2019-10-07 Form 497- Kors497 Contribution Report
Amounts may be rounded to whole dollars.
NAME OF FILER
Geoff Kors For City Council, District 3, 2019
AREA CODE/PHONE NUMBER
7605370060
STREET ADDRESS
CITY
Palm Springs, CA 92262
1 Contributi on(s) Received
STATE
1.D. NUMBER (If applicable)
1376802
ZIP CODE
DATE FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTR IBUTOR
RECEIVED (IF COMM ITTEE, ALSO ENTER 1.0 . NUMBER)
David Lavine
315 East Arenas Road
2019-10-07 Palm Springs, CA 92262
Palm Springs Police Officers' Assoc iation PAC
11 21 L Street Suite 200
2019-10-07 Sacramento, CA 95814
I D : 951841
Date of This R E CEi ~'b
Fll·ing 1010712019 SPRIN CIT OF P hLH
Report No. 192
---=-=-201 OCT :-, ~ Amendment
to Report No. _0 ___ ......... ,...,
(explain below)
No.ofPages_l ___ _
CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER RECEIVED CODE • (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
IZl1ND Owner 1,000.00
DcoM Blackbook Bar D Check if Loan DOTH
0PTY
% •sec Provide Interest Rate
•IND 1,396.92
IZlcoM
DOTH D Check if Loan
0 PTY % •sec Provide Interest Rate
•IND
DcoM
DOTH D Check if Loan •PTY % •sec Provide Interest Rate
R f A d t -
0:.n~·g::.in:...a:.l.:...re.:..:p:...:o:...rt:...:n __ o_t_fi_le_d_s_o_n_o_t _a _n _A_m_e_n_d_m_e_n_t ____________________ _ eason or men men :
• Contributor Codes
IND -Individual
COM -Recipient Committee (other than PTY or SCC)
0 TH -Other (e.g., business entity)
Powered by ISPolltlcal.oom
PTY -Political Party
sec -Small Contributor Committee
FPPC Fonn 497 (Feb/2019)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov