803 Geoff Kors 2018-10-29 BBehested Pavment Report
A Public Document
Behested Payment Report
1. Elected Officer or CPUC Member (last name, First name)
Cate Stamp
• '
Kors, Geoffrey
29 Ali 7: 54
For Official Use Only
Agency Name 2116 OCT
Palm Springs City Council
- •---
Agency Street Address _rr,_._
3200 E. Tahquitz Canyon Way
Designated Contact Person (Name and title, if different)
❑ Amendment (see cart 5)
Date of Original Filing:
(month, day, year)
Area Code/Phone Number
E-mail (Optional)
7605370061
2. Payor Information (For additional payors, include an attachment with the names andaddresses.)
Frederick W. Noble
12100 Wilshire Blvd., #200
Los Angeles
3. Payee Information (For additional payees, include an attachment with the names and addresses.)
Mizell Senior Center
CA 90025
State Zip Code
480 S. Sunrise Way Palm Springs CA 92262
Address City state Zip Code
4. Payment Information (Complete all information.)
Date of Payment: 10/08/18 Amount of Payment: (InWndFlwv) $ 25,000
(month, day, year) (Round to whole dollars.)
Payment Type: ❑ Monetary Donation or ❑ In -Kind Goods or Services (Provide description below)
Brief Description of In -Kind Payment:
Purpose: (Check one and provide description below.) ❑Legislative ❑Governmental ❑x Charitable
Describe the legislative, governmental, charitable purpose, or event:
Sponsorship of Gala in support of Meals on Wheels Program
5. Amendment Description and/or Comments
6. Verification
I certify, under penalty of perjury under the laws of the State of California, that to the best of my knowledge, the information contained
herein is true and complete.
Executed on 10/22/2018 By
FPPC Form 803 (January/2018)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275.3772)