2019-08-13 Form 497 - Kors497 Contribution Report
NAME OF FILER
Amounts may be rounded to whole dollars.
Date of
This Filing
8/13/2019 Date Stamp CALIFORNIA 49 7
FORM
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1376802 ReportNo. · ··et y ·oF PALM SPRIN S
Geoff Kors for City Council District 3 2019
For Official Use Onty
STREET ADDRESS
ral~;~i;;i~~-n 1 ____ 2 19 AUG 13 . AH 9: 56
~c,=TY,_---------------,s==T11:==:r=-e----=z1""ec"'o"'D""E----I· (e<Plalnbelow) 1 .. OF ICE OF THE CITY CLE I\
Palm Springs CA 92262 No. of Pages
1. Contrlbutlon(s) Received
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RECEIVED (IF COUUITIEE,ALSO ENTER 1.D. NUMBER) CODE"
Southwest Regional Council of Carpenters PAC 0 IND 533 South Fremont Ave
10th Floor 181 COM
8/12/2019 Los Angeles 0 0TH
' CA 90071 •PlY
ID: 870169 • sec
' '
0 IND •COM • 0TH
0 PlY • sec
I 0 IND_
0 COM
0 0TH
0 PlY
' •sec
Reason for Amendment: ______________________________ _
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
{IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
* Contributor Codes
IND -Individual
AMOUNT
RECEIVED
2,000.00
O Check if Loan
%
Provide interest rate
D Check II Loan
,,
ProYide inte1'9SI rate
D Check if Loan
"' ' Provide interest rate
COM -Recipient Committee (other than PlY or SCC)
0TH -Other (e.g., business entity)
PTY -Polnical Party
sec -Small Contributor Committee
FPPC Ferm 497 (Feb/2D19)
FPPC Advice: advlce@fppc.ca.gov (866/275-37721
www.fppc.ca.gov