .............................. Add Lines 8 +9 + 10 Current Cash Statement 12. Beginning Cash Balance ................. Previous Summary Page, Line 16 13. Cash Receipts... ................................................. Column A, Line 3 above 14. Miscellaneous Increases to Cash— .............................. Schedule I, Line 4 15. Cash Payments ................................................. Column A, Line 8 above 16. ENDING CASH BALANCE..Add Lines 12+13+14, then subtract Line 15 Ifthis is a tertnlnation statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED,,,,,,,,,,,,,, Schedule B, Part 2 Cash Equivalents and Outstanding Debts IS. Cash Equivalents ....................................... See instructions on reverse 19. Outstanding debts ....................... Add Line 2+Line 9 in Column B above Column A Total This Period (FROM ATTACHED SCHEDULES) $147,343,00 $0.00 $147,343.00 $3,545.14 $150,888,14 Column B CALENDAR YEAR TOTAL TO DATE $147,343.00 $0.00 $147,343.00 $3,545.14 $150,888.14 $19,031.15 $19,031.15 $0.00 50.00 519,031.15 $19,031.15 $262.50 $262.50 $3,545.14 $3,545.14 $22,638.79 $22,838.79 $0.00 $147,343.00 $0.00 $19,031.15 $128,311.85 $0.00 $0.00 $ 2 E 2 . 5 0 To calculate Column B, add amounts in Column A to the corresponding amourft from Column B of your last report. Some amounts in Column A maybe negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections III through 5= 711 to Date 20. Contributions Received 21. Experditures Made Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made " (H 5 ubject to Volunlary Expendilure Limit) Date of Election Total to Date (mmlddlyyyy) 'Amounts in this section may be different from amounts reported in schedule B. FPPC Forth 460 (Januaryl06) FPPC Tall -Free Helpline, 666lASK-FPPC 0012763772) Srhadida 0 Type or print In Ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period 0CALIFORNIA from 1/1/2015 FORM through b/ 3 0/ 2 015 Page 4 of 92 NAME OF FILER Geoff Koxs for City Council 2015 I.D. NUMBER 1376802 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLCYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF 9USINEM PERIOD (JAN. 1-DEG. 31) (IF REQUIRED ) Q IND Denise L. Nelson ❑ COM 04/26/20155 590 N Arquilla Rd [IOTH Retired $50.00 $100.00 Palm Springs, CA 92262-6181 ❑PTY None SCC Q IND Cynthia Pino ❑ COM MD Strategic 03/18/2015 6075 Colton Blvd ❑ OTH Programs $500.00 $500.00 Oakland, CA 94611-2267 ❑PTY MUFG Americas SCC Q IND Alvin Baum ❑ COM 03/18/2015 2170 Jackson St OTH Retired 52,500.00 $2,500.00 San Ptanciscc, CA 94115-1540 ❑PTY None SCC IND Rick Weingard ❑ COM 04/22/2015 1150 E Palm Canyon Dr ❑ OTH$50.00 Sales $175.00 Unit 92 El PTY P>romotivators Ltd Palm Springs, CA 92264-9191 scc SUBTOTAL $3,100.Q0 Schedule A Summary `Contributor Codes 1. Amount received this period itemized monetary contributions. IND- individual (Include all Schedule A subtotals.).............................................................................................................................. $14 4 12 0 00 COM- Recipient Committee 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $3,223 $147,343 (other than PTY or SCC) Q _ OTW Other (e.g., business entity) PTY- Poktical Party SCC- Small Contributor Committee 00 FPPC Fonn460 (January/05) FPPC Toll -Free Helpline: 6661ASK4FPPC (0861275-37721 Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print In Ink. SCHEDULE A Amounts: may be rounded Statement corners period CALIFORNIA ' to whole dollars. from 1/1/2015 i through 6/ 3 0/ 2 015 Page 5 of 92 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SEL-EMpwreo, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE o� eustNESS) PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) IND Q Rick Weingard ❑COM 04/14/2015 1150 E Palm Canyon Dr ❑ OTH Sales $50.00 $175.00 Unit 92 ElPTY Promotivators Ltd Palm Springs, CA 92264-9191 scc IND Q IND Barbara Keller Writer 03/20/2015 12161 Saint Andrews Dr EIOTH Keller $500.00 $500.00 Rancho Mirage, CA 92270-1507 ❑PTY International Publishing SCC [71IND Burke Rix Communications ❑ COM 05/O1/2015 431 S Palm Canyon Dr �/ OTH ❑ $500.00 $500.00 Ste 206 �PTY Palm Springs, CA 92262-7300 SCC IND Hugh Glenn []COM 04/13/2015 95D N Prescott Dr ❑ OTH None ed $500.00 $500.00 Palm Springs, CA 92262-5639 ElPTY None SCC SUBTOTAL $1,550.00 Schedule A Summary "Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)............................................................................................................... $14 4 , 12 0 . 0 0 COM- RedPient Commitlee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3, 223 . 00 OTH-Other (e.g., business entity) 3. Total monetary contributions received this period. pTY- Political Party SCC- Smalt Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $147, 343 . 00 FPPC Foun480 (Januaryl86) FPPC Toll -Free Hetpline: 8661ASK-FPPC (8661275-3772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to wrhole dollars. SCHEDULE A Statement covers period CALIFORNIA from 1/1/2015 FORM through 6 / 3 0 / 2 015 Page 6 of 92 ILD. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (1F COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMAPLCYLo, ENTER NAME of ausrNEss) PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) Committee to Elect Ginny Foat Mayor ❑IND — 2015 0 COM 05/08/2015 673 N Palm Canyon Dr MOTH $200-00 $200.00 Ste D ❑PTY Palm Springs, CA 92262-5553 ❑SCC IU: 1,31 Id 11 ❑ INDElCOM Bernadette Abbruzze 05/17/2015 511 5th St Ste G MOTH CEO $250.00 $250.00 Envvirolution, Inc. San Fernando, CA 91340-2259 5CC 0 IND John Wong ❑ COM Chief Compliance 05/01/2015 847 N Topaz Cir �OTH Officer $200.00 $200.00 Palm Springs, CA 92262-4328 ❑PTY Integrated Wealth Management SCC QIND Brian Vatcher ❑ COM Principal 04/30/2015 2851 E San Juan Rd ❑ OTH Brighthaus $100.00 $100.00 Palm Springs, CA 92262-3903 ❑PTY Marketing SCC SUBTOTAL $750.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (include all Schedule A subtotals.) ....................................................................................................................................... $14 4 , 12 0 . 0 0 GOM- Recipient Committee (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 2 3 . 0 0 0TH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political Party SCC- Small Contributor Commitlee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $14 7 , 3 4 3 . 0 0 FPPC Form 460 (January/U5) FPPC Tall -Free Helptine: 8661ASK-FPPC (966n76.3772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink. SCHEDULE A Amounts may be rounded statement covers period CALIFORNIA to whole dollars. from 1/1/2015 FORM through 6/ 3 0/ 2 015 Page 7 of 92 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO HATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF -EMPLOYE[), ENTER WIRE RECEIVED THIS CALENDAR YEAR TO DATE OF eusi�Ess} PERIOD (JAN. 1-0#•,i. 3]) (IF REQUIRED) IND Frank Tinney ElCoM 04/04/2015 1950 Fan Palm Wa y � OTH Retired $1DD.DQ $200.00 Palm Springs, CA 92262-8858 El PTY None SCC Q IND Gloria Rowland EICOM 06/26/2015 PO Box 5005-54 OTH SVP $1,0D0.00 $1,000.00 Rancho Santa Fe, CA 92067 �PTY Sempra Energy SCC ❑ IND Michael J. Nadeau [3Com 05/17/2015 876 Mira Grande OTH Salon owner $iQQ.QQ $100.00 Palm Springs, CA 92262-1209 �PTY Michael Nadeau SCC Q IND Dave Fleischer 87Norton Ave �COM Project Director 06/22/2015 Apt 7Nortn []OTH Los Angeles LGBT $150.00 $150.00 West Hollywood, CA 90046-5943 ❑PTY Center SCC SUBTOTAL $1,350.00 Schedule A Summary 'Contributor Codes t . Amount received this period atemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)................................................................................................—..................................... $14 4 , 12 0. 0 D COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-lnitemized monetary contributions of less than$100.......................................................... $ 3 , 2 23 . 0 D OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- P4litiral Party -small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $14 7 , 3 43 . 0 D FPPC Form 460 (January105) FPPC ToR-Free Helpline: MtASK-FPPC (8681275-3772) Sr_hariitla 0 Type or print in ink SCHEDULE A Amounted may be rounded Monetary Contributions Received towhole dollars. Statement covers period 9 i trorr, 1/1/za15 through 6/30/2015 Page 8 of 92 NAME OF FILER Geoff Kors for City Council 2015 I.D. NUMBER 11376802 DATE FULL NAME, STREET ADDRESS ANDZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 1-0EC. 31} (IF REQUIRED) Q IND Frederick W. Noble ElGOM 06/30/2015 2045 E Tahquitz Canyon Way [] OTH President $2,500.00 $2,500.00 Ste 200 ❑PTM `Wintec Energy LTD Palm Springs, CA 92262-7003 SCC ZIND Donna King ❑ COM Executive Director 04/22/2015 1492 Sunflower Cir S [-]OTH .Hanson House $200.00 $225.00 Palm Springs, CA 92262-1766 EIPTY Foundation SCC D IND Jim Fiedler ElCoM 06/12/2015 1233 TiffanyOTH Cir S � Vice President $100.00 $100.00 Palm Springs, CA 92262-7706 [-]PTY Desert Art Center SCC ] IND Nathaniel Diaz ElCOM Doctor 04/23/2015 1294 N Rose .Ave DOTH Diaz Anesthesia $5DO.00 $500.00 Palm Springs, CA 92262-4147 �PTY Services Inc SCC SUBTOTAL $3,3Q0.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)...................................................................................................................................... 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL 'Contributor Codes IND- Individual $14 4 , 12 0 .0 0 COM- Recipient Committee $ 3 , 2 2 3 . 0 Q (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee 00 FPPC Form 480 {January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (3661276 17T2) $147,343 Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink_ SCHEDULE A Amounts may be rounded Statement covers period , 1 to whole dollars. from 1/1/2015 through 6/ 3 0/ 2 015 Page 9 Of 92 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER} CODE " OCCUPATION AND EMPLOYER (IF SELFEMPLOYEO, ENrER NAME DECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 1-0EC_ 31) (IF REQUIRED) Q IND Christopher Emerson [:]COM 06/19/2015 1133 Masselin Ave []OTH psychologist $250.00 $250.00 Los Angeles, CA 90019-2519 [:]PTY Christopher Emerson SCC Q IND John Williams LCoM 05/O1/2015 365 W Vereda Sur OTH Retired $250.00 $250.00 Palm Springs, CA 92262-4239 El PTY None SCC ZIND Bill Nicholson ❑ COM Owner 04/30/2015 67615 E Palm Canyon Dr DOTH Flooring $500.00 $500.00 Cathedral City, CA 92234-5454 [:]PTY Innovations SCC Q IND Stacey Kars F]COM 04/02/2015 11 Thomas Rd F-1OTH Freelance Writer $1,000.00 $1,000.00 Swampscott, MA 01907-1926 E]PTY Stacey Kors SCC SUBTOTAL $2,0DO. 00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (include all Schedule Asubtotais.)....................................................................................................................................... $144,120.00 COM- RecipientCommmee (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... $ 3 , 223 . 0 0 OTHI- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political Party SCG Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $147, 3 43 . 00 FPPC Form460 (January106) FPPC Toll -Free Helpline: MIASK-FPPC (866W6-3772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in Ink. SCHEDULE A Amounts may be rounded Statement covers period , , to whole dollars, .' from 1/1/2015 FORM through 6/ 3 0/ 2 015 Page 10 of 92 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE ` OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE 4F BU5INESS) PERIOD (JAN. 1-0EC. 31) (IF REQUIRED ) Q IND John Mahoney DCOM Medicaid Financial 04/03/2015 955 W Via Livorno ❑ OTH Consultant $500.00 $500.00 Palm Springs, CA 92262-2714 PTY John Mahoney SCC Z IND Greg Rodriguez ElcoM 04/22/2015 569 Soriano WayOTH Operations Manager $100.00 ,100.00 Palm Springs, CA 92262-0559 PT'( Desert AIDS Project SCC 0 IND Michelle Ortiz EICOM 05/07/2015 2801 Turk Blvd L]OTH Fundraiser $150.00 $150.00 San Francisco, CA 94118-4353 OPTY Emily's Kist SCC QIND Ken Seeley EICOM 06/27/2015 3076 Arroyo Seco �OTH Interventionist $2,000.00 $2,000.0D Palm Springs, CA 92264-9686 El PTY intervention 911 scC SUBTOTAL $2,750.00 Schedule A Summary "Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 2 3 . 0 0 OTH- other (e.g., business entity) 3. Total monetary contributions received this period. PTY- PoiRical Party SCC- Srmll Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $14 7 , 3 4 3 . 0 0 FPPC Form 480 (January105) FPPC ToB-Free Helpline: B8BIASK-FPPC (866127647721 Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink SCHEDULE A Amounts may be rounded Statement covers period CALIFORNIA ' to whole dollars. parr, 1/1/2015 FORM � 6 through 6/ 3 0/ 2 015 Page 11 of 92 I.D. NUMBER �'rrnn DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE ` OCCUPATION AND EMPLOYER (IF SELF --EMPLOYED, FuTea NAME RECEIVED THIS CALENDAR YEAR TO DATE of euSiNESSf PERIOD (UAN. 1-0EC.31) (IF RE4UIRED ) QIND John Sheehan ❑ CoM Partner 04/10/2015 750 W Leisure Way [:]OTH Leisurehouse $250.00 $350.00 Palm Springs, CA 92262-4314 El PTY Holdings,LLC SCC RI IND Liz Biala EICOM 06/30/2015 6352 Lake Dora Ave OTH Realtor $100.00 $100.00 San Diego, CA 92119-3129 PTY Ascent Real Estate scC IND Marc Ware COM 06/29/2015 816 N Patencio Rd OTH Retired $500.00 $500.00 Palm Springs, CA 92262-4360 DPTY None scC OIND Eric Harrison [:]COM President & CEO 06/30/2015 235 N Conejo School Rd []OTH United Way of $1DO.00 $100.00 Apt 121 Thousand Oaks, CA 91362-2677 ❑PTY Ventura County scC SUBTOTAL $95a.00 Schedule A Summary `Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 2 3 . 0 0 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political PartySCC- Small Contributor Committee (Add lines t and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $14 7 , 3 4 3 . 0 0 ppPC Form 480 Wanuarvrosl FPPC Ton -Free Helpline: $MASK-FPPC (3961275-3772) Schedule A Monetary Contributions Received Geoff Kars for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE A Statement covers penod CALIFORNIA front 1/1/2015 FORM I & through 6/ 3 0/ 2 015 Page 12 of 92 II,D, NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE ' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF eUSINESS] PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) IND Peter Bart ❑COM 06/09/2015 2317 Casitas Way ❑ OTH Journalist $100.00 $100.00 Palm Springs, CA 92264-8219 El PTY Peter Bart SCC IND Frank Tinney ❑CoM 06/20/2015 1950 Fan Palm WayOTH � Retired $100.00 $240.00 Palm Springs, CA 92262-8858 ❑PTY None 5CC Q IND Michael Valeo ❑ COM 04/02/2015 634 N Calla Rolph ❑ OTH Real Estate Agent $500.00 $500.00 Palm Springs, CA 92262-6153 ❑PTY Michael Valeo F_jSCG WIND Kerstin Pollack ❑ COM Curator of Art 04/29/2015 22E3 E Smokewood Ave ❑ OTH Reginald Pollack $50.00 $950.00 Palm Springs, CA 92264-4967 ❑PTY Fine Art SCC SUBTOTAL $750.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $144,120 $3,223 $147,343 'Contributor Codes IND- Individual .00 COM- Recipient Committee 0 0 (other than PTY or 5CC) _ OTE+ Other (e.g., business entity) PTY- Political Party 5CC- Small Contributor Committee .00 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASi -FPPC (866M75.3772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print In Ink. SCHEDULE A Amounts may be rounded Statemem covers period , LIFO . to w�hde dollars. � �' from 1/1/2015 - through 6/30/2015 Page 13 of 92 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. i-0EC. 31} (IF REQUIRED) ❑✓ IND Bob Hildie O COM 05/01/2015 2110 E Palm Canyon Dr Retired $1p4,40 $100.40 Apt C El PTY None Palm Springs, CA 92264-1632 see ZIND Andrew Linsky OCOM Real Estate Sales 04/05/2015 850 N Palm Canyon Dr DOTH Windermere Real $100.00 $100.00 Palm Springs, CA 92262-4424 [:]PTY Estate SCC ZIND Mary Willis []COM 06/30/2015 5 Kavenish Dr OTH Retired $100.00 $1QQ.00 Rancho Mirage, CA 92270-3253 �PTY ]gone see IND William Guilliams �com Health Care - 04/23/2015 2962 Searchlight Ln g � OTH Financial Risk $100.00 $100.00 Palm Springs, CA 92264-6827 ❑ PTA` Management Altegra Health SCC SUBTOTAL $440.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.).................................................................................................................................... .. $14 4 , 12 0.00 COM- Recipient Committee . (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 2 3 . 0 0 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political Party SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $14 7 , 3 4 3 . 0 0 FPPC Form 460 (January/06) FPPC Tollr=ree Helpline: 8661ASK-FPPC (86612764772) Sr hdorlr ilia 0 Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars, Statement covers period , from l / l / 2 D 15 / - through 6/ 3 0/ 2 015 Page 14 of 92 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376 02 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1-DEC. 31) (IF REQUIRED ) Q IND Linda Scaparotti ❑CoM Attorney 04/23/2015 1615 Grand View Dr ❑ OTH Law Offices of $250.00 $250.00 Berkeley, CA 94705-1637 ❑PTY Linda M Scaparotti SCC QIND Keith Kincaid ❑ COM 05/18/2015 2349 S Calle Pala Fierro OTH Retired $100.00 $2Q0.00 Palm Springs, CA 92264-9409 ❑PTY :None sCC ZINC Rick Zbur ❑ coM 06/30/2015 8743 Ashcroft Ave ❑ OTH Executive Director $1r000.00 $1,QOO.QO West Hollywood, CA 90048-1801 ❑PTY Equality California SCC ❑/IND Rick Weingard ❑ COM 05/16/2015 1150 E Palm Canyon Dr Sales $50.00 $175.00 Unit 92 ❑PTY Promotivators Ltd Palm Springs, CA 92264-9191 scC SUBTOTAL $1,400.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period -unitemized monetary contrlbutions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL 'Contributor Codes IND- Individual $14 4 , 12 0 . 0 0 COM- Recipient Committee $ 3 2 2 3 0 0 (other than PTY or SCC) , . OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee $14 7 , 3 4 3 . 0 0 FPPC Form 460 (JanusN mlil FPPC Toll -Free Nelpline, 666lASK-FPPC (686a75-3772) SChedulp A hype or print in Ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received towrholedollars. Statement covers period trom 1/1/2015"!FF— 6/30/2015 NAME OF FILER Geoffthrough Kors for City Council 2015 I.D. NUMBER 1376802 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) IND Q Ron DeHaxte ❑ COM Marketing and 04/28/2015 777 N Palm Canyon Dr ❑ OTH Public Relations $250.00 $250.00 Ste 102 Palm Springs, CA 92262-5534 ❑PTY DeHarte Group, LLC scC ZIND Donald Drapeau ElCoM 05/01/2015 64561 Via Fermato OTH Investor $100.00 Palm Springs, CA 92264-0244 �PTY None$100.00 SCC IND Brad Fuhr ❑ CoM 05/01/2015 231185 Skyview Drive ❑ OTH Online Sales $150.00 $150.00 Palm Springs, CA 92264 ❑PTY Brad Fuhr SCC ZIND Mark Marshall OCOM 04/24/2015 1968 E Chia Rd OTH Advisor $250.00 $250.00 Palm Springs, CA 92262-5342 EIPTY Mark Mars ark Marshall scC SUBTOTAL $750.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL "Contributor Codes IND- Individual $14 4 , 12 0 . 0 0 COM- Recipient Committee $ 3 223.00 (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee 00 FPPC Forrn "0 WanuarY/06) FPPC Tali -Free kelpline: 866/ASK-FPPC (86W275-3T72) $147,343 Air-haritila A Type or print in ink. SCHEDULE Amounts amy be rounded Monetary Contributions Received to whole dollam. Statement corners Period CALIFORNIA 460 h«.► 1/1/2015 through 6/ 3 0/ 2 015 Page 16 of 92 NAME OF LER I.D. NUMBER Geoff Kars for City Council 2015 1376 02 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER LQ. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED *HIS CALENDAR YEAR TO DATE OF BUSINESS) - PERIOD (JAN. 1-0EC. 31) (IF REQUIRED Q IND Chad Gardner ❑ COM Hospitality 04/24/2015 1764 Zafiro Ct ❑ OTH Dash and a Handful $500.00 $1,000.00 Palm Springs, CA 92264-6808 ❑ PTY Inc SCC OIND David Pence ❑CoM 05/08/2015 3687 Mykonos Ct ❑ OTH Retired $500.00 $500.00 Boca Raton, FL 33487-1294 ❑pTy .None SCC ZIND Linda Heidinger ❑ CoM 06/29/2015 1251 S Paseo De Marcia ❑ OTH CFO $250.00 $500.00 Palm Springs, CA 92264-8535 ❑ PTY LEA inc SCC QIND Becky Salato ❑ COM Education 04/22/2015 1746 Scottsdale Rd ❑ OTH Consultant $100.40 $100.00 Beaumont, CA 92223-8554 El PTY Action Learning Systems SCC SUBTOTAL $1,350.00 Schedule A Summary I. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)......................................:................. TOTAL $144,120 'Contributor Codes IND- Individual Q p COM- Recipient Committee Q 44 (other than PTY or SCC) _ OT1 - Other (e.g., business entity) PTY- PolRical Party SCC- Small Cazlrlbutor Committee $ 14 7 , 3 4 3 . 0 0 FPPC Form 460 (Januaryl06) FPPC Toll -Free Helptine: 6661ASK-FPPC (StitU276-3772) $3,223 Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period , • ' to whole dollars. ft0F, 1/1/2015 # - through 6/ 3 0/ 2 015 Page 17 of 92 I.D. NUMBER II-rrann DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER 1.D, NUMBER) CODE' OCCUPATION AND EMPLOYER ((F SELF-EMPLOYED. NAME RECEIVED THIS CALENDAR YEAR TO DATE OF susiNEss) BUSINESS) PERIOD (3AN. 1.OEC. 31) (IF REQUIRED ) ❑✓ IND David Feltman ❑ CoM 06/17/2015 1076 E Deepwell Rd ❑ OTH Consultant $500.00 $500.00 Palm Springs, CA 92264-8563 ❑pTY David Feltman SCC Q IND Richard Foglia ❑ coM 06/10/2015 354 Castro St OTH Retired $100.00 $100.00 San Francisco, CA 94114-1571 El PTY None SCC IND Anne Stanback ❑ coM 04/23/2015 44 Wright Dr ❑ OTH Manager/Director $100.00 $100.00 Avon, CT 06001-2106 ❑P�, Equality Federation SCC OIND Mary Jo Potts ❑ CoM 06/16/2015 838 W Stevens Rd ❑ OTH Retired $100.00 $100.00 Palm Springs, CA 92262-4131 ❑ PTY None SCC SUBTOTAL $800.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 D COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 2 3 . 0 D OTH- Other (e.g., business erdity) 3. Total monetary contributions received this period. PTY- Political PartySCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $147, 3 43 . 00 FPPC Form 460 (JanuaryI051 FPPC Toll -Free Helpline: 8661ASK-FPPC (86612764T72) Schedule A Monetary Contributions Received Geoff Kors for City Council Z015 Type or print In ink. Amounhs may be rounded to whole dollars. SCHEDULE A statement covers perm CALIFORNIA from 1/1/2015 FORM 46 through 6/30/2015 Page 18 of 92 I.D. NVMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 1-D EC. 31) (IF REQUIRED) Q IND Scott Davenport ❑ COM Non—profit 04/23/2015 3659 Serenity Tzl [:]OTH Executive $1,000.00 $1,000.00 Palm Springs, CA 92262-9774 ❑PTY Freedom to Marry SCC OIND Andrew Knox ❑COM 04/13/2015 2695 N Rahada Rd ❑ OTH Owner $50.00 $150.00 Palm Springs, CA 92262-2518 E]PTY Lifestyle LLC SCC 2 IND Lia Shigemura ❑ COM Human Resources 04/23/2015 2 Binnacle H1 ❑ OTH Consultant $100.00 $100.00 Oakland, CA 94618-2310 El PTY Lia Shigemura SCC R]IND Robert Van Roo ❑ COM Alternative 04/02/2015 611 S Palm Canyon Dr ❑ OTH Medicine Consultant $2,500.00 $ 2 , 5 0 0 . 0 D Palm Springs, CA 92264-7213 [ PTY PSSA SCC SUBTOTAL $3,650.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0.00 COM- Recipient Committee (other than PTY Dr SCC) 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 2 3 . 00 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political Party SCC- Small Cor0butor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $14 7 , 3 4 3 . 0 0 FPPC Form 460 tJanuaryl65) FPPC Toll -Free Helpline: 866fASK.FPPC (8661276-3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. staternent covers period CALIFORNIA 460 tram 1 / 1 / 2 015FORM through 6/ 3 0/ 2 015 Page 19 of 92 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376 02 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, FLUTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OFauSMEss) PERIOD (A N. 1-DEC.31) (IF REQ:JIRED ) ✓❑IND Lynn Hammond ❑ COM 04/28/2015 1775 E? Palm Canyon Dr ❑ OTH Hostess/Caterer $230.00 $250.DD Ste 110 ❑PTY Lynn Hammond Palm Springs, CA 92264-1623 SCC QIND Charles Robbins LjCOM Fundraiser 03/20/2015 5821 Cantaloupe Ave ❑ OTH The Village Family $500.00 $500.00 Van Nuys, CA 91401-4311 ❑PTY Services scC ❑� IND Elie Kurpiewski ❑ COM 04/13/2015 69572 Huerta Ct OTH Retired $50.00 $100.40 Rancho Mirage, CA 92270-1223 ❑PTY rJone SCC QIND Fred Karger ❑COM 06/29/2015 2745 Woodstock Rd OTH :Retired $100.00 $100.00 Los Angeles, CA 90046-1118 El PTY None SCC SUBTOTAL $900.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL 'Contributor Codes IND- Individual $14 4 , 12 0 . 0 0 COM- Recipient Committee $ 3 , 2 2 3 . 0 0 (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee $ 14 7 , 3 4 3 . 0 0 FPPC Foun 40 (Januaryl06) FPPC TAI-Free Helpline: SWASK-FPPC (86612763772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period from 1/1/2015 through 6/ 3 0/ 2 015 Page 20 of 92 NAME OF FILER Geoff Kors for City Council 2015 11376802 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF.EM PLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 7-0EC. 31) (IF REQUIRED) IND Larry DaSilva ❑ COM 04/05/2015 2366 S Camino Real ❑ OTH Retired $250.00 $250.00 Palm Springs, CA 92264-9419 El PTY None SCC Z IND Murray Kors ❑ CoM 04/27/2015 780 East Barristo Road ❑ OTH Retired $10,000.00 Palm Springs, CA 92262 �PTy None SCC ZIND Jim Patrick FlCOM 04/25/2015 1411 S Paseo De Marcia ❑ OTH Retired $50.00 $150.00 Palm Springs, CA 92264-8532 ❑PTY None SCC OIND Robert Algeni []COM Sr. Account 12D5 Pacific Hwy 04/28/2015 Unit 3103 L]OTH Executive $200-00 $200.00 San Diego, CA 92101-8467 ❑PTY Island Pacific SCC SUBTOTAL $l0,500.00 Schedule A Summary Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 120 2. Amount received this period-lnitemized monetary contributions of less than$100......................................................... 3. Total monetary contributions received this period. (Add Lines t and 2. Enter here on the Summary Page, Column A, Line t.)........................................................ TOTAL $3,223 $147,343 "Contributor Codes IND- Individual .00 COM- Recipient Committee 0 0 (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee 00 FPPC Form 460 (JanLwVJ05) FPPC Toll -Free Helpiine: 8861ASK-FPPC 18661275.3772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print In ink. Amounts may be rounded to whole dollars. SCHEDULE A Staternent covers period , From 1/1/2015 through 6/ 3 0/ 2 015 Page 21 of 92 I.D. NUMBER l 9 7 '7 r a rl l) DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER LD. NUMBER) CODE • OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR TO DATE (IF REQUIRED) OF BUSINESS) (JAN- 1-0EC.31) R]IND Pete Elting ❑ CoM 04/23/Z015 778 Rhode Island St ❑ OTH Retired $100.00 $100.00 San Francisco, CA 94107-2630 ❑PTY *lone SCC IND Robert Wong ❑COM 06/24/2015 2389 S Calle Palo Fierro ❑ OTH Retired $120.00 $120.00 Palm Springs, CA 92264-9409 �PTY None SCC Q IND Peter Rittenhouse ❑ COM 06/24/2015 4760 N Winners Cir Nonprofit Exeutive $100.00 $100.00 Unit D ❑OTH PTY Peter Rittenhouse Palm Springs, CA 92264-5667 SCC ❑ IND David Bohnett ❑ COM 04/23/2015 245 S Beverly Dr L]OTH :Investor $500.00 $500.00 Beverly Hills, CA 90212-3B07 ❑YPT 13aroda Ventures LLC SCC SUBTOTAL $820.00 Schedule A Summary •GorltriputgrCodes 1. Amount received this period -itemized monetary contributions. IND Individual (include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 D COM- Redpient Committee (othar than PTY Dr SCC) 2. Amount received this period -unitemized monetary contributions of less than$100............................ I............................. $ 3 , 2 2 3 . Q D OTH- Other (e.g., business entity) 3. Total monetary contributions received this period, PTY- Poldiral PartySCC- small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $147, 3 43 . 00 FPPC Form460 (Januaryl06) FPPC Toll -Free Helpline: 8661ASK-FPPC 486612753772) Schedule A Type or print in Ink. SCHEDULE A - - - - - Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA ,, 1I1/2015 - through 6/30/2015 Page 22 of 92 NAME OF FILER Geoff Kors for City Council 2015 11376802 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 1DEC.31) (IF REQUIRED) Z IND Kelly Ferrero []COM 06/02/2015 211D N Starr Rd OTH Owner $1,500.00 $2,500.00 Palm Springs, CA 92262-3034 �PTY Hro, Inc. Fj SCC ❑ IND Susan McCabe [_]COM Strategic 04/18/2015 122 Voyage Mall [:]OTH Consultant $1,000.00 $1,000.00 Marina Del Rey, CA 90292-7296 [—]PTY McCabe & Company 5CC IND Jim C. Hormel []COM 05/08/2015 19 Sutter St COTH Chairperson $500.00 $500.00 San Francisco, CA 94104-4901 �PTY �quidex, Inc SCC Q IND Kenny Cassady �CDM Director Business 04/04/2015 1840 S Barona Rd []07H Development $250.00 $250.00 Palm Springs, CA 92264-4860 El PTY Horne s SCC SUBTOTAL $3,25Q.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $144,120 $3,223 $147,343 'Contributor Codes IND- Individual 00 GOM- Recipient Committee 00 (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee 0 0 FPPC Form 460 (Januaryro5] FPPC Tall -Free Helpline: 8661ASK-FPPC (8661 6-3772) scnAdt,ia a Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period , • - , ' from1/1/zo15 , • - through 6/ 3 0/ 2 015 Page 23 of 92 NAME OF FILER Geoff Kors for City Council 2D15 I.D. NUMBER 1376802 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN, 1-DEC. 31) (IF REQUIRED) ❑✓ IND David Lawson O COM 04/20/2015 167 Hamerton Ave ❑ OTH Attorney $1,000.40 $1,000.40 San Francisco, CA 94131-3227 El PTY Genentech, Inc. SCC ZIND Carl Baker DCOM 04/21/2015 1391 E Padua Way ❑ OTH Attorney $50-00 $200.00 Palm Springs, CA 92262-2315 ❑P� Bank of America SCC ZIND Sy Young ❑ COM Physician 03/20/2015 847 N Topaz Cis E]OTH Eisenhower Medical $1,000.00 $1,004.00 Palm Springs, CA 92262-4328 ❑PTY Associates SCC O IND Peter Brooks F]COM 04/23/2015 3492 E Loma Vista Cir ❑ OTH Manager $500.00 $500.00 Palm Springs, CA 92264-3528 ❑PTY PSRA SCC SUBTOTAL $2, 550. 00 Schedule A Summary "Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)., ....................$14 4 , 12 0 . 0 0 COM- Recipient Committee ........................................................................................................ 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2, Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $3, 223 . 00 (other than PTY or SCC) bTH- Other (e.g., business entity) PTY- Political Party SCG Small Contributor Committee $ 14 7 , 3 4 3 . 0 0 FPPC Form 488 fianuary1061 FPPC Toll -Free Helptine: BGWASK-FPPC (8881276.3TT2) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period CALIFORNIA I 6 from 1/l/2015 FORM through 6/30/2015 Page 24 of 92 IA- NUMBIrR DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE " OCCUPATION AND EMPLOYER ER NAMe (IF SELF-EOF RECEIVED THIS CALENDAR YEAR TO DATE BUerNess PERIOD (,BAN. 1-DEC. 31) (IF REQUIRED) Q IND Robert Holgate ❑COM Designer 06/16/2015 74 Brady St Unit 7 ❑ OTH Robert Holgate $250.00 $250.00 San Francisco, CA 94103-5400 ❑PTY Design SCC IND Laura O'Kane ❑ COM 06/30/2015 140 N Luring Dr OTH Attorney $1,000.00 $1,000.00 Ste E ❑PTY O'Kane & McKee, LLP Palm Springs, CA 92262-6841 scC ZIND Sylvia Zelnys ❑ CoM 05/01/2015 2449 E Sonora Rd ❑ OTH Retired $140.00 $100.00 Palm Springs, CA 92264-8680 ❑PTY None SCC ❑✓ IND William Dickey ❑ COM 03/17/2015 4824 NE 42nd Ave OTH Owner $1,000.00 $1,000.00 Portland, OR 97218-1661 ❑ PTY Morel Inc. SCC SUBTOTAL $2,350.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4, 120 . 00 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 2 3 . 0 0 OTt} Other (e.g., business erdity) 3. Total monetary contributions received this period. M- Polit cal Party SCC- Small Contributor Committee (Add Lines I and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $147 , 3 4 3 . 0 0 FPPC Form 490 (January/Os) FPPC Toll -Free Heipline: SWASK-FPPC (Gt(n76.5772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period • ' I. from 1/1/2015 • through &/ 3 0/ 2 015 Page 2 5 of 9 2 NAME OF FILER Geoff Fors for City Council 2015 I.D. NUMBER 1376 02 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF aELF-EUPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) ❑IND Louise Hampton ❑CoM 04/08/2015 242 W Mountain View Pl F]OTH Real Estate $250.00 $250.00 Palm Springs, CA 92262-5670 ❑PTY Berkshire Hathaway 5CC Q IND Bill Scheffler ❑ COM 06/30/2015 3220 Avenida Sevilla OTH Retired $1,000.00 $1,000.00 Palm Springs, CA 92264-0277 ❑PTY None scc IND Donna King ❑ GOM Executive Director 04/22/2015 1492 Sunflower Cir S ❑ OTH Hanson House $25.00 $225-00 Palm Springs, CA 92262-1766 ❑PTY Foundation 5CC Q IND Joseph Hoffman ❑ CoM 04/06/2015 2420 S Alhambra Dr ❑ OTH Retired $200.00 $200.00 Palm Springs, CA 92264-9402 ❑ PTY None SCC SUBTOTAL $1,475.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1,)........................................................ TOTAL 'Contributor Codes IND- Individual $14 4 , 12 0 . 0 0 COM- Recipient Committee $ 3 2 2 3 0 0 (other than PTY or SCC) , . OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee $14 7, 3 4 3. 0 0 FPPC Form 460 (January106) FPPC Toll -Free Helpiine: 866IASK-FPPC (868/Y784772) SrhArhda A Type or print in inks. SCHEDULE A Anmrmts may be rounded Monetary Contributions Received to whole dollars. Statemen! covers period , 1 a ' from 1/l/2015 a a through 6/30/2015 Page 26 of 92 NAME OF FILER Geoff Kors for City Council 2015 11376802 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED, ENTFIR NAME OF BuaINES&} PERIOD (JAN_ 1-DEC_ 31) (IF REQUIRED) QIND Craig Edwards COM Real Estate 04/29/2015 611 N Dry Falls Rd OTH Developer $250.00 $250.00 Palm Springs, CA 92262-4315 EIPTY Craig Edwards SCC Q IND Thomas Cowley DCOM 04/30/2015 1212 Tamarisk West St [:]OTH Interior Designer $100.00 $100.00 Rancho Mirage, CA 92270-2535 El PTY Thomas Cowley SCC Z IND Robert R 'Thorson DCOM 05/18/2015 1225 E Rd Dee well p � oTH Retired $200.00 $200.00 Palm Springs, CA 92264-8500 El PTY None scC R]IND Ruth Debra ❑ COM 04/29/2015 1165 N Sunrise Way E10 Retailer $100.00 $100.00 Palm Springs, CA 92262-5310 El PTY Ruth Debra SCC SUBTOTAL $650.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recoent committee 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line1.)........................................................ TOTAL $ 3 , 2 2 3 . 0 0 (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee $ 14 7 , 3 4 3 . 0 0 FPPC Form 460 (Januarylo6) FPPC Toll -Free Helpline: N WASK-FPPC (866127647nl Schedule A Monetary Contributions Received Geoff hors for City Council 2015 Type or print in ink. Amounts may be rounded tow hole dollars. covers period from 1/l/2015 through 6 / 3 0 / 2 015 SCHEDULE A Page 27 of 92 I.Q. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER {IFSELF-EMPLOYEO, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 1-0EC. 31) (!F REQUIRED) IND Ron Wallen []COM 04/07/2015 2B33 Sundance Cir W ❑ OTH Retired $100.00 $200.00 Palm Springs, CA 92262-2053 �PTY None SCC 0 IND Gary Hiatt E]COM 04/08/2015 550 Camino Norte EIOTH Retired $1,000.00 $1,Ofl0.00 Palm Springs, CA 92262-4216 �PTY *lone sCC ZIND Denise L. Nelson EICOM 05/18/2015 580 N Arquilla Rd ❑ OTH Retired $50.00 $100.00 Palm Springs, CA 92262-6181 El PTY None Fj SCC []✓ IND Marc Salomon 250 W 5t ❑ COM National Campaign 06/30/2015 Apt 14K ❑ OTH ;Director $500.00 $500.00 New York, NY 10011-4091 ❑PTY :Freedom to Marry sCC SUBTOTAL $1,650.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.) ....................................................................................................................................... $14 4 , 120 . 00 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 23 . 00 OTH- Other (e.g., business entity) 3- Total monetary contributions received this period. PTY- Political Party sec- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $147 , 3 4 3 . 00 FPPC Form 460(danuaryl06) FPPC Toll -Free Helpline: 8861ASK-FPPC (M/275-3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers perlad CALIFORNIA 4 •01 trorrl 1/1/2015 FORM through 6/ 3 0/ 2 015 Page 28 of 92 NAME OFF FILER Geoff Kars for City Council 2015 I.D. NUMBER 1376 02 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IFSELF-EMPLOYED, ENFER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF eUSINESs} PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) QIND James Gazan Elcom 04/13/2015 1885 E.Ramon Road ❑ OTH Retired $100.00 $100.00 Apt 204 El PTY None Palm Springs, CA 92264-7908 scC ❑✓ IND Masen Davis ❑ COM Nonprofit 03/31/2015 66 Camellia Ave ❑OTH Consultant $100.00 $100.00 San Francisco, CA 94112-1514 ❑PTY Masen Davis scC OIND Scott Palermo ❑ COM 05/07/2015 496 Paseo Soleado ❑ OTH Real Estate Agent $250.00 S250.00 Palm Springs, CA 92264-8477 ❑PTY Scott Palermo SCC Q IND Jesse Dorsey ❑COM 04/04/2015 1950 Fan Palm WayOTH � Retired $100.00 $100.00 Palm Springs, CA 92262-8858 ❑PTY None SCC SUBTOTAL $55D.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.). ....................................................................................... ......................... ................... ... $14 4 , 12 0 . 0 0 COM- Redpient Committee 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions teceived this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $3,223 $147,343 0 D (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Political Pally SCC- Small Contributor Committee 0 0 FPPC Form 460 {January105) FPPC ToII.Free Helpline, 886JASK-FPPC;8661275-3772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or prim In Ink. SCHEDULE A Arnounb5 may be rounded Statemerrt Covers period 'CALIFORNIA to rrhole dollars. � •' from 1/1/2015 • - through 6/ 3 0/ 2 015 Page 29 of 92 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRISIJTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENMR NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN- t-DEC. 31) (IF REQUIRED) QIND Douglas MOrton DCOM Executive Director 04/28/2015 3062 N Greg Cir ❑oTH Temple Isaiah Jewish Community $50.00 $100.00 Palm Springs, CA 92262-2439 ❑PTY Center of Palm SCC Springs RJIND Brian Healey ❑COM 04/30/2015 1660 5 La Reina Way �OTH Therapist $100.00 $100.00 Apt 2A PTY ❑ Brian Healey Palm Springs, CA 92264-8664 SCC Marshal Isaacsn✓IND �COM Emergency Physician 05/26/2D15 1400 Hi Line Dr University of Texas $1,000.00 $1,000.00 Apt 2211 Southwestern Dallas, TX 75207-3453 F]PTY Medical Center at �SCC Dallas Q IND 12ick Weingard ElCOM 06/30/2015 1150 E Palm Canyon Dr ❑ OTH Sales $25.00 $175.00 Unit 92 ❑ Promotivators Ltd Palm Springs, CA 92264-9191 SCC SUBTOTAL $1,175.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Indvidual (include all Schedule Asubtotals.)............................................................................................................................ $144 120 00 COM- RecipientCommittee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3, 223 . 00 OTI+ Other (e.g., businese entity) 3. Total monetary contributions received this period. PTY- Political PartySCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $147 , 3 4 3 . 00 FPPC Form 460 (January106) FPPC Toll -Free Helpline: tr681ASK-FPPC (8661276.3772) .-har'lida rs Type or print in ink. SCHEDULE A — — -- Amounts may be rounded Monetary Contributions Received towhole dollars. Statement covers period from 1/1/2015 through 6/ 3 0/ 2 015 Page 30 of 92 NAME OF FILER Geoff Kors for City Council 2015 LD.NUMBER 11376802 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) IND Barbara Hawkins Villani COM 04/16/2015 1028 E San Lorenzo Rd OTH Retired $25.00 $100.00 Palm Springs, CA 92264-8114 []PTY None scc ❑ IND Keith Markovitz [:]COM 06/28/2015 1277 S Riverside Dr [:]OTH Realtor $500.00 $500.00 Palm Springs, CA 92264-8156 OPTY Keith Morkovitz SCC Q INC Adam Press []COM 03/19/2015 2100 Castilian Dr OTH Retired $2,500.00 $2,500.00 Las Angeles, CA 9006B-2611 OPTY None SCC ZIND Sanford Edelstein COM 06/30/2015 677 E Sierra Way OTH Loan Officer $200.00 $20Q.QD Palm Springs, CA 92264-9065 �PTY :Prospect Mortgage SCC SUBTOTAL $3,225.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here an the Summary Page; Column A, Line 1.)........................................................ TOTAL $144,120 'Contributor Codes IND- Individual 00 COM- Recipient Committee 0 0 (other than PTY or SCC) 0 OTH- Other (e.g., business entity) PTY- RNi ical Party SCC- Small Contributor Committee $14 7, 3 4 3. 0 0 FPPC Forth 460 (January106) FPPC 76II.Free Helpiine_ 11IMASK-FPPC (UM76-3772) $3,223 Schedule A Monetary Contributions Received Geoff Coors for City Council 2015 Type or print in Ink. SCHEDULE A Amounts may be rounded Statement covers P ad ' to ui"e dollars. ALIFORNIA from l/l/2015 FORM through 6/ 3 0/ 2 015 Page 31 of 92 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF $ELF EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF SUSINESSJ PERIOD (JAN. 1-DEC, 31) (IF REQUIRED) IND Jack Woods COM 04/06/2015 424 Terno Ln OTH Retired $1,000.00 $1,250.00 Palm Springs, CA 92262-0582 El PTY None see IND Mark Nichols B East Tachevah Drive �COM Interior Designer 04/21/2015 Suit Suit e 115 �OTH Mark Nichols Modern $500.00 $500.00 Palm Springs, CA 92262-7900 El PTY Interiors, Inc. 5CC Q IND Carl Baker D COM 03/24/2015 1391 E Padua Way UOTH Attorney $150.00 $200.00 Palm Springs, CA 92262-2315 �PTY Bank of America 5CC E]IND Brien O'Brien ECO 03/16/2015 515 N Palm Canyon Dr OTH Owner $250.00 $250.00 Ste A2 �PTY Brien O'Brien Salon Palm Springs, CA 92262-5505 SCC SUBTOTAL $1,900.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals) ........................ $14 4 12 0 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$1 00.......................................................... $ 3 , 2 2 3 . 0 0 OTF4 Other (e.g., businesa entity) 3. Total monetary contributions received this period. PTY- Political Party SCG Small Contrlbutor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $14 7 , 3 4 3 . 0 0 FPPC Form 460 (January106) FPPC Totl-Free Helpline. 8661ASK-FPPC (86OM76.3772) RChwhilP 0 Type or print in ink. SCHEDULE A - - - - - Amounts may be rounded Monetary Contributions Received tow�holedollars.ley Statement covers period • . , � from l/l/2015 9 • -ITI through 6/ 3 0/ 2 015 Page 32 of 92 NAME OF FILER Geoff Kors for City Council 2015 I.D. NUMBER 1376802 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IFSErF-EMPLOYEO ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF eUSINESSj PERIOD (.AN. 1-DEC. 3T} (IF REQUIRED) IND Debra Moses ❑COM 04/24/2015 425 1st St ❑ OTH PR Consultant $1,000.00 $1,000.00 Unit 4901 ❑PTY SpeakNow, Inc San Francisco, CA 94105-4661 $cc Q IND Wayne DeWilde ❑ co 03/18/2015 1430 Willamette St L]OT Investor $250.00 $250.00 # 444 OPTY DeWilde Properties Eugene, OR 97401-4049 SCC IND Harold Sall [:]COM 06/03/2015 2078 S Chico Dr OTH Retired $250.00 $250.00 Palm Springs, CA 92264-9214 DPTY None F-Iscr, Q IND 1 Eric Shay E Palm Canyon Dr ❑COM Executive Director 06/16/2015 10- 320 10- ❑ OTH Cabot's Pueblo $250-00 $500.Q0 Palm Springs, CA 92264-1613 ❑PTY Museum SCC SUBTOTAL $1,750.00 Schedule A Summary 'ContrlbutOT Codes 1. Amount received this period -Re mined monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recoent Committee (other than PTY or SCC) 2. Amount received this period-tnitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary page, Column A, line 1.)........................................................ TOTAL $ 3, 2 2 3. 0 0 OTH- Other(- 9 business entity) $147,343 PTY- Poldical Patty SCC- Small Contributor Committee 00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline., SWASK-FPPC (BBti12753772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink. SCHEDULE A Amounhe may be rounded statement covers period CALIFORNIA to whole dollars. from 1/1/201.5 FORM through 6/ 3 0/ 2 0 15 Page 33 of 92 .D. NUMBER 11^-n DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER E.D. NUMBER) CODE' OCCUPATION AND EMPLOYER OF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS] PERIOD (JAN_ 1-DEC. 31) (IF REQUIRED) INC) Jessey Gilbertson ❑ cOM 04/23/2015 2492 S Palm Canyon Dr ❑ OTH Personal Trainer $250.00 $250.00 Palm Springs, CA 92264-9329 OPTY Jessey Gilbertson SCC Q IND Randall Ahrens []COM Management 03/18/2015 1432 S Calle De Maria BOTH Consultant $250.00 $250.00 Palm Springs, CA 92264-8589 ❑PTY ]Randall Ahrens Fj SCC IND Ron Wallen �COM 05/08/2015 2833 Sundance Cir W ❑ OTH Retired $200.00 Palm Springs, CA 92262-2053 ❑PTY None SCC O INC) Mark Jones E Tahquitz Canyon Way ❑ COM Principal 04/30/2015 Ste 2D3 Ste ❑ OTH Brighthaus $100.00 $100.00 Palm Springs, CA 92262-6464 ❑PTY Marketing SCC SUBTOTAL $700.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 23 . 0 0 OTH- Other (e.g., business entity) 3. Total monetary contributions received thisperiod. PTY- Political PartySCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........ ................................. -............. TOTAL $14 7 , 3 43 . 0 0 FPPC Form 460 (January106) FPPC Toll -Free Helpline: OWASK-FPPC (868/275-3772) Schedules a► Type or print In ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period , ' �„h 1/1/2015 • - through 6/ 3 0/ 2 015 Page 3 4 of 9 2 NAME OF FILER Geoff Kors for City Council 2015 i.D.NUMBER 1376 02 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE CF BUSINM) pERl06 (JAN. 1-DEC. 31) (IF REQUIRED ) IND Don Huneke []COM 04/13/2015 2250 S YO5emite Dr ❑ oTH Retired $200.00 $200.00 Palm Springs, CA 92264-9442 ❑PTY None scC R]IND Jonathan Rosenblatt ❑ COM Sales Manager 04/26/2015 1010 S Manzanita Ave �OTH Horizon Technology, $100.00 $100.00 Palm Springs, CA 92264-5118 �PTY Inc SCC Q IND Patrick Mundt [:]COM 04/05/2015 210 E Arenas Rd �OTH Not Employed $100.00 $100.00 Palm Springs, CA 92262-6632 �PTY None SCC IND Robert Mahlowitz �COM Attorney 246 St 03/29/2015 1402nd Apt 14D1 ❑ OTH City of Livermore, Y $250.00 $250.00 San Francisco, CA 94105-3150 ❑PTY California SCC SUBTOTAL $650.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period -unitemized monetary contributions of less than$160.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1_)........................................................ TOTAL $144,120 $3,223 $147,343 "Contributor Codes IND- Individual . 0 0 COM- Recipient Committee .00 D0 (other than PTY of SCC) OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee OD FPPC Form 480 (Januaryl05) FPPC Tell -Free Helplim: 86$/ASK-FPPC (866I276-3772) Schedule A Monetary Contributions Received Geoff Kors For City Council 2015 Type or prim in ink. Amounts may be rounded to whole dollars. SCHEDULE A statement covers period ;CALIFORNIA from 1/1/2015 FORM 46 through 6/ 3 0/ 2 015 Page 35 of 9 2 I.D. NUMBER I1 "� -?carn1) DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER i.0. NUMBER) CODE OCCUPATION AND EMPLOYER (IFSELF-EMPLCYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 1-0EC. 31) (If REQUIRED) INC) Tim Hohmeier [JCOM 04/13/2015 1387 Call De Maria OTH Retired $2,500.00 $2,500.00 Palm Springs, CA 92264 OPTY None SCC QIND Kirk Hahn ❑ COM 05/03/2015 400 Beale St E]OTH Physician $250.00 $250.00 Apt 603 ❑PTM Kaiser Permanence San Francisco, CA 94105-4415 5CC ZIND Chris Carnes [—]COM 06/25/2015 61 Taylor Place �OTH online marketing $100.00 $100.00 Bethel Island, CA 94511 �PTY Chris Carnes SCC Q IND Lesley Weaver ElCOM 04/28/2015 2206 9th Ave DOTH Attorney $250.00 $250.00 Oakland, CA 94606-2614 El PTY Block & Leviton LLP SCC SUBTOTAL $3,100.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND - Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recipient Committee (other then PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 23 . 00 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political PartySCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)..................................................... TOTAL $147, 3 43 . 00 FPPC Form 460 (January105) FPPC Toll -Free Helpline: BBBIASK-FPPC (BB61278.3772) Reharlrila A Type or print in ink SCHEDULE A ""• " ''" • • Amounts may be rounded Monetary Contributions Received towhole dollars. Statement covers period CALIFORNIA 460 tram 1/1/2015FORM _ through 6/ 3 0/ 2 015 Page 36 of 92 NAME F FILER I.D. NUMBER 11376802 Geoff Kors for City Council 2015 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE.. ALSO ENTER I.D. NUMBER) CODE" OCCUPATION AND EMPLOYER RECEIVEDTHIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS} PERIOD (JAN. 14XG. 31) (IF REQUIRED) ❑IND Philip Katcher ❑ CDM 04/18/2015 611 S Palm Canyon Dr OTH Travel Agent $100.00 $100.00 7-447 0 Philip Katcher Palm Springs, CA 92264-7213 scc Z IND Allison Jones ❑ CoM 06/30/2015 1112 Village Ct ❑ OTH Retired $500.00 $500.00 Palm Springs, CA 92262-4982 ❑PTY None SCC IND Devin Wim ❑ Com Pharmaceutical 03/17/2015 1717 E Vistasta Chino ❑ OTH Consultant $100.00 $100.00 A7-207 ❑PTY Devin Wimmer Palm Springs, CA 92262-3559 SCC Q IND Kay Hazen ❑ COM 06/29/2015 1111 E San Jacinto Way ❑ OTH Consultant $100.00 $100.00 Palm Springs, CA 92262-5858 ❑PTY KH and Company scc SUBTOTAL $800.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions;. (Include all Schedule A subtotals.)............................................................................................................... ........................ 2. Amount received this period-unitemizedl monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $144,120 'Contributor Codes IND- Individual 00 COM- Recoent Committee 0 0 (other than PTY or SCC) OTI+ Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee $14 7, 3 4 3. 0 0 FPPC Form 460 (Januaryl06) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) $3,223 Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink. SCHEDULE A Amounts may be rounded Stetemerd Covers pefilad--'CALIFORNIA to whole dollars. ■ from 1/1/2Q15FORM through 6/ 3 0/ 2 015 Page 37 of 92 .D. NUMBER y o�cn n� DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE " OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENrER MAUF RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) QIND Barbara Hawkins Villani 000M 05/01/2015 1028 E San Lorenzo Rd DOTH Retired $75.00 $1Q0.00 Palm Springs, CA 92264-8114 �PTY Done SCC QIND Stephen Winters []COM 03/27/2015 910 N Lake Shore Dr OTH Not Employed $500.00 $500.00 Apt 2419 PTY Q None Chicago, IL 60611-1561 sec IND Democrats of the Desert QCOM 05/26J2015 5429 Madison Ave OTH $250.00 $250.00 Sacramento, CA 95841-3111 El PTY ID: 870135 SCC Q IND Darrel PP �COM Chief Development 06/28/2015 Unit S Palmalm Canyon Dr Unit B �OTH Officer $100.00 $160.00 Palm Springs, CA 92264-9368 ❑PTA' Desert AIDS Project SCC SUBTOTAL $925.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.) .................... ........................................................... $14 4 , 12 Q 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3 r 2 2 3 . 0 0 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political Party SCC- Small Contributor Committee (Add tines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)......................... TOTAL $14 7 , 3 4 3 .0 0 FPPC Form 400 (January/Os, FPPC Toll -Free Helpline: 8661ASK-FPPC (86&276-3772) Schedule A Type w prird in ink. SCHEDULE A Armmints may be rounded Monetary Contributions Received tow�holedollars. Statement covers period CALIFORNIA . 460 from 1/l/2015 FORM through 6/ 3 0/ 2 015 Page 38 of 92 NAME OF FILER Geoff Kors for City Council 2015 LO.NUMBER 1376802 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELFEMPLOYEO, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) �J IND Osmundo Saguil ❑CoM Physician 04/14/2015 28 Lakeview Cir OTH desert Oasis $500.00 $500.00 Palm Springs, CA 92264-5508 PTY Healthcare SCC QIND Mark Hamilton []COM 03/30/2015 1577 N Rose Ave OTH Retired $1,000.00 $1,000.00 Palm Springs, CA 92262-4152 OPTY �1one scC ZIND Pjetur Sigurdson 000M 03/30/2015 1499 E Via Estrella �OTH Retail $500.00 $750.00 Palm Springs, CA 92264-9536 �]PTY Hollywood Home SCC Q IND James Selsor F]COM 06/16/2015 838 W Stevens Rd OTH Retired $100.00 $100.00 Palm Springs, CA 92262-4131 El PTY None SCC SUBTOTAL $2,100.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period-unhemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL 'Contributor Codes IND- Individual $14 4 , 12 0 . 00 COM- Redpient Committee (other than PTY or SCC) $ 3, 2 2 3. 0 0 i OTH- Other (e.g., businese errtity) PTY- Political Party SCC- Small Contributor Committee $ 14 7 , 3 4 3 , 0 0 FPPC Form 460 (January105) FPPC Toll -I me Helpline: WWASK-FPPC (866r275-3772) Schedule A Monetary Contributions Received Geoff Kors fox City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period CALIFORNIA from 1/1/2015 FORM thm,oh 6/30/2015 Page 39 of 92 1.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SElF-EIAPLOYED, ENTER TAME RECEIVED THIS CALENDAR YEAR TO DATE OFeUSIWE&S) PERIOD (JAN. 1-DEC.31) (IF REQUIRED) QIND Darrel Tucci Unit S Palm Canyon Dr �] COM Chief Development 03/17/2015 Unit B �OTH officer $25.00 $160.00 Palm Springs, CA 92264-9368 ❑PTY Desert AIDS Project SCC FIND A La Mod, Inc. ElCOM 05/16/2015 844 N Palm Canyon Dr ❑✓ OTH $250.00 $250.00 Palm Springs, CA 92262-4424 []PTY SCC ❑ti/IND Richard Colbert 7COM 03/30/2015 8149 Santa Monica Blvd LOTH Executive $250.00 $350.00 # 480 PTY PPI Releasing LLC West Hollywood,El ywoodCA 90046-4912 scc W] IND William D Kindston ElcoM 06/28/2015 1440 Olga Way �OTH Retired $100.00 $100.00 Palm Springs, CA 92262-3404 PT El PTY None SCC SUBTOTAL $625.00 Schedule A SummaN •Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $144 , 120 . 00 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period --unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 2 3 . 0 0 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political PartySCC- Smell Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, tine 1.)........................................................ TOTAL $147 , 3 4 3 . 00 FPPC Form 4601Januaryro5l FPPC Toll -Free Helpline; 8661ASK-FPPC (8661275-3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period L . J ' fturn 1/1/2015 e � through 6/ 3 0/ 2 015 Page 40 of 92 NAME OF FILE Geoff hors for City Council 2015 I.D. NUMBER 1376802 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD PERIOD 1•OEC. 3T) (IF REQUIRED) kIND Kevin Bass ECOM 03/18/2015 39740 Keenan Dr �OTH Realtor $150.00 $150.00 Rancho Mirage, CA 92270-3612 0PTY Kevin Bass SCC ❑✓ IND Andrew Knox ElCOM 05/18/2015 2695 N Bahada Rd [:]OTH Owner $100.00 $150.00 Palm Springs, CA 92262-2518 [:]PTY Lifestyle LLC SCC Q IND Bob Warburton L]COM 04/12/2015 1110 Via Verde OTH Retired $100.D0 $1QO.OQ Cathedral City, CA 92234-4322 �PTY None SCC IND Jim Patrick ElCoM 04/25/2015 1411 S Paseo De Marcia OTH Retired $5a.00 $150.D4 Palm Springs, CA 92264-8532 �PTy None SCC SUBTOTAL $400.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)...........................................TOTAL 'Contributor Codes IND- Individual $14 4 , 120 . 0 0 COM- Recipient Committee $ 3 , 2 2 3 . 0 0 (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee $14 7 , 3 4 3 .0 0 FPPC Form 460 (January106) FPPC Toll -Free Helpline: 8661ASK-FPPC (8881276-3772) SchadulP_ A Type or print in ink. SCHEDULE A — — Amounts may tm rounded Monetary Contributions Received to whole dollars. Statement covers period 0. , 1 I` tram 1/1/2015FORM ' through 6/ 3 0/ 2 015 Page 41 of 92 NAME OF FILER Geoff Sors for City Council 2015 I.D. NUMBER 11376902 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EM PLOYKI, W ER NAME RECEIVED THIS CALENDAR YEAR TO DATE BUSINESS) PERIOD (JAN. 1-0EC. 31) (IF REQUIRED)OF Q IND Michael Peachey COM VP, Marketing 03/30/2015 1025 E Twin Palms Dr �OTH Salesforce.com, $250.00 $250.00 Palm Springs, CA 92264-9121 �PTY inc. SCC ❑✓ IND Linda McAllister LCoM 04/13/2015 1822 Via Aguila BOTH Writer $100.00 $100.00 Palm Springs, CA 92264-9267 �PTY Linda McAllister SCC IND Ann Sheffer ElCoM 04/27/2015 17 Stoney Paint Rd [] OTH Volunteer $1,000.00 $1,000.00 Westport, CT 06880-5923 ❑ Pam, None SCC Q IND Christopher Heritage 06/30/2015 777 E Tahquitz Canyon Way �OTH Attorney $250,00 $250.00 Ste 328 El PTY Heritage Legal, PC Palm Springs, CA 92262-6798 5CC SUBTOTAL $1,604.Q0 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recipient Committee 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $ 3 , 2 2 3 . 0 0 (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee $ 14 7 , 3 4 3 . 0 0 FPPC Form 460 iJanuary/06) FPPC Toll -Free Helpline. 8661ASK-FPPC (866476-3772) Sr_hptjtflp Q Type or print in ink. SCHEDULE _ ---_ �— Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period from Ill/2015 • - through 6/ 3 0/ 2 015 Page 42 of 92 NAME OF FILER Geoff Kors fcr City Council 2G15 I.D. NUMBER 1376 02 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE " OCCUPATION AND EMPLOYER (IFSELF.EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OFeuSINESs7 PERIOD (JAN, 1-DEC. (IF REQUIRED ) IND Daniel Barber COM 04/28/2015 1481 S San Joaquin Dr g � OTH Retired $100.00 $100.00 Palm Springs, CA 92264-8664 L]PTY None SCC Q IND Hon. John Duran ❑ co 06/3b/2�15 9000 W Sunset Blvd Attorney $250.00 $250.00 Ste 710 []PTY Duran Law Group West Hollywood, CA 90069-5826 scC ZIND Donald Beck []COM 05/01/2015 436 E Avenida Hokona OTH Retired $1Q0.00 $2Q0.00 Palm Springs, CA 92264-8483 �PTY None SCC IND Jerry Sanfilippo [:]COM 03/23/2015 2955 Sunclance Cir E OTH Designer $15D.00 $150.Ob Palm Springs, CA 92262-2036 �PTY Jerry Sanfilippa SCC SUBTOTAL $600.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recipient commKiee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 2 3 . 0 0 OTH- Other (e,g„ business entity) 3. Total monetary contributions received this period. PTY- Poli I at PartySCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $14 7 , 3 4 3 . 0 0 FPPC Form 460 tJanuary105) FPPC Toll -Free Helptins: 686IASK-FPPC l866a764772) Schedule A Monetary Contributions Received Geoff Kors foz City Council 2015 Type or prim In ink. Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period CALIFORNIA from 1/l/2015 FORM I 6 through 6/30/2015 Page 43 of 92 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER [IF SELF-EMPLOYED, EMTE914AME RECEIVED THIS CALENDAR YEAR TO DATE aF 6USINESS PERIOD (JAN. 1-0EC_ 31) (IF REQUIRED) WIND Alexander Randolph ❑ COM San Francisco 06/30/2015 240 Dolores St ❑ OTH Community College $20D.DD $200.00 Apt 131 El PTY Board San Francisco, CA 94103-5507 Trustee SCC IND Naomi Fine 03/31/2015 101 1st St �fl� Founder & CEO $500.00 $500.00 # 600 ❑PTY ProtecData Los Altos, CA 94022-2750 SCC ❑✓ IND David Lee ❑COM 04/13/2015 800 W Stevens Rd ❑ OTH Producer $5,000.00 $5,000.00 Palm Springs, CA 92262-4131 El PTY David Lee SCC ❑ IND Dimitri Bakakos [:]COM 03/23/2015 1499 i, Via Estrella ❑ OTH Founder $10,000.00 $10,000.00 Palm Springs, CA 92264-9536 [:]PTY Skinn Cosmetics SCC SUBTOTAL $15,700.00 Schedule A Summary 'Contributor Coder 1. Amount received this period -itemized monetary contributions. IND- individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than $1 R9.......................................................... $ 3 , 2 2 3 . 0 0 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period, PTY- Political PartySCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1,)........................................................ TOTAL $14 7 , 3 43 . 0 0 FPPC Form 460 Wanuaryl06) FPPC Tall -Free Helpline: 8661ASK-FPPC (8661276-3772) Schedule A Type or print in ink. SCHEDULE A Arnounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period , , . from 1/1/2015 , � w through 6/30/2015 Page 44 of 92 NAME OF FILER Geoff Kors for City Council 2015 LID. NUMBER 1376 02 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF{M PLOYED, ENTER NAME DF BUSINESS} PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) IND Mark Stoelting ❑ COM 06/01/2015 529 1/2 la cieriega Blvd ❑ OTH Travel Agency Owner $250.00 $250.00 Suite 4 ❑PTY Tnlururia West Hollywood, CA 90048-2001 SCC ZINO Frank Rotondo ❑ COM 04/27/2015 2147 Southrid e Dr g � OTH Retired $100.00 $100.00 Palm Springs, CA 92264-4963 ❑PTY None SCC IND Thalia Zepatos ❑COM Director of 05/26/2015 3e29 SE Salmon St ❑ OTH Research $250.00 $250.00 Portland, OR 97214--4339 ❑PTY Freedom to Marry SCC Q IND Scott Paine ❑COM Team Development 05/01/2015 2994 Maple Ct ❑ OTH Consultant $300.00 $300.00 San Diego, CA 92104-4949 El PTY Scott Paine scC SUBTOTAL $900.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotais.)....................................................................................................................................... 2. Amount received this period-lnitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................TOTAL 'Contribulor Codes IND- Individual $14 4 , 12 0 .0 0 COM• Recipient Committee $ 3 , 2 2 3 .00 (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee $147 , 3 4 3 . 0 0 FPPC Form 460 (Januarylptl) FPPC Toll -Free Helpllne, 9661ASK-FPPC (86Bl276-3772) 5rhothile A Type or print in ink. SCHEDULE A Amounts may tie rounded Monetary Contributions Received to whole dollars. Stalement covers period "CALIFORNIA 46 from 1/1/2015 FORM through 6/ 3 0/ 2 015 Page 45 of 92 NAME OF FILE Geoff Kors for City Council 2015 II.D. NUMBER 11376802 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BuswESS) PERIOD (dATi. 1-0EC. 31) (IF REQUIRED) 0✓ IND Scott Beloved ❑ COM Logistics 04/04/2015 6426 N Royal Crescent Ln ❑ OTH Consultant $500.00 $500.00 Spokane, WA 99205-7713 El PTY Warehousing System Services SCC ZIND Kate Kendell [3Com 06/16/2015 567 Edinburgh St g � OTH Attorney $100.00 $100.00 San Francisco, CA 94112-2821 []PTY NCLR SCc Z IND Robert Allred ❑CoM 05/01/2015 2736 S Camino Real OTH General Manager $250.00 $250.00 Palm Springs, CA 92264-9421 ❑PTY Egg & Dart SCC ❑✓ IND Rick Holdway ❑com Financial Advisor 06/30/2015 452 Chelsea Dr ❑ OTH Ameriprise $150.00 $150.00 Palm Springs, CA 92262-6193 El PTY Financial scC SUBTOTAL $1,000.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.).................................................................................................................... $14 4 12 0 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than$100......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $ 3, 2 2 3. 00 OTH- Other {e n business entity) $147,343 PTY- Political Party SCC- Small Contributor Committee 00 FPPC Forth 460 (January/05) FP —PC Toll -Free Helpline: 866/ASK-FPPC (86=754772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period , MM to whole dollars. tram1/1/2015through 6/ 3 0/ 2 015 Pa I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE " OCCUPATION AND EMPLOYER IFSELF-EMPLOYEE), RECEIVED THIS CALENDAR YEAR TO DATE essrER�uuE 1 PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) Q IND Jack Woods �COM 06/28/2015 424 Terno Ln OTH Retired $250.00 $1,250.DD Palm Springs, CA 92262-0582 �PTY None SCC Q IND Bruce Purdy ElCoM 04/30/2015 2620 Canyon South Dr [:]OTH Economist $100.00 $100.00 Palm Springs, CA 92264-9422 [:]PTY Purdy International SCC O IND Don Alexander DCOM 04/04/2015 2696 N Girasol Ave OTH Retired $250.00 Palm Springs, CA 92262-1818 DPTY None$250.40 SCC IND Q Mark Van Laanen �COM 06/08/2015 803 N Palm Canyon Dr �OTH Restaurant Owner $200.00 $200.00 Unit 12 �PTY -VanMarc, Inc Palm Springs, CA 92262-4438 scC SUBTOTAL $800.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.) ........................... .............. .................................................... $14 4 , 12 0 . 0 0 COM- Recipient Commmee (other than PTY or sec) 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... $ 3 , 223 . 00 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political PartySCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $147, 3 43 . 00 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: SWASK-FPPC (RM763172) Schpdulp A Type or print in ink. SCHEDULE A - - Amounts may be rounded Monetary Contributions Received towhole dollars. Statement covers period . , ' from 1/1/2015 O- through 6/ 3 0/ 2 015 Page 47 of 92 NAME OF FILER Geoff Kors for City Council 2015 I.D. NUMBER 113V6802 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE Of -BUSINESS) PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) ✓❑ IN❑ Tobias Wolff ❑ CoM Professor 06/30/2015 624 N 3rd St ❑ OTH University of $500.00 $500.00 Philadelphia, PA 19123-2902 ❑PTY Pennsylvania SCC ZIND Pjetur Sigurdson ❑ COM 06/28/2015 1499 E Via Estrella ❑ OTH Retail $250.00 $750.00 Palm Springs, CA 92264-9536 ❑PTY Hollywood Home SCC ❑ INDQCOM Desert Stonewall Democrats 05/01/2015 PO Box 4536 Palm Springs, CA 92263-4536 OTH $250.00 $250.00 ID: 1220539 El PTY scc IND Aftab Dada ❑ COM 06/14/2015 400 E Tahquitz Canyon Way ❑ oTH Seneral Manager $500.00 $500.00 Palm Springs, CA 92262-6605 ❑ PTY Hilton SCC SUBTOTAL $1,500.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................•.................................................................. $14 4 , 120 . 00 COM- Recipient Committee 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $3,223 $147,343 0 (other than PTY or SCC) OTH- Other (e.g., business errtity) PTY- Political Party SCC- Small Contributor Committee 00 FPPC Form 460 (January/C51 FPPC Toll -Free Helptlne: 866/ASK-FPPC (866/2763772) I-hprittlp A Type or print in ink. SCHED1fLEA Amounts may be rounded Monetary Contributions Received to whole- dollars. Statement covers period ,L I * .. , f60 from 1/1/2015 FORM through 6/ 3 0/ 2 015 Page 48 of 92 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 13 7 68 02 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (AN. 1�EC. 31) (IF'REQUIRED) IND Don Chase DCOM 04/30/2015 1380 Tamarisk Rd ❑ OTH Retired $100.00 $100.00 Palm Springs, CA 92262-5863 El PTY none SCC Q IND Terry Gatewood ❑ COM CEO 05/01/2015 2962 Searchlight Ln ❑ OTH Blue Tiger Recovery $100.D0 $100.00 Palm Springs, CA 92264-6827 PTY LLC SCC Q IND Jeffrey Norman ❑ coM Director of 03/18/2015 1 Cedar Lake Ct ❑ OTH communications/Publ $250.00 $250.00 Rancho Mirage, CA 92270-5806 El PTY is Affairs ._McCallum Theatre SCC ❑ IND Pia Carusone ❑ COM 03/18/2015 729 K St NE ❑ OTH Sales Consultant $150.00 $150.00 Washington, DC 20002-3634 PTY pia Carusone SCC SUBTOTAL $600.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (include all Schedule A subtotals.)....................................................................................................................................... $14 4, 12 0 2. Amount received this period itnitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $3,223 $147,343 'Contributor Codes IND- individual .00 COM- Recipient Committee 0 0 (other than PTY or SCC) _ OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee 00 FPPC Form 460 (January/06') FPPC Tall -Free Helpline: IISSIASK-FPPC (866i276-3772) SrhAritilP A Type or print in ink. SCHEDULE A Monetary Contributions Received Amour.;mayberounded towhole dollars. Statement covers period'.CALIFORNIA 460 m ha 1/1/2015 FORM through 6/ 3 0/ 2 015 Page 49 of 92 NAME OF FILER t.D.NUMBER 11376802 Geoff Kors for City Council 2015 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER erz NAME (IF SELF�OOF RECEIVED THIS CALENDAR YEAR TO DATE BUSINESS) PERIOD (JAN 1-DEC. 31) (IF REQUIRED) Q IND Larry Colton ❑COM 03/19/2015 9 Leeward Rd ❑ OTH Insurance Broker $1,000.00 $1,000.00 Belvedere, CA 94920-2320 El PTY G2 Insurance 5CC QIND Darrel Tucci ❑ COM Chief Development 05/12/2015 Unit 5 Palm Canyon Dr Unit B ❑ OTH Officer $35.00 $160.00 Palm Springs, CA 92264-9368 ❑PTY Desert AIDS Project SCC Q IND David Carden ❑ CoM Realtor 06/24/2015 304 Tiffany Cir E ❑ OTH Windermere Real $100.00 $100.00 Palm Springs, CA 92262-7788 ❑PTY Estate SCC ❑� IND Gary Soto ❑ CoM Owner 03/17/2015 1432 S Calle De Maria ❑ OTH .Action Learning $10,000.00 $10,000.00 Palm Springs, CA 92264-8589 El PTY Systems scc SUBTOTAL $11,135.00 Schedule A Summary ,CordhbutoTCodes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)........................................................................................................................................ $14 4 , 12 0 . 0 0 COM- Recipient Committee 2. Amount received this period-unitemized monetary contributions of less than$100......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $3,223 $147,343 00 (other than PTY or SCC) 0 OTH- Other (e.g„ business entity) PTY- Political Party SCC- Small Contributor Committee 00 FPPC Form 400 (January105) FPPC Toll -Free Helpdne, 8001ASK-FPPC 186MIG- 772) Schedule A Monetary Contributions Received Geoff Kors fox City Council 2015 Type or print in ink. Amourds may be rounded to whole dollars. rovers from 1/1/2015 through 6/30/2015 SCHEDULE A Page 50 of 92 I.D. NUMBER 7 7'7ca n7 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (LF SELF-EMPLaYLo, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF euSIWFSS) PERIOD (JAN. i-0DEC. (IF REQUIRED) ❑✓ IND Christian Edvardsen ECOM 03/18/2015 736 Valencia St E]OTH Sales Manager $250.00 $250.00 Apt 501 [:]PTY Visa San Francisco, CA 94110-7604 SCC QIND Carol Balasa ❑co 03/19/2015 611 S Palm Canyon Dr ❑ Retired $250.00 $250.00 # 7-273 PTY ❑ None Palm Springs, CA 92264-7213 SCC Z IND Kelly Ferrero ElcoM 05/04/2015 2110 N Starr Rd E]OTH Owner Own $1,000.00 $2,500.00 Palm Springs, CA 92262-3034 El PTY Inc. SCC R] IND Donald Beck F]COM 05/18/2015 438 E Avenida Hokona OTH Retired $100.00 $200.00 Palm Springs, CA 92264-8483 El PTY None SCC SUBTOTAL $1,600.00 Schedule A SummaN 'Contributor Codes t . Amount received this period atemized monetary contributions. IND- individual (Include all Schedule A subtotals.)......................................................................................................................... $14 4 120 00 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-initemized monetary contributions of less than$100.......................................................... $ 3, 2 23 . 00 pTH- Other (e.g., business entity) 3. Total monetary contributions received this periPTY- Political Partyod. SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $147, 3 43 . 00 FPPC Fwm460 {January1061 FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule A Type or print in ink. SCHEDULE A Amounts may to rounded Statement covers period - , Monetary Contributions Received tow�holedollars. from 1/1/201511jDNUMBER r - through 6/3 0 / 2 015 51 of 92 NAME OF FILER Geoff Kors for City Council 2015 02 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, EWER NAME OF BUSINESS) PERIOD (JAN. I -DEC. 31) (IF REQUIRED) Q IND Mark Duebner ElCoM 06/12/2015 1660 E El Alameda OTH Graphic Designer $250.00 $250.00 Palm Springs, CA 92262-5847 PTY Mark Duebner Design SCC ✓❑ IND David Freedman ElCoM Attorney 04/27/2015 1350 E Murray Canyon Dr OTH Baker & McKenzie $100.00 $100.00 Palm Springs, CA 92264-9413 PTY LLP SCC IND Yvonna Cazares [:]COM Communications 05/26/2015 Unit DD157 QDTH Manager $500.00 $500.00 27014 E Mesquite Ave OPTY BAAQMD Palm Springs, CA 92264 F-JSCC W]IN❑ Wil Stiles DCOM 04/23/2015 875 N Palm Canyon Dr []OTH Owner $250.00 $250.00 Palm Springs, CA 92262-4423 (]PTY Wil Stiles, Inc scc SUBTOTAL $1,1OQ.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4, 120. 00 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$130.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $ 3 , 2 2 3 . 0 0 OTH- Other (e.g., business entity) $147,343 PTY- Political Party SCC- Small Contributor Committee 00 FPPC Form 460 fianuary105) FPPC Toll -Free Helpline: 666IASK-FPPC (96612T53772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in Ink. SCFIEDULE A Amounts may be rounded Statemerd covers period ' tow hole dollars. + from 1/1/2015 •- through 6/30/2015 Page 52 of 92 I.D. NUMBER 1 z7Gnnl) DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OP BUSINESS} PERIOD (JAN. t-0DEC. (IF REQUIRED ) ❑✓ IND John Sheehan C]COM Partner 06/17/2015 750 W Leisure Way OTH Leisurehouse $100.00 $350.00 Palm Springs, Cry 92262-4314 ❑PTY Holdings,LLC sec IND 1 Eric Shay E Palm Canyon Dr �COM Executive Director 06/02/2015 10- 10- 320 E]OTH Cabot's Pueblo $250.00 $500.00 Palm Springs, CA 92264-1613 ❑ PT Museum SCC 2] IND Jerrine Doctor F]COM 06/12/2015 611 S Palm Canyon Dr Y ❑ OTH Retired $100.00 $100.00 Palm Springs, CA 92264-7213 El PTY 'done scC ZIND Rebecca Cooke E]COM 04/23/2015 1534 50th St �OTH Campaign Consultant $100.00 $100.00 Eau Claire, WT 54703-6813 [�PTY ;Rebecca Cooke SCC SUBTOTAL $550.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period -mitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL "Contributor Codes IND- Individual $ 14 4 , 12 0 . 0 0 COM- Recipient Committee $3 223.00 (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Pollical Party SCC- Small Contributor Committee D D FPPc Form 460 (JanuaryM6) FPPC Toll -Free Hetpliree: 866lASK-FPPC 11166WO.3772I $247,343 Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period 'CALIFORNIA to wrtrale dollars.J t from 1/1/2015 O- through 6/ 3 0/ 2 015 Page 5 3 of 92 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER LID, NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-ELPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF auSINFSSl PERIOD (JAN_ 1-DEC.31) (IF REQUIRED) IND Anngelica Davis �CoM 06/28/2015 3104 E Camelback Rd ❑ OTH Student $500.00 $500.00 # 161 �PTY None Phoenix, A2 85016-4502 SCC ✓❑ IND Shelley Kaplan [ICON 04/1B/2015 67785 Foothill Rd OTH City Council Member $250.00 $250.00 Cathedral City, CA 92234-2435 El PTY Cathedral City CA scC R]IND Elizabeth Edwards C]COM 06/18/2015 112 Elsie St OTH Retired $250.00 $250.00 San Francisco, CA 94110-5149 �PTY *lone scc IND Juan Bh St 9 W 44t49th S ❑COM Development 04/16/2015 4B []OTH Director $150.00 $150.00 New York, NY 10036-4446 ❑PTY Freedom to Marry SCC SUBTOTAL $1,150.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.) ........................... .................................................... $14 4 12 0 0 0 COM- Recipient Committee (other then PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 23 . 0 0 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political, Party SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page Column A Line 1 ) TOTALL 147 $ ,3 9 3.00 FPPC Form HBO 1January186) FPPC Toll -Free Helplirm. B651ASK-FPPC 18661275-3772) Srlhar1i ddm d Type or print in ink. SCHEDULE A ""• •""" Amourdsl may be rounded Statement covers period Monetary Contributions Received to whole dollars. 1/1/2415fromthrough 6/30/2015 rVae, 54 of 92 NAME OF FILER I.D. NUMBER 11376802 Geoff Kors for City Council 2015 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF 6USINESS] PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) ZIND Jeffrey Osteen ❑ COM 04/29/2015 123 Villa Ter Ej OTH Attorney $250.00 $250.00 San Francisco, CA 94114-2213 EjPTY NetSuite SCC Q IND Tony Marchese Lcom 04/21/2015 707 N Palm Canyon Dr EJOTH Restaurant Owner $250,00 $250.00 Palm Springs, CA 92262-5507 El PTY VanMarC,Inc SCC ❑� IND Jaime Rook DCOM 04/23/2015 1450 N Vaquero Rd F]OTH Real Estate Broker $5D0.00 $500.00 Palm Springs, CA 92262-4740 [:]PTY PSP Ventures, Inc SCC QIND Scott Mazer DCOM Ad Sales Director 04/26/2015 5183 E Lakeside Dr [:]OTH Family Powered $250.00 $250.00 Palm Springs, CA 92264-5912 OPTY Networks SCC SUBTOTAL $1, 250.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period ilnitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL 'ConthWor Codes IND- Individual $ 14 4 , 12 0 . 0 0 COM- Reoipient Committee $ 3 2 2 3 .0 0 (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Polllteal Party SCC- Small Contributor Committee $ 14 7 , 3 4 3 . 0 0 FPPC Form 460 (January106) FPPC Toll -Free Helpline: SWASK-FPPC (SM76.3772) Schedule A Monetary Contributions Received Geoff Kars for City Council 2015 Type or print in ink. SCHEDULE A Amounts may be rounded Stalement covers period to %ifhole dollars. ' from 1/l/2015 through 6/30/2015 Page 55 of 92 I.D. NUMBER PATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE ' OCCUPATION AND EMPLOYER (IF SELF --EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESSI PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) Q IND Jack Newby ❑ COM Director of 04/23/2015 2701 Pintura Cir S OTH Development $100.00 $100,00 Palm Springs, CA 92264-4899 ❑PTY Mizell Senior Center SCC Q IND Gloria Kapp ❑ COM Financial Aid 04/10/2015 2346 Savanna Way []OTH Consultant $150.00 $150.00 Palm Springs, CA 92262-8834 ❑PTY Calif, State u., San Bernardino SCC ZIND Joseph McCormack ❑ COM 04/14/2015 1074 E San Lucas Rd OTH Executive Recruiter $1,000.00 $1,OD0,00 Palm Springs, CA 92264-063E ❑PTY W6i3+McCormack SCC O IND Linda Dixon ❑COM 05/18/2015 677 E Avenida Granola ❑ OTH Retired $140,00 $100.00 Palm Springs, CA 92264 E:] PTY .None SCC SUBTOTAL $1,350.00 Schedule A Summary `Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recipient committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than $1 QO.......................................................... $ 3 , 2 23 . 0 0 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political PartySCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, line 1) ...................... .................................. TOTAL $14 7 , 3 43 . 0 0 FPPC Form 460 (,lanuaryro6) FPPC Toll -Free Helpline: 866lASK-FPPC (866l276-3772) Schedule A Type or print in ink. SCHEDULE A Amounts nmy be rounded Monetary Contributions Received to whole dollars, Statement covers II12 • - 460 from 1/1/2015 FORM through 6/30/2015 Page 56 of 92 NAPE OF FILER Geoff Kors for City Council 2015 I.D. NUMBER 1376802 DATE FULL NAME, STREET ADORESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (ifseLF-eMPLoYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE aF BUSINESS) PERIOD (JAN. 1-DEC. 31) (IF REQUIRED ) IND Linda Heidinger �COM 03/24/2015 1251 S Paseo De Marcia []OTH CEO $250.00 $500.00 Palm Springs, CA 92264-8535 �PTY LEH inc scC 2]IND Donald Grimm ❑ COM Licensed Clinical 06/30/2015 773 Pine Ridge Cir DOTH Psychologist $100.00 $100.00 Beaumont, CA 92223-7153 ❑PTY Donald W. Grimm, Ph D sec QIND David Vogel ❑ 05/01/2015 1775 E Palm Canyon Dr ❑ oOM Retired $2,500.00 $3,500.00 Ste 110 ❑PTY None Palm Springs, CA 92264-1623 SCC 0 IND Geoff Kors []COM Strategic 03/05/2015 1455 N Vine Ave ❑ OTH Consultant $500.00 $500.00 Palm Springs, GA 92262-4283 ❑PTA` Kors Williamson & Associates SCC SUBTOTAL $3,350.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... $144, 120 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL "Contributor Codes IND- Individual 00 COM- Recipient Committee Q 00 (other than PTY or SCC) OTH- Other (e,g., business entity) M- Political Party SCC- Small Contributor Committee $14 7, 3 4 3. 0 0 FPPC Form 460 (Januaryffi l FPPC Toll -Free Helpline., B881ASK-FPPC (t388f276.3772) $3,223 Schedule A Monetary Contributions Received Geoff hors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period !CALIFORNIA from 1/1/2015 1 FORM 46 through 6/ 3 0/ 2 015 Page 57 of 92 1I.D. NUMBER 1 111 h n DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I_D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYE, ENTER NAME OF aUSINESaj PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) Q IND Adam S Cohen ❑CoM Owner 04/07/2015 475 W Stevens Rd OTH Joshua free Sales $100.00 $100.00 Palm Springs, CA 92262-4223 �PTY of Palm Springs SCC ❑ IND Andreas Meyer L]COM D3/17/2015 341 S Parker St �OTH Attorney $150 00 $150.00 Orange, CA 92868-4022 El PTY U5C 5CC IND Evan Wolfson Elcom 03/18/2015 101 W 12th St DOTH Executive Director $5Q0.00 $500.06 Apt 15S El PTY Freedom to Marry New York, NY 1DO11-8129 SCC Q IND Mark Leno ❑ COOMI 06/29/2015 921 llth St I State Senator $500.00 $500.00 Ste 904 El PTY California Sacramento, CA 95814-2821 SCC SUBTOTAL $1,250.00 Schedule A Summary "Contributor Codes 1. Amount received this period -itemized monetary contributions. tND- Individual (Include all Schedule A subtotals.) .................... $14 4 , 12 0 . 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... $ 3 , 223.00 Oil- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political Party SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $14 7 , 3 4 3 . 0 0 FPPC Form 480 (Januaryfotil FPPC Tall -Free Nelpline: ENIASK-FPPC (8661275-3T72) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period , + . , to whole dollars. 46 horn 1/1/2015 FORM through 6/30/2015 Page 58 of 92 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE ' OCCUPATION AND EMPLOYER (IFSELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS] PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) Q IND Eileen Stern ❑COM 06/17/2015 64460 Via Amante OTH Marketing S1D0.00 $100.00 Palm Springs, CA 92264-0202 ❑PTY Frank & Stern, Inc F-ISCC Q IND Chuck Leachman L COM 04/25/2015 1025 E Olive Way �OTH Executive Director $250.00 $250.00 Palm Springs, CA 92262-4811 IEPTY Cengage Learning SCC ❑] IND Dick Taylor []COM 04/23/2015 825 E Chia Rd ❑ OTH Retired $1,000.00 $1,000.00 Palm Springs, CA 92262-4716 EPTY None SCC Q IND Diana Barton ❑COM CPA 06/24/2015 1060 E Granvia Valmonte ❑ OTH Greg Barton & $250.00 $350.00 Palm Springs, CA 92262-6105 ❑PTY Associates SCC SUBTOTAL $1,600.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period {Initemized monetary contributions of less than$100.......................................................... $ 3 , 2 2 3 .00 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Politleal Party SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $147 , 3 43 . 0 0 FPPC Form also (Januaryl06) FPPC Tall -Free Helpline: SWASK+PPC (886M7647T21 SrhPrlltla 0 Type or prim in ink. SCHEDULE A — Amounts may be rounded o Monetary Contributions Received towoledllars. Statement covers period CALIFORNIA i from 1/1/2015 •RM through b/ 3 0/ 2 015 Page 59 of 92 NAME OF FILER Geoff Kors for City Council 2015 I.D.NUMBER 1376802 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER LD, NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS] PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) IND Joan Sklar ❑ CoM 05/18/2015 1433 S Calle Maria ❑ OTH Not employed $100.00 $100.D0 Palm Springs, CA 92264 PTY None SCC I Q ND Rafael Handelman ❑ COM 06/16/2015 1370 Valencia St [-] OTH Attorney $100.00 $100.00 Apt 4 El PTY City of Oakland San Francisco, CA 94110-3783 sec Q IND Mark Anton COM Executive 06/30/2015 1050 W Capistrano Ct ❑ OTH Director/CEO $1,250.00 $1,250.00 Palm Springs, CA 92262-4113 El PTY AI➢S Assistance Project SCC QIND Jeff Haber ❑COM 06/29/2015 515 S Flower St Attorney $250.00 $250.00 F1 25 QPTY Paul Hastings LLP Los Angeles, CA 90071-2228 SCC SUBTOTAL $1,700.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Rage, Column A, Line 1.)........................................................ TOTAL 'Contributor Codes IND- Individual $14 4 , 12 0 . 0 0 COM- Recipient Committee $ 3 , 2 2 3 . Q 0 (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Political Party SCC- Smalf Contributor Committee $14 7, 3 4 3. 0 0 FPPC Form 460 (Januaryl08) FPPC Toll -Free Helpline: 8661ASK.FPPC (8601278-3772) Cr harir n la A Type or print In ink. SCHEDULE A •• •• • ••• •••• Amounts may be rounded statement covers period , - , Monetary Contributions Received towhotedollars. from 1/1/zo15 - through 6/ 3 0/ 2 015 Page 6 D of 9 2 NAME OF IL I.D. NUMBER 113V6802 Geoff Kors for City Council 2015 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SEF-EoFeusluessjERwME RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN 1-0EC 31) (IF REQUIRED) Pfl IND John Paschal O COM CFO 05/01/2015 2333 Silver Oak Cir ❑OTH Eight4Nine $100.00 $100.00 Palm Springs, CA 92264-8630 EIPTY Restaurant & Lounge SCC OIND Mariah Hanson []COM 06/19/2015 3000 Hawks Beard �OTH $500.00 $500.00 Sonoma, CA 95476-8981 PTY MT Productions, Inc SCC QIND Antonio Ceballos 000M 06/30/2015 PO Box 4854 ❑ OTH Cleaning $100.00 $100.00 Palm Springs, CA 92263-4854 OPTY KDN Homes SCC ZIND Jim Patrick ElCoM 06/21/2015 1411 S Paseo De Marcia OTH Retired $50.00 $150.00 Palm Springs, CA 92264-8532 []PTY None SCC SUBTOTAL $750,00 Schedule A Summary *Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtetals.)....................................................................................................................................... $14 4 , 12 0 .0 0 COM- Recipient Committee 2. Amount recenred this period -unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $ 3 , 2 2 3 , 0 0 (other than PTY or SCC) OTW Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee $14 7 , 3 4 3 .0 0 FPPC Form 460 (Januaryl05) FPPC Toti Free Hetptlne: SWASK-FPPC (666a76-3772) Schedule A Type or print in ink. SCHEDULE A Amourd±M may be rounded Monetary Contributions Received tondloledollars. Statement covers period from 1/1/2015 9 - through 6/ 3 0/ 2 015 Page 61 of 92 NAME OF FILER Geoff Kars for City Council 2015 i.D.NUMBER 11376802 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OFBUSINESS) PERIOD (JIAN. 1-CEC. 31} (IF REQUIRED) Q IND Don Cecil ❑ coM 06/29/2015 353 King St [ OTH Consultant $250.00 $250.00 Apt 821 []PTY Don Cecil San Francisco, CA 94158-1683 SCc QIND Dana Adkins LCOM 06/01/2015 3 Arapaho St ❑ OTH Host/entertainer tert Host/entertainerainer $100.00 $100.00 Palm Springs, CA 92264-7803 �PTY Dana ins SCC IND Xavier Barreza 400 Beale St ❑COM Commercial Banker 03/18/2015 Apt 803 E]OTH Technology Credit $250.00 $250.00 San Francisco, CA 94105-4415 ❑PTY Union SCC Q IND Thomas Watson DCOM 04/05/2015 7582 Mulholland Dr ❑ OTH Attorney $250.00 $250.00 Foos Angeles, CA 90046-1239 El PTY McKool Smith, PC SCC SUBTOTAL $950.00 Schedule A Summary 1. Amount received this period-Remized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period -unite mized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line t.)........................................................ TOTAL $144,120 'Contributor Codes IND- Individual 00 COM- Recipient Committee 0 00 (other than PTY or SCC) OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee $14 7, 3 4 3. 0 0 FPPC Form 460 (Januaryl06) FPPC Toll -Free Helpline., $MASK-FPPC (866/2753772) $3,223 Crhiadmila A Type or print in ink. SCHEDULE Amounts may be rounded Statement covers period CALIFORNIA Monetary Contributions Received towhole dollars. ' from 1/1/2015 through 6/30/2015 Page 62 of 92 NAME OF FILER I.D. NUMBER Geoff Kors .for City Council 2015 1376802 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CLIMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IFSELF-EMPLaYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR TO DATE (11 REQUIRED)OF BUSINESS) (JAN. 1-DEC. 31) OIND Scott Weston ❑ CoM Management 04/29/2015 10148 4th P1 ❑ oTH Consultant $100.00 $100.00 Highland, IN 46322-3412 ❑PTY Scott Weston SCC Q IND James Williamson ❑ CoM Strategic 03/13/2015 1455 N Vine Ave ❑ OTH Consulatnt $10,000-00 $12,243.80 Palm Springs, CA 92262-4283 ❑PTY Kors Williamson & Associates SCC ZIND Richard Colbert 06/08/2015 8149 Santa Monica Blvd ❑ OTTHH Executive $100.00 $350.00 # 480 ❑PTY PPI Releasing LLC West Hollywood, CA 90046-4912 scc QIND Douglas Morton ❑ CoM Executive Director 03/28/2015 3062 N Greg Cir ❑ OTH Temple Isaiah Jewish Community S5D.40 $100.00 Palm Springs, CA 92262-2439 ❑Pn' Center of Palm ❑SCC springs SUBTOTAL $10,250.00 Schedule A Summary "Contributor Codes 1. Amount received this period -itemized monetary eontribulions. IND - Individuai (Include all Schedule A subtotals.) .................... ....... $14 4 , 12 0 . 0 D COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $ 3, 2 2 3. OD OTH- Other (e g businessentity) $147,343 PTY- Political Party SCC- Small Contributor Committee D D FPPC Form 480 I.1anuary185) FPPC Toll -Free Helpline: 8661ASK.FPPC (N&7763772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers per" from 1/l/2015 through 6/30/2015 SCHEDULE A *-, •' Page 63 of 92 I.R. NUMBER i _�-7con15 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE " OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR TO DATE (IF REQUIRED) OF BUSINESS) (JAN_ 1-DEG_ 31) Q IND Timothy Wood ❑CoM Regional Vice 05/18/2015 568 N Chiquita Cir ❑ OTH President $240.00 $240.00 Palm Springs, CA 92262-6231 ❑PTY Travelers Insurance 5CC Q IND Chuck Steinman ❑CoM 04/30/2015 600 E Sierra WayOTH ❑ Retired $100.00 $100.00 Palm Springs, CA 92264-9076 ❑ PTY None SCC R]iND Willie Rhine ❑CoM 04/29/2015 432 N Burton Way ❑ OTH General Manager $250.00 $250.00 Palm Springs, CA 92262-6555 ❑PT, Lulu SCC QIND Gary Johns ❑ COM 06/19/2015 2428 S Sierra Madre OTH Real Estate Agent $100.00 $100.00 Palm Springs, CA 92264-0440 ❑PTY Paul Kaplan SCC SUBTOTAL $690.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................................................................... 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL 'Contributor Codes I ND- Individual $14 4 , 12 0 . 0 0 COM- Recipient Committee $ 3 2 2 3. 0 0 (other than PTY or SCC) , OTH- Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee $14 7, 3 4 3. 0 0 FPPC Form 460 (January186) FPPC Toll-Fme Helpline: 8661ASK-FPPC (86612753T72) Schedule A Monetary Contributions Received Geoff Kors for City Council 2D15 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period CALIFORNIA horn 1/1/2015 FORM 46 through 6/30/2015 Page 64 of 92 I.D. NUMBER i o�co rtn DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER 1,13, NUMBER) CODE OCCUPATION AND EMPLOYER (IF SUF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OFEUSINESS) PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) IND Barry Dayton ❑ COM 06/13/2015 250 E Via Escuela Nonprofit Director $100.00 $100.00 Unit A ❑PTY Desert AIDS Project Palm Springs, CA 92262-3059 SCC IND Michael Lurey ❑COM 03/19/2015 16632 Calle De Sarah ❑ OTH Retired $2,500.00 $2,500.00 Pacific Palisades, CA 90272-1951 []PTY None SCC ❑✓IND Chris Caldwell ❑ COM Attorney 04/16/2015 6250 Hollywood Blvd Unit 11I ❑ OTH Caldwell Leslie & $500.00 $500.00 Los Angeles, CA 90D28-5337 El PTY Proctor, PC SCC 0 IND Lea Goodsell ❑ COM Business 04/13/2015 75181 Mediterranean ❑OTH Development/Marked $250.00 $250.00 Palm Desert, CA 92211-9094 El PTY ng Renova Solar SCC SUBTOTAL $3,350.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0. 0 0 COM- RedpielM Committee (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... $ 3 , 223 . 00 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Pol17icai PartySCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $147 , 3 43 . 00 FPPC Form 460 (Januaryl05) FPPC Toll -Free Helpline: $MASK-FPPC (8661276-3772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in Ink. SCHEDULE A Amounts may be rounded Stat—rd covers to whole dollars- period CALIFORNIA '' ft*„ 1/l/2015 FORM through 6/30/2015 Page 65 of 92 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IFSE:rr-EMPWYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE of eUSMESS3 PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) ❑✓ IND Bond Shands 0 COM 05/16/2015 2490 Oakcrest Drive South OTH Retired SSDD,DO $500.00 Palm Springs, CA 92264 El PTY None SCC IND Lester Olmstead -Rose t_]COM Nonprofit 03/21/2015 1830 Ellis St El OTH Consultant $500.00 $500.0D Apt D San Francisco, CA 94115-4076 ❑PTY La Piana Consulting SCC Q IND Keith Kincaid []COM 04/03/2015 2349 S Calle Pala Fierro OOTH :Retired $200.04 Palm Springs, CA 92264-9409 �PTY None SCC IND David Brinkman ECOM 05/07/2015 1695 N Sunrise Way OTH CEC $500.00 $500.00 Palm Springs, CA 92262-3701 PTY :Desert AIDS Project SCC SUBTOTAL $1,600.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- individual (Include all Schedule A subtotals,)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 2 3 . 0 0 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political PartySCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $14 7 , 3 4 3 . 0 0 FPPC Form 460 (JanuarylOE) FPPC Toll -Free Helpline: 8661ASK4FPPC (28=76-3772) Sr_harhtlxs, 0 Type or print in ink. SCHEDULE A — — Amountls may be rounded Monetary Contributions Received towrholedouars. Statement covers period fra„ 1/1/2015 1191 •through 6/30/2015 66 of 92 NAME OF FILER Geoff Kors for City Council 2015 I.D. NUMBER 1376802 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IF SELF-EMFLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE of BUSINESS PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) lN❑ Leo Cohen ElCoM 04/23/2015 601 W Stevens Rd OTH Retired $250.00 $250.00 Palm Springs, CA 92262-4160 [—]PTY None SCC Q IND Lance Jeffcoat ElCDM 04/15/2015 1317 Cordell PI OTH Travel Agent $100.00 $100.00 Los Angeles, CA 90069-1721 CPTY Travelbylance.com SCC QIND Jim Gross 04/29/2015 1717 E Vista Chino �OTTH Retired $100.00 $100.00 Ste A7 �PTY None Palm Springs, CA 92262-3599 SCC Q IND Elle Kurpiewski [_]COM 05/01/2015 69572 Huerta Ct OTH Retired $50.00 $100.00 Rancho Mirage, CA 92270-1223 �PTY None SCC SUBTOTAL $500.00 Schedule A Summary *Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 2 3 . 0 0 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political PartySCC- Small Contributor Committee (Add Lines 1 and 2_ Enter here on the Summary Page, Column A, lane 1,)........................................................ TOTAL $147 , 3 4 3 . 0 0 FPPC Form 400 (January106) FPPC ToH-Free Helptine: 6661ASK-FPPC (B66l276-3772) Schedule A Monetary Contributions Received Geoff Kors for City Council Z015 Type or print in ink SCHEDULE A Amounts may be rounded Statement covers period O'CALIFORNIA ' to whole dollars. from 1/1/2015 - through 6/ 3 0/ 2 015 Page 67 of 92 I.D. NUMBER y �^x rnnn DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE " OCCUPATION AND EMPLOYER IIFSELF-E}.IPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF EMNESS) PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) ❑✓ IND Jim Carroll ❑ COM 06/30/2015 216 Hartford St ❑ OTH Finance $100.00 $501,34 San Francisco, CA 94114-2526 El PTY Common Sense Media SCC Q IND Lisa Middleton ❑ COM 06/30/2015 PO Box 5535 ❑ OTH Retired $100,00 $100.00 Palm Springs, CA 92263-5535 ❑PTY gone SCC IND Harold Matanex ❑ CoM 06/26/2015 181 S Civic Dr OTH Chairman, CEO $5,000.00 $5,000.00 Ste 1 ❑ PTY HaroldMatzner Palm Springs, CA 92262-7225 SCC ✓❑ IND Lorri Jean ❑ COM CEO 03/17/2015 1316 N Cherokee Ave ❑ OTH Los Angeles LGBT $100.00 $100.00 Los Angeles, CA 90D28-7702 El PTY Center SCC SUBTOTAL $5,300.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0. 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 2 3 . 0 0 OTH- Other (e,g., business entity) 3. Total monetary contributions received this period. PTY- Political Party SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $14 7 , 3 4 3 . 0 0 FPPC Form 460 (JanuarylOfi) FPPC Toil -Free Helpline: 86WASK-FPPC 19661276-3772) Schedule A Monetary Contributions Received Geoff Kors for City Council 2015 Type or print in ink SCHEDULE A Amounts may be rounded Statement covers period to wholle dollars. from 1/l/2015 •- ' through 6/30/2015 Page 6$ of 92 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' OCCUPATION AND EMPLOYER (IFSELF-EMPLOYE, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BuslNEss} PERIOD (JAN. 1-DEC. 31} (IF REQUIRED) QIND David Vogel ❑ 06/27/2U15 1775 E Palm Canyon Dr ❑ oOM Retired $1,000.00 $ 3 5 0 0 0 D Ste 110 ❑ PTY None , . Palm Springs, CA 92264-1623 SCC Q IND Diana Barton []COM CPA 05/01/2015 1060 E Granvia Valmonte ❑ OTH Greg Barton & $100.00 $350.00 Palm Springs, CA 92262-6105 ❑ PTY Associates SCC ❑ IND John O'Connor ❑ COM Consultant 06/29/2015 749 Montecito Dr ❑ OTH Health Management $500.00 $500.00 Los Angeles, CA 90031-1431 ❑ PTY Associates SCC ❑d IND Betty Yee ❑CoM 05/01/2015 142E Union St ❑ OTH Controller $500.00 $500.00 Alameda, CA 94501-2642 PTY State of California SCC SUBTOTAL $2,100.00 Schedule A Summary 'Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 2 3 . 0 0 OTH- other (e.g., business entity) 3. Total monetary contributions received this period, PTY- Political Party SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here an the Summary Page, Column A, Line 1.)........................................................ TOTAL $147 , 3 4 3 .0 0 FPPC Form esa (Januaryro5) FPPC Toll -Free Helpline: BOWASK-FPPC (886W63T72) qi-harp t in a Type or print in Ink. SCHEDULE A Amounts may be rounded statement Covets Period , Monetary Contributions Received to whole dollars. • • t from 1/1/2015 0' through 6/30/2015 Page 69 of 92 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 DATE FULL NAME. STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER (IF SELFFEM PLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BusINESSj PERIOD (JAN. 1-VEC. 31) (IF REQUIRED) IND Douglas Donenfeld ❑ CoM 04/13/2015 255 N Via Las Palmas OTH Retired $1,000.00 $1,000.DD Palm Springs, CA 92262-4290 El PTY None SCC Z IND Michael Cclbruno ❑ COM Managing Partner D5/15/2015 19 Moss Ave ❑ OTH Milo Group of $250.00 $250.00 Oakland, CA 94610-1314 ❑ PTY California SCC QIND Kathy Levinson OCOM Advisor to Start 04/03/2015 101 1st St # ❑ OTH Ups $500.00 $500.00 600 Los Altos, CA 94022-2750 ❑PTY Kathy Levinson SCC R]IND Chad Gardner ❑ COM Hospitality 04/25/2015 1764 Zafiro Ct ❑ OTH Dash and a Handful $500.00 $1,000.DD Palau Springs, CA 92264-68D8 ❑PTY Inc sCC SUBTOTAL $2,250.00 Schedule A Summary *Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... $32 2 3. 0 0 OTH- Other (e.g., business entity) 3. Total monetary contributions received this period. PTY- Political PartySCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $147 , 3 4 3 . 00 FPPC Form 460 (Januaryl05) FPPC Toll -Free Helpline: 86BIASK.FPPC (86612763772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period CALIFORNIA Monetary Contributions Received to wholedoltars. 1/1/2015 s - 460 through 6/30/2015 Geoff Kors for City Council 2a15 Page 70 of 92 I.Q. NUMBER -�-7GQnO DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.Q. NUMBER) CODE ' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) Q IND Ralph Alberto ❑COM 04/30/2015 13BO Tamarisk Rd ❑oTH $100.00 $100.00 Palm Springs, CA 92262-5863 ❑PTY RCPA Financial SCC 0 IND Jim Abbott ❑CoM Real Estate 06/22/2015 6315 Ridge Manor Ave ❑oTH Consultant $500.00 $500.00 San Diego, CA 92120-3829 El PTY Carrington RES, LLC SCC IND Steven Henke ❑COM 06/03/2015 475 N Cerritos Dr ❑OTH Marketing Manager $250• 00 $250. 00 Palm Springs, CA 92262-6579 ❑PTY The Desert Sun 0522 SUBTOTAL $850.00 Schedule A Summary *Contributor Codes 1. Amount received this period -itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.)....................................................................................................................................... $14 4 , 12 0 . 0 0 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period -unitemized monetary contributions of less than$100.......................................................... $ 3 , 2 2 3 . 0 0 OTl - Other (e.g., business entity) 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $14 7 , 3 4 3 PTY- Political Party SCC• Small Contributor Committee 0 0 FPPC Form 460 {JanuaryMG) FPPC ToN-Free Helpline. 8661ASK-FPPC (866W S-3TT2) senpdhilip r_ Type or print in ink SCHEDULE C - - - - - - - Amounts may be rounded Nonmonetary Contributions Received to whole dollars. Statement rovers period from 1/l/2015 . � • through 6/30/2015 ge 71 of 92 11D. NAME OF FILER NUMBER Geoff Kors for City Council 2315 1376802 DATE FULL NAME, STREET ADDRESS AND 21P CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNTIFAIR CUMULATIVE TO DATE PER ELECTION RECEIVED CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER GOODS OR MARKET VALUE CALENDAR YEAR TO DATE OF COMMITTEE, ALSO ENTER I.D. NUMBER) OF SELF-EMPLOYED, ENTER NAME OF SERVICES (JAN. 1-DEC.31) OF REQUIRED) BUSINESS) Q IND Jim Carroll ❑COM 06/28/2015 216 Hartford St ❑OTH ❑PTY Finance Supplies $344.34 $501.34 San Francisco, CA Common Sense Media for event 94114-2526 ❑SCC P]IND James Williamson ❑COM Strategic 06/30/2015 1455 N Vine Ave ❑OTH p ❑ PTY Consulatnt Digital $12,243.80 Palm Springs, CA Kors Kors Williamson & ads 92262-4283 ❑SCC Associates Q IND James Williamson ❑LOM Strategic Food and 06/30/2015 1455 N Vine Ave ❑O ❑OT Consulatnt beverage for $1, 815.00 $12, 243.8D Palm Springs, CA Kors Williamson & 92262-4283 ❑SCC Associates campaign event SUBTOTAL $2,199.34 Schedule C Summary 'Contributor Codes 1. Amount received this period itemized nonmonetary contributions. IND- Individual (include all Schedule C subtotals.) ............................. $ 3 , 545. 14 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period -unitemized nonmonetary contributions of less than$100.................................................... $0. 00 OTH- Other (e.g., business entity) PTY- Political Party 3. Total nonmonetary contributions received this period. SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Lines 4 and 10.)............................................ TOTAL $ 3 , 545, 14 FPPC Form 460 (JanuarylD6) FPPC Tod -Free Hetpline: 8661ASK-FPPC (9561275-3772) Schedule C Nonmonetary Contributions Received Type or print In Ink. Amounts; may be rounded to whole dollars. covers SCHEDULE C tram 1/1/2015 ' through 6/30/2015 Page 72 of 92 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 DATE PULL NAME, STREET ADDRESS AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNTIFAIR CUMULATIVE TO DATE PER ELECTION RECEIVED CODE OF CONTRIBUTOR CODE' OCCUPATION AND EMPLOYER GOODS OR MARKET VALUE CALENDAR YEAR TO DATE OF COMMITTEE, ALSO ENTER I.D. NUMBER) OF SELF-EMPLOYED, ENTER NAME OF SERVICES (JAN. 1-DEC. 31) OF REQUIRED) BUSINESS) OIND Kerstin Pollack ❑coM ❑OTH Curator of Art 45/07/2015 2283 E 5mokewood Ave ❑pT, Reginald Pollack 2 $900.00 $950.00 Palm Springs, CA ❑scc F Fine Art Paintings 92264-4967 ❑IND James Williamson ❑COM Strategic Office 06/30/2015 1455 N Vine Ave ❑OTH ❑PN Consulatnt supplies $388 BO $12,243.84 Palm Springs, CA Kors Williamson and 92262-4283 ❑scc Associates stationary W]IND Jim Carroll ❑CoM 06/28/2015 216 Hartford St ❑OTH ❑PN Finance Supplies $57 00 $5u1.34 San Francisco, CA Common Sense Media for event 94114-2526 ❑SCC SUBTOTAL $1,345.80 Schedule C Summary `Contrbutor Codes 1. Amount received this period -itemized nonmonetary contributions. IND- Individual (include all Schedule C subtotals.) .................... ....... $ 3 , 5 4 5 . 14 COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized non monetary contributions of less than$100.................................................... 4 OTH- Other (e g., business entity) PTY• Political Party 3. Total nonmonetary contributions received this period. SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Lines 4 and 10.)................................... I........ TOTAL $ 3 , 5 4 5 . 14 FPPC Form 460 (January/CS) Toll -Free Helpline: 8661ASK-FPPC (SM76-3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to Whole dollars, cowers from 1/1/2015 through 6/30/2015 SCHEDULE E Page 73 of 92 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernaiialmisc. M6R member communizations RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contribctions CTS contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filingthallot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staf ispouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same carrdidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WES information technology costs (Internal, e-mail) NAME AND ADDRESS Of PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NW8M) Payroll Data Processing 4224 Henderson Blvd SAL Salary - Campaign Coordinator $838.13 Tampa, FL 33629-5611 Subvendor: Karalee C Hargrove 6988 E1 Sol Ave Twentynine Palms, CA 92277--2921 OFC Memo: $685.87 Salary - Campaign Coordinator $0.00 $685.87 Subvendor: Internal Revenue Service 2525 Capitol St Fresno, CA 93721-2227 OFC Memo: $119.26 Fedearl payroll taxes $0.00 $119.26 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 8 3 8 .13 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).................................................................................................................................................... 2. Unite mized payments made this period of under$100.................................................................................................................................................................................. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $18,861.77 $169.38 $0.00 $19,031.15 FPPC Form 460 (January)061 FPPC Toll -Free Helpline: 0861ASK-FPPC (666n?6-3772) Schedule E Payments Made Type -or print In ink. SCHEDULE E Arnountsmay be rounded "P191-7 to whole dollars. from Statert�nl covers period, . 1I1/2015rof 92 through 6 / 3 0 / 2 01,E NAME OF FILER I,D. NUMBER Geoff Kors for City Council 21015 1376802 CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/mist. pdBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTS contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v_ at cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, iodginp, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF GOMMr17EE, ALSO ENT£R I.D. NUMBER) Subvendor: Franchise Tax Board 1500 llth St Sacramento, CA 95814-5701 OFC Memo: $33.00 CA state payroll taxes $0.00 $33.00 Brighthaus Marketing LLC 125 E Tahquitz Canyon Way Branding, graphics & social media Ste 203 LIT set-up/website development $1,137.50 Palm Springs, CA 92262-6464 Morel Ink 4824 NE 42nd Ave LIT 1000 4.25x6 Postcards ##15-2087 $256.40 Portland, OR 97218-1661 " Payments that are contributions or Independent expenditures must also be summarized on Schedule: D. SUBTOTAL Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... 2. Unitemized payments made this period of under$100.................................................................................................................................................................................. 3. Total interest paid this period on loans. (Enter amount from Schedule 8, Part 1, Column(e).).................................................................................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $1,393.90 $18,861.77 $169.38 $0.00 $19,031.15 FPPC Form 400 (January/06) FPPC Tall -Free Helpfine: SWASK-FPPC (86V275-3772) Schedule E Payments Made Type ,or. print In Ink. SCHEDULE E Amounts: may be rounded Statement covers period ,LI FO+ to whole dollars. 460 �� 1/1/2015 from Page 75 of 92 through 6/30/2015 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAO radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetery)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate Illinglballot tees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspoum travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) Karalee C Hargrove 6988 El Sol Ave FND Fundraising event exp reimbursement - below $59.07 Twentynine Palms, CA 92277-2921 if itemized First Data Merchant Services 5565 Glenridge Connector NE Ste 2Dao 0FC Merchant Services $476.57 Atlanta, GA 30342-1651 Payroll Data Processing 4224 Henderson Blvd SAL Payroll - Campaign Coordinator $638.13 Tampa, FL 33629-5611 " Payments that are contributions or independent expenditures must also be summarized on schedule 0. SUBTOTAL $1, 3 7 3 . 7 7 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $18 , 861.77 2. Unitemized payments made this period of under $100.............. $16 9 . 3 8 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $19 , 031.15 FPPC Form 460 tJanuary106) FPPC Toll -Free Helpline: 9661ASK-FPPC (266476-3772) Schedule E Payments Made Type or print in ink. SCHEDULE E Amounts may be rounded Statement covers period FP19"!7 F to whole dollars. 1/1/za15Gam f 92 through 6/30/2015 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376B02 CODES; If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production casts CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate firing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure PO5 postage, delivery and messenger services TSF transfer between committees of the same candidatalsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costa (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I-D- NUMBER) Subvendor: Karalee C Hargrove 6988 El Sol Ave Twentynine Palms, GA 92277-2921 SAL Memo: $685.97 Salary - Campaign Coordinator $0.00 $685.87 Subvendor: Internal Revenue Service 2525 Capital St Fresno, CA 93721-2227 SAL Memo: $119.26 Federal payroll taxes $0.00 $119.26 Subvendor: Franchise Tax Board 1500 11th 5t Sacramento, GA 95814-5701 SAL Memo: $33.00 CA state payroll taxes $0.00 $33.00 . Payments that are contributions or Independent expenditures must also he summarized on schedule D. SUBTOTAL $ 0 . 0 0 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $18 , 8 61 . 7 7 2. Unitemized payments made this period of under $100............... $16 9 . 3 8 3. Total interest paid this period on loans, (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................TOTAL $19, 031 . 15 FPPC Form 460 {Januarylo8) FPPC Tell -Free Helpline: 8681ASK-FPPC IBtiOW15-3772) Schedule E Payments Made Type or print In ink SCHEDULE E Amounts may be rounded Statement covers period 'CALIFORNIA to whole "Jars. � , from 1/1f2015 FORM • through 6/30/2015 page 77 of 92 NAME OF FILER I.O. NUMBER Geoff" Kors for City Council 2015 376602 CODES; If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contribtMons CTB contribution (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglballotfear PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events PDL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees ofthe same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF CCMMrr EE, ALSO ENTER I.D. NUMBER) Morel Ink 4824 NE 92nd Ave LIT 1000 business cards (inv no 15-1390) & 1000 $995.68 Portland, OR 97216-1661 remits (inv no 15-1395) Payroll Data Processing 4224 Henderson Blvd SAL Salary - Campaign Coordinator $838.13 Tampa, FL 33629-5611 Subvendor: Internal Revenue Service 2525 Capitol St Fresno, CA 93721-2227 SAL Memo: $119.26 Federal payroll taxes $0.00 $119.26 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $1, 2 8 3 . 81 Schedule E Summary 1. Itemized payments made this period. (include all Schedule E subtotals.)..................................................................................................................................................... $18 , 8 61 .7 7 2, Unitemized payments made this period of under $100.................. .... $169 . 3 8 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $19 , 0 31 . 15 FPPC Form 460 (Januaryf05) FPPC Toll -Free Helpline. 8661ASK-FPPC (866=53772) Schedule E Payments Made Type or print In Ink. Amountsmay be rounded to whole dollars. covers from 1/1/2015 through 6/30/2015 SCHEDULE E Page 7 8 of 92 NAME OF FILER LD.NUM6ER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign warkers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filirglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, a -mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMWME. ALSO ENTER I.D. NUMBER) Subvendor: Karalee C Hargrove 6998 El Sol Ave Twentynine Palms, CA 92277-2921 SAL Memo: $685.87 Salary - Campaign Coordinator $0.00 $685.87 Subvendor: Franchise Tax Board lent 5t Sacramento, Sacramento, CA 95614-5701 SAL Memo. $33.00 CA state payroll taxes i? y $0.00 $33.00 Payroll Data Processing 4224 Henderson Blvd SAL Salary - Campaign Coordinator $838.13 Tampa, FL 33629-5611 • Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 8 3 8 . 13 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $18 , 861.77 2. Unitemized payments trade this period of under $100................. .... $169 . 3 8 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $19 , 0 31 . 15 FPPC Form 460 (January106) FPPC Toll -Free Helpltne: 666lASK-FPPC (866J275-3772) Schedule E Payments Made NAME OF FILER Geoff Kors fox City Council 2015 Type -or print in ink. Amountsmay be rounded to whole dollars, SCHEDULE E Statement covers period:CALIFORNIA hom 1/1/2015 •R through 6f30/2015 Page 79 of 92 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmist. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonstary)" OFG office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL Lv. or cable airtime and production costs FIL candidate filing/ballot fees PHD phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafUspoum travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponaor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Internal Revenue Service 2525 Capitol St Fresno, CA 93721-2227 SAL Memo: $119.26 Federal payroll taxies $0.00 $119.26 Subvendor: Karalee C Hargrove 6988 El Sol Ave Twentynine Palms, CA 92277-2921 SAL Memo: $685.87 Salary - Campaign Coordinator $0.00 $685.87 Subvendor: Franchise Tax Board 1500 llth St Sacramento, CA 95814-5701 SAL Memo: $33.00 CA state payroll taxies $0.00 $33.00 * Payments that are contributions or Independent expenditures must also be summarized on Schedule: D. SUBTOTAL $0.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $18 , 8 61 .7 7 2. Unite mized payments made this period of under $100................... $169 . 3 8 3. Total interest paid this period on loans. (Enter arnount from Schedule B, Part 1, Column(e).).................................................................................................................... $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $19, 031 . 15 FPPC Form 400 IJanuaryl06) FPPC Toll -Free Hetpiine; 8661ASK-FPPC t86612763772y Schedule E Payments Made Type or print in ink. SCHEDULE E Amounts, may be rounded Statement covers period , to whole: dollars. � 1 from 1I1/2015 through 6/30/2015 Page 80 of 92 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphennaliahnisc. MBR member communications RAD radio airtime and production costs CNS campaign cohsultants MTG meetings and appearances RFD returned contributions CTS contribution (explain nonmonetarv)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflepouse travel, odping, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internal, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER IA_ NUMBER) Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fees $31.97 Tampa, FL 33629-5611 First Data Merchant Services 5565 Glenridge Connector ME Ste 2000 OFC Merchant Services $473.45 Atlanta, GA 30342--1651 Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing .fee $131.96 Tampa, FL 33629-5611 Payments that are contributions or Independent expenditures must also be summarized on Schedule: D. SUBTOTAL $ 63 7 . 3 8 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $18 , 8 61 . 7 7 2. Uniternized payments made this period of under $100................... $16 9. 3 8 3. Total interest paid this period on loans. (Enter amount from Schedule B, Bart 1, Column(e).).................................................................................................................... $ 0 . 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................TOTAL $19, 0 31 . 15 FPPC Form 460 1January1061 FPPC Toil -Free Helptine: 8661ASK-FPPC (960476-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. covers trom 1/1/2015 through 6 / 3 0 / 2 015 SCHEDULE E —'ALIF-WRAIA 460 FORM Page 81 of 92 I.D. NUMBER L376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernelialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultards MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and surrey research TRS staff/spouse travel, bdginp, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelspansor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAIL) OF COMMITTEE, ALSO ENTER I.D. NUMBER) Chris Bennett 1075 S Manzanita Ave FND Reimburse host for house cleaning expenses $125.00 Palm Springs, CA 92264-5121 relating to hosting fundraising event First Data Merchant Services 5565 Glenridge Connector NE Ste 2000 OPC Merchant services $8.20 Atlanta, GA 30342-1651 Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fees $31.97 Tampa, EL 33629-5611 " Payments that are contributions or Independent expenditures must also be summarized on Scheduke 0. SUBTOTAL $16 5 . 17 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... $1 e , 8 61 . 7 7 2. Unite mized payments made this period of under $100.................. ......................................................... 1. $169 . 3 $ 3. Total interest paid this period on loans. (Enter amount from Schedule S, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, line 6.)................................................................TOTAL $19, 031 . 15 FPPC Forrn4aill (January106) FPPC Toll -Free Helpline: 8661ASK-FPPC (866t2763772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. covers from 1/1/2015 through 6/30/2015 SCHEDULE E Page 82 of 92 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2a15 13761302 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MSR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglbalbt fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survev research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WES information technology costs (Internet, a -marl) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER E.D. NUMBER) Lynn Hammond 1775 E Palm Canyon Dr Ste 110 FUD Catering costs for fundraising event $1,692.50 Palm Springs, CA 92264-1623 Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fees $31.97 Tampa, FL 33629-5611 Jewish Community Center 332 W Alejo Rd MTG Rent of space for Town Hall Part I $212,00 Palm Springs, CA 92262-5606 . Payments that are contributions or Independent expenditures must also be summarized on schedule: D. SUBTOTAL $1, 936.47 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $18 , 861.77 2. Unite mized payments made this period of under $100............... $169 . 3 8 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $19 , 031.15 FPPC Fort 480 (January108) FPPC Toll -Free Helpllne; 8881ASK-FPPC (Bd612T6-41TT2) Schedule E Payments Made Type -or print in ink. SCHEDULE E Amounts, may be rounded statement covers period to whole dollars. ' from 1/1/2015 •� through 6/30/2015 Page 83 of 92 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MOR member communications RAD radio airtime and production costs CNS campaign consultants MTG meelings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research FRS staffispouse travel, lodging, and meals ND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, a -mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) First Data Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant Services $112.01 Atlanta, GA 30342-1651 Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fees $31.97 Tampa, FL 33629-5611 Brighthaus Marketing LLC 125 E Tahquitz Canyon Way Ste 203 LIT Marketing projects $925.00 Palm Springs, CA 92262-6464 *Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $1, 0 6 8 . 9 6 Schedule E Summary 1. Itemized payments made this period. (Include all schedule E subtotals.)..................................................................................................................................................... $18, 8 61 . 7 7 2. Unitemized payments made this period of under $100......................... $16 9 . 3 B 3. Total interest paid this period on loads. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL, $19, 031. 15 FPPC form 460 (JanuarylOti) FPPC Toll -Free Helpline: 886lASK-FPPC (6661276-3772) Schedule E Payments Made NAME OF FILER Geoff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA 461 from 1/1/2015 FORM through 6/30/2015 Page 84 of 92 J.D. NUMBER 1376602 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consukarrts MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL t,v, or cable airtime and production costs FIL candidate fitinglbaliot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL palling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER 1.0, NUMBER) First Data Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant services Atlanta, GA 30342-1651 Brighthaus Marketing LI,C 125 E Tahquitz Canyon Way Ste Ste 203 LIT Webhostin (Bluehost) ff $59.40 Palm Springs, CA 92262-6464 Payroll Data Processing 4224 Henderson Blvd OFC Payroll processing fees $31.97 Tampa, FL 33629-5611 " Payments that are contributions or Independent expenditures must also be summarized on schedule: D. SUBTOTAL Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $18 , 8 61 . 7 7 2. Unitemized payments made this period of under $100....................................................................$169 . 3 8 ........................................................................................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $19 , 0 31 . 15 FPPC Form 460 (January106) FPPC Toll -Fee Helptine: 6661ASK.FP12C (8661275-3772) Schedule E Payments Made NAME OF FILER Groff Kors for City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA 46 from 1/l/2015 FORM through 6/30/2015 Page 85 of 92 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL palling and survey research TRS staff/spouse travel, Iedging, and meats IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same carsdidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.O. NUMBER) Citibusiness Card 1500 Boltonfield St WEB Credit Card Payment -- Itemized below $2,212.50 Columbus, OH 43228-3669 Subvendor: Facebook Inc. 1 Hacker Way WEB Memo: $114.71 Internet posting $0.00 Menlo Park, CA 94025-1456 $114.71 Subvendor: NGP VAN 1101 15th St NW Ste 500 WEB Memo: $1600.00 Database and email $0.00 Washington, DC 20005-5006 $1,600.00 • Payments that are contributions or Independent expenditures must also be summarized on schedule D. SUBTOTAL $ 2 , 212.50 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $18 , 8 61. 7 7 2. Unitemized payments made this period of under $100.................. $169 . 3 B 3. Total interest paid this period an loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $19 , 0 31 . 15 FPPC Fonn460 (Januaryl05j FPPC Toll -Free Helpline: 8661ASK-FPPC (866/2763772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. covers SCHEDULE E From 1/l/2015 through 6/30/2015 page 86 of 92 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following cosies accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphematia/mise. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)l OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.y. or cable airtime and production costs FIL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL palling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the some candidatelsponsor LEG egal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF OCMMITTEE, ALSO ENTER I.U. NUMBER) Subvendor: NGP VAN 1101 15th St NW Ste 500 WEB Memo: $600.00 Database and email $0.00 Washington, DC 20005-5006 $600.00 First Data Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant Services $498.01 Atlanta, GA 30342-1651 First Data Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant Services $5.10 Atlanta, GA 30342-1651 " Payments that are contributions or Independent expenditures must also be summarized on Schedule: D. SUBTOTAL $ 5 0 3 . 11 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $18 , 8 61 . 77 2. Unitemized payments made this period of under $100............... .... $169 . 3 8 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $19 , 0 31 . 15 FPPC Form 4$0 (January/05) FPPC Toll -Free Helpline: NO/ASK-FPPC (868/278.3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. covers SCHEDULE E from 1/1/2015 through 6/30/2015 Page 87 of 92 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following Codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernahalmisc. MBR member communications RAO radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)• OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate frGngiballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the some candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 4F COMMITTEE, ALSO ENTER I.Q. NUMBER) Desert Sun Media Group 750 N Gene Autry Trl PRT Advertising in Desert Sun $3,000.00 Palm Springs, CA 92262-5463 Leslie Barclay 33321 Dowe Ave FND Beverages for fundraising event $297.84 Union City, CA 94587-2033 Payroll Data Processing 4224 Henderson Blvd SAL Salary - Campaign Coordinator $838.13 Tampa, FL 33629-5611 " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4 , 135. 97 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $18 , 8 61 . 77 2. Unitemized payments made this period of under $100................. $16 9 . 3 B 3. Total interest paid this period on loans. (Enter amount from Schedule 8, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................TOTAL $19, 031 . 15 FPPC Form 460 (January105) FPPC Toll -Free Helpline: 6661ASK-FPPC (6661276-3772) Schedule E Payments Made Type or print in M. SCHEDULE £ Amounts, may be rounded Statement covers period , ZA ,to whole dollars. . 1/1/2015"ftoeof from 9 2 through 6 / 3 0 / 2 015 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 13VE802 CODES: If one of the following codes accurately describes the payment, you may enter the rode. Otherwise, describe the payment. CMP campaign paraphemalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTS contribution (explain nonmonetary)' OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research FRS staff/spouse travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMIWITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Karalee C Hargrove 6988 El Sal Ave Twentynine Palms, CA 92277-2921 SAL Memo: $685.87 Salary - Campaign Coordinator $0.00 $685.87 Subvendor: Internal. Revenue Service 2525 Capitol St Fresno, CA 93721-2227 SAL Memo: $119.26 Federal payroll taxes $0,00 $119.26 Subvendor: Franchise Tax Board 1500 11thent 5t Sacramento, CA 95814-5701 SAL Memo: $33.00 CA state payroll taxes P y $0.00 $33.00 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... 2. Unitemized payments made this period of under$100.................................................................................................................................................................................. $0.00 $18,861.77 $169.38 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $19, 031 . 15 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (86SW63772) Schedule E Type or print in ink. SCHEDULE E Amounts may be rounded Statement covers period Payments Made towhole dollars. e from 1/1f2015 through 6/3D/2D15 Page 89 of 92 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. NIBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign Workers salaries CVC civic donations PET petition circulating TEL t.v_ or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising everts POL polling and survey research TRS staff/spouse travel, lodginp, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services Illegal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) First Data Merchant Services 5565 Glenridge Connector NE Ste 2D00 OFC Merchant Services $301.56 Atlanta, GA 30342-1651 First Data Merchant Services 5565 Glenridge Connector NE Ste 2000 OFC Merchant services $695.57 Atlanta, GA 30342-1651 David A. Lee Photography 2101 N Blando Rd LIT Photography/candidate headshots for website $350.00 Palm Springs, CA 92262-3317 & other media " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $1, 3 4 7 . 13 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals..................................................................................................................................... $18 , 861.77 2. Unite mixed payments made this period of under $100.............. ....... $16 9 . 3 8 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $19, o31 . 15 FPPC Form 460 (JanuaryM) FPPC Toll -Free Helpline: 8661ASK-FPPC (866I2763772) Schedule E Payments Made NAME OF FILER Geoff Kors fox City Council 2015 Type or print in ink. Amounts may be rounded to whole dollam SCHEDULE E Statement covers period CALIFORNIA 1/1/2015 from FORM through 6/30/2015 Page 90 of 92 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmise. CNS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations FIL candidate flinglballot fees FND fundraising events IND independent expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airtime and production casts RFD returned contributions SAL campaign workers'sabries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS starIflspouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponwr VOT voter registration WEB information technology costs (Internet, a -mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID IF COMMtTFEE, ALSO ENTER I.D. NUMBER) James Williamson 1455 N Vine Ave OFC Reimbursement for stamps $102.0D Palm Springs, CA 92262-4283 Subvendor: United States Post Office Amado Road Palm Springs, CA 92263 Memo: $102.00 Reimbursement for stamps $0.00 $102,00 Payroll Data Processing 4224 Henderson Blvd SAL Salary - Campaign Coordinator $838.17 Tampa, FL 33629-5611 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 9 4 0 . 17 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $18 , 8 61 . 77 2. Unitemized payments made this period of under $100.............. $16 9 . 3 8 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................ TOTAL $19 , 0 31 . 15 FPPC Form 460 (Januaryl46) FPPC Tollfree Helpline: 6661ASK-FPPC (0661275-37721 Schedule E Payments Made Type or print In Ink. Amounts may be rounded to whole dollars. SCHEDULE E covers from 1/1/2015 through 6/3D/2015 Page 91 of 92 NAME OF FILER I.D. NUMBER Geoff Kors for City Council 2015 376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/Bpause travel, lodging, and meals IND independent expenditure POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) Subvendor: Karalee C Hargrove 6988 El Sol Ave Twentynine Palms, CA 92277-2921 SAL Memo: $685.88 Salary - Campaign Coordinator $0.00 $685.88 Subvendor: Internal Revenue Service 2525 Capitol St Fresno, CA 93721-2227 SAL Memo: $119.25 Federal payroll taxes $D,OD $119.25 Subvendor: Franchise Tax Board 1500 llth St Sacr Sacramento, CA 95814-5701 SAL Memo: $33.00 CA state payroll taxes $0.00 $33.00 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $0.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $18 , 8 61 . 77 2. Unite mized payments made this period of under $100.................. ,,,,,,.. $169 . 3 8 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).................................................................................................................... $ 0 . 0 D 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)................................................................TOTAL $19 , 031.15 FPPC Form 460 (January/06) FPPG Toll -Free Helpline: 8061ASK-FPPC (8661276-9772) Schedule F Accrued Expenses (Unpaid Bills) NAME OF FILER Geoff Kors for City Council 2a15 Type or print in ink. Amounts; may be rounded to whole dollars. statement covers period CALIFORNIA 460 froin 1/l/2015 OR Page 92 of 92 through 6 / 3 0 / 2 015 I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. CNS campaign consultants CTB contribution (explain nonmonelary)' CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND iridependerd expenditure LEG legal defense LIT campaign literature and mailings MBR member communications MTG meelings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal. accounting) PRT print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v, or cable airtime and production costs TRC candidate travel, lodging, and meals TRS slaftlspouse travel, lodging, and meals TSF transfer between committees of the same candidatelsponsor VOT voter registration WEB information technology costs (Internet, e-mail) (a) (b) 01 (d) NAME AND ADDRESS OF CREDITOR CODE OR DESCRIPTION OF OUTSTANDING BALANCE AMOUNT INCURRED AMOUNT PAID THIS OUTSTANDING OF COMMITTEE, ALSO ENTER I.D. NUMBER) PAYMENT BEGINNING OF THIS THIS PERIOD PERIOD BALANCE AT CLOSE PERIOD (ALSO REPORT ON E) OF THIS PERIOD Brighthaus Marketing LLC 125 E Tahquitz Canyon Way WEB, Weiasite edits $4.00 $262.50 $0.00 $252.50 Ste 203 and updates Palm Springs, CA 92262-6469 'Payments that are wnlributions or independent expenditures must also be SUBTOTALS $ 0 . 0 0 $262.50 $ 0 . 0 0 $262.50 summarized on Schadt+le 0. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for INCURRED TOTALS accrued expenses of $100 or more, plus total unite mized payments on accrued expenses under $100.)............................................................... 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ............ 3. Net change this period. (Subtract Line 2 from Line 1, Enter the difference here and on the Summary Page, Column A, Line S.)........................................................................................................................................................... PAID TOTALS $262.50 $0.00 NET $262.50 (May be a negative number) FPPC Form 460 jJanuary106) FPPC Toll -Free Helpline: SWASK-FPPC (866/276-3772) Statement of Organization Recipient Committee Statement Type 7Initial Not yet qualified ❑ or 3/13/2015 Date qualified as committee NAME OF COMMITTEE Geoff Kors for City Council 2D15 1 -'5-7V6-o2 TypearprintinkR ECE) V ED ❑Amendme415 MAY —4 At" Jvon- See Part 5 F List I.D. number: List I.D. number: in <# i Date qualified as committee (If applicable) STREETADDRESS fNC P.O. BOX) 1455 v Vine Ave CITY STATE ZIP CODE AREA CODEIPHONE Palm Springs CA 92262 (760) 537-0061 MAILING ADDRESS OF DIFFERENT) PO Box 1585 Palm Springs, CA 92263 FWUE-MAIL ADDRESS eoffkorsps@gmail.com Riverside WHERE verside Attach addivonai Wbmwion ort appropriately labeled condrnmdon sheaf&. Date of Termination NAME OF TREASURER James Williamson Rejected: Date Stamp office of the Secretary of S of the State of Cafliomia For Official Use Only .ECEIVED AND FILE the office of the Secretary of St; of the Ststo of rAtlfn-nip APR 16 2015 STREET ADDRESS (NO P.O. BOX) 14155 N Vine Ave CITY STATE ZIP CODE AREA CODEIPHONE Palm Springs CA 92262 (760) 537-0060 NAME OF ASSISTANT TREASURER, IF ANY Steven Mele STREET ADDRESS (NO P,O. BOX) 611 Pennsylvania Ave SE Ste 143 CITY STATE ZIP CODE AREA CODEIPHONE Washington DC 20003-4303 102 - 28-F- }-3-50 NAME OF PRINCIPAL OFFICERS) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE;PHONE I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on f7:F-� f By -xecutedon DATE �;-�U�C f-11 I B NATURE OF TREASURER OR ASSISTANT TREASURER ��`� DATE - SIG!JAWRE OK CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By t ' DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PI�QQONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (Dec12012) FPPC Advice:advice0fppc.ca.pov (8661276-3772) www.fppc.ca'gov s Statement of Organization e . Recipient Committee IhSTRl1CTiONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Geoff Kors for City Council 2015 995721 a Ali committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION Sank of America ADDRESS 1801 E Palm Canyon Dr (760) 8 6 4 — 8 5 8 4 CITY Palm Springs STA CA BANKACCOUNT NUMBER 325013369028 41F UOUE 92264 • Gst the name of each controlling office holder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election_ • List the political party with which each officeholder or candidate is affiliated or check "non -partisan." + If this committee acts jointly vuith another controlled committee, list the name and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD NAME OF CANDIDATEfOFFICEHOLDERJSTATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELEC Geoff Kors City Council Member I 2015 Non -Partisan Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDICAFE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO, CITY. OR COUNTY. AS APPLICABLFI OPPOSE FPPc Fonn 410 (Dec120121 FPPC Advice:adviceftfppc.ca.gov I666127"772) —.fppc.ca.gov Statement of Organization or Ty Recipient Committee pe print in ink Statement Type ✓❑initial ❑Amendment Not yet qualified ❑ or List I.D. number. 3/13/2015 Date qualified as committee Date qualified as committee (If ewficable) NAME OF COMMITTEE Geoff Kars for City Council 2015 Date Stamp []Termination-Seert�$� 3 P,1 i2� �}i List I.D. number. # Date of Termination STREET ADDRESS (NO P.O. BOX) 1455 N 'Vine Ave CITY STATE ZIP CODE AREA CODEIPHONE Palm Springs CA 92262 (760) 537-0061 MAILING ADDRESS (IF DIFFERENT) PO Box 1585 Palm Springs, CA 92263 FAXIE-MAIL ADDRESS geoffkorsps@gmail.com COUNTY OF DOMICILE Riverside IRiversids Attach addlMonal lnfonwdon on approprfafefy labeled contlnusrlon sheets. NAME OF TREASURER James Williamson For Official Use Only STREET ADDRESS (NO P.O- BOX) 1455 N Vine Ave CITY STATE ZIP CODE AREA CODEIPHONE Palm Springs CA 92262 (760) 537-0060 NAME OF ASSISTANT TREASURER, IF ANY Steven Mele STREET ADDRESS (NO P.Q. BOX) 611 Pennsylvania Ave SE Ste 143 CITY STATE ZIP CODE AREA CODE/PHONE Washington DC 20003-4303 NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE '�` z" '.$ -A, 'Eat a _i �: a' r,:.j ';n :'w'.•3�.. `. :.°.. �''� _" t -x�' '"-t', a. '„ter 'i:-._ sA" ,r a as tic. r?: i have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on //AWW Y'4;ggi';- ATE Executed on DATE Executed on Executed on DATE By By SIGNATURE OF TREASURER OR ASSISTANT TREASURER SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPG Form 410 (Dec12012) FPPC Advice:adviceQFmc.camov 186612763772) www.fppr-ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Pape 2 COMMITTEE NAME I.D. NUMBER Geoff Kors for City Council 2015 995721 • All committees must list the financial institution where the campaign bank account is located. Bank of America ADDRESS 1801 E Palm Canyon Di (760) 864-B584 CITY Palm Springs BANK ACCOUNT NUMBER 32501336902B STATE ZIP CODE CA 92264 • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election. • List the political party with which each officeholder or candidate is affiliated or check "non -partisan." If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD NAME OF CANDIDATEIOFFICEHOLDERISTATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY ❑J Edon -Partisan Geoff Kors City Council Member 2015 Primarily Formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO, CITY, OR COUNTY, AS APPLICABLE) SUPPPPORT IOPPPPOSE El FPPC Form 410 (Dec120121 FPPC Advice;adviceftfppc.ca gov (8661175,W2) www.fppc.ca.gov CANDIDATE INTENTION S Candidate intention Statement Check One: Initial ❑Amendment (Explain) i. %.oanalQaxe 1nTorrnaEwn: Type or Print in Ink. Date Starnp t 1.v 3 PALM Sr' 2015MA -2 All 9: 59 For Official Use NAME OF CANDIDATE (Last. Fi st, Middle initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optimal) E-MAIL (oplronal) b STREET'ADDRESS CITY STATE ZIP CODE N, V /V/ OF ICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, I applicable. &rNON-PARTISAN / �} ( f Cyr f ;� 1 l fin: :vrf1 C r PARTY: OFFICE JURISDICTION ❑ State (complete Part 2-) ;r. f /? EYClty ❑ County ❑ Multi -County: ( of Multi- aunty Jurisdiction) !Year of E cdon} 2. State Candidate Expenditure Limit Statement: (CaiPERS and CaiSTRS candidates, judges, judieia) candidates, and candidates for focal offices do riot complete Part 2,) Primarylgeneral election Special/runoff election (fear of Elecfrru,J ( Year ofEiect;on) (Check one box) ❑ i accept the voluntary expenditure ceiling for the election stated above. ❑ I do not accept the voluntary expenditure ceiling for the election stated above. Arendment: O 1 did not exceed the expenditure ceiling in the primary or special election held on:. I and I accept the voluntary expenditure ceiling for the general or special run-off election. (Mark A app)icaWe) ❑ On I contributed personal funds in excess of the expenditure ceiling for the election stated above. 3. Verification: I certify under penalty of penury under the laws of the State of California that the.?foregoing is true and correct. Executed on ' S Signature (month, day, yea.q _ f{Ca )date) FPPC Form 501 (Aprill2011) FPPC Toll-Frea IHelpiine: 866IASK-FPPC (8661275-3772)