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2019-10-21 Form 497 - Kors(Amended)497 Contribution Report Amounts may be rounded to whole dollars. 497 CONTRIBUTION REPORT NAME OF FILER Geoff Kors For City Council , District 3 , 2019 AREA CODE/PHONE NUMBER 7605370060 STREET ADD RESS 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) Michael Fla nnery 1733 N Palm Canyon DriveSuite D 2019-10-18 Palm Springs , C A 92262 Reason for Amendmen t: Original report no t filed so n ot a n Amendment P,_.,,., by ISPolltk:el.corn Date of This R E C fJ4i¥;fir9 Filing 1011812019 CITY OF Pi\LH SPRING CALIFORNIA 497 FORM Report No. _22_9 __ _,2H+8+"19 CT 21 PM I : 58 For Official Use Only 00 Amendment to Report No. _o __ ___,...._'- (explain below) No. of Pages _2 ____ _ CO NTRIBUTOR OF HIE CITY CLE ,~ IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION ANO EMPLOYER cooE· (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED lZl1NO D coM •oT H 0PTY •sec Business owner 1 ,000.00 Acme H ouse Company O Check if Loan % Provide Intere st Ra te • Contributor Codes IND -Individual COM -Recipient Committee (o ther than PTY or SCC) 0TH -O ther (e.g., business entity) PTY -Poli tical Party SCC -Small Contributor Committee FPPC Form 497 (Feb/2019) FPPC Advice: aclvlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov