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2019-10-21 Form 497 - Kors (Amended)497 Contribution Report Amounts may be rounded to whole dolls.rs. 497 CONTRIBUTION REPORT NAME OF FILER Geo ff K ors For City Council, Dis trict 3, 2019 AREA CODE/PHONE NUMBER 7605370060 STREET ADDRESS CITY Palm Springs, CA 92262 1 Contribution(s) Received STATE 1.0 . NUMBER (If applicable) 1376802 ZIP CODE DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.0 . NUMBER) John Park 260 North Palm Canyon Drive 2019-10-17 Palm Springs, CA 92262 Date of This Filing 10/1 7/2019 REOitf~cEO CIT OF P A LH SPRIN CALIFORNIA 497 1 FORM Report No. - 22 - 5 ---2+HQ I OCT 2 I PM I : 5 [&I Amendment to Report No. 0 OFFI E OF THE CITY CLE f (explain below) No.ofPages _2 ____ _ CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER For Offi cial Use Only AMOUNT CODE • (IF SEL F-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED (8:]IND Owner 1,000.00 DcoM NYPD Bar D Check if Loan D OTH •PTY % •sec Provide Interest Rate R f A d t ....:0:.r:_.::ig:_: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) 0TH -Other (e.g., business entity) Powered by ISPolltlcal.com PTY -Political Party sec -Small Contributo r Committee FPPC Fonn 497 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov