2019-10-07 Form 497 - Kors(Amended)RECEIVED 497 Contribution Report
Amounts may be rounded to whole dollars. QI T Y OF PALH SPRINGS 497 CONTRIBUTION REPORT
NAME OF FILER
Geoff Kors For City Council, District 3, 2019
AREA CODE/PHONE NUMBER
7605370060
STREET ADDRESS
CITY
Palm Springs. CA 92262
1 Co trib tion(s) Received . n u
STATE
1.D. NUMBER (ff appllcabla)
1376802
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER)
David Lee
800 W. Stevens Road
2019-10-04 Palm Springs, CA 92262
I A d t Original report not filed so not an Amendment Reason or men men : -
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Date of This 20 J 9 Q T .:'.. 1 'nf"1"' I 9 Filing 10/05/2019 . . -CALIFORNIA 497
FORM
Report No. _1_86~--'-"0f~E~IC=E F THE CITY CLERK
~ Amendment
For Offlclal Use Only
to Report No. _0 ___ _
(explain below)
No. of Pages _2 ___ _
CONTRIBUTOR IF AN INDMDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER ' coDe• (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED
~IND
DcoM
DOTH •PTY •sec
Writer/Director 1,000.00
David Lee 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 (866/275-3772)
www.fppc.ca.gov
497 Contribution Report
Amounts may be rounded to whole dollars.
-~~ ~m~
Geoff Kors For City Council, District 3, 2019 Filing 10/05/2019 -------------------~-------------1 AREA CODE/PHONE NUMBER
7605370060
STREET ADDRESS
CITY
Palm Springs, CA 92262
STATE
1.D. NUMBER (If applicable)
1376802
ZIP CODE
2. Contribution(s) Made
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF ~ECIPIENT
MADE (IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Report No. 186 --~----• Amendment
to Report No. ____ _
(explain below)
No.mPages 2 ~----
CANDIDATE AND OFFICE
OR
MEASURE AND JURISDICTION
Reason for Amendment:~--~--------------------------------
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Date Stamp
497 CONTRIBUTION REPORT
CALIFORNIA 497
FORM
For Officlal Use Only
AMOUNT OF DATE OF ELECTION
CONTRIBUTION (IF APPLICABLE)
FPPC Fann 497 (Fob/2019)
FPPC Advice: advlca@fppc.co.gov (BB6/275-3TT2)
· www.fppc.ca.gov
FORM
CA497
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REFERENCE
Cover
NOTES
FPPC Form 497 (Merch/2011)
FPPC Advlco: advlce@fppc.ce.gov (866/275-3772)
www.fppc.ca.gov