2019-08-21 Form 497 - Kors497 Contribution Report
Amounts may be rounded lo whole dollara. 497 CONTRIBUTION REPORT
NAME OF FILER
Geoff Kors For City Council, District 3, 2019
AREA CODE/PHONE NUMBER
STREET ADDRESS
CITY
Palm Springs. CA 92262
1. Contribution(s) Received
STATE
J.D. NUMBER (If appl!cable)
1376802
ZIP CODE
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Harold Matzner
555 North Palencia Road
2019-08-19 Palm Springs, CA 92262
Reason for Amendment: Original report not filed so not an Amendment
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Date of This Date Stamp
Filing o812012019 Ii CE I VED CALIFORNIA 497
FORM
Report No. 82 CITY O,f PALH SPRINGS -------For Official Use Only
~ Amendment
to Report No. 0
(explain below)
2019AU 21 PM 3: 06
,OFFICE·• THE CITY CLERK ' No. of Pages 2 -----
CONTRIBUTOR
CODE•
IZIIND
DcoM
DOTH •PTY •sec
IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER RECEIVED (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
Chair 10,000.00
Palm Springs International Film Festival D Check if Loan
%
Provide Interest Rate
* Contributor Codes
IND -Individual
COM -Recipient Committee (other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
FPPC Fonn 497 (Feb/2019)
FPPC Advice: advlce@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov