803 Geoff Kors 2019-05-30 Wintec Energy, Ltd.Behested Payment Report A Public Document Behested Paym
1. Elected Officer or CPUC Member (Last name. First name) Date Stamp '
Kors. Geoffrey "" 3
' ' - For ORaal Usa
Agency Name
City of Palm Springs
3200 E. Tahquitz Canyon Way
Designated Contact Person (Name and title. if different)
❑ Amendment (See Part b)
Area Code/Phone Number E-mail (Optional) Date of Original Filing:
(month, day. year)
7605370061 Geoff.kors@gmail.com
2. Payor Information (For additional payors. include an attachment with the names and addresses.)
Wintec Energy, Ltd.
2045 E. Tahquitz Canyon Way
Palm Springs
CA 92262
Address City State Zip Code
3. Payee Information (For additional payees, include an attachment with the names and addresses.)
Mizell Senior Center
480 S. Sunrise Way Palm Springs CA 92262
Address City State Zip Code
4. Payment Information (Completealt mrbrmatlon)
Date of Payment: 4/16/19 Amount of Payment: dn-KmdFMv) $ 10000.00
(month, day, year) (Round to whole dollars.)
Payment Type: ❑x Monetary Donation or ❑ In -Kind Goods or Services (Provide descnphon below)
Brief Description of In -Kind Payment:
Purpose: (Check one andpmvlde description below) El Legislative ❑Governmental 9Charitable
Describe the legislative, governmental, charitable purpose, or event:
Donation for Stars Among Us Gala Beneftting Meals on Wheels Program
5. Amendment Description and/or Comments
Information requested numerous times from organization. Received on 5/22/19
6. Verification
Report
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 05123/2019 By
DATE SIGNATURE OF ELECTED OFFICER OR CPUC MEMBER
FPPC Form 803(January/2018)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)