803 Geoff Kors 2019-09-19 Douglas MorelandBehested Payment Report A Public Docu nt
1. Elected Officer or CPUC Member (Last name, First name) CITY :19
�.l I -"SPRgnGS
Kors, Geoff
Agency Name PM 2:37
Palm Springs City Council
3200 E. Tahquitz Canyon Way
Designated Contact Person (Name and title, it different)
(Optional)
7605370061
THE CITY CLEI.
❑ Amendment (See Part 5)
Behested Payment Report
For Official Use Only
Date of Original Filing:
(month, day year)
(For additional payors. include an attachment with the names and addresses.)
Douglas Moreland
10865 Savona Road Los Angeles CA 90077
Morass City State Zip Code
3. Payee Information (For additional payees, include an attachment with the names and addresses.)
Equality California Institute
Name
3701 Wilshire Blvd #725 Los Angeles CA 90010
Address City State Zip Code
4. Payment Information (Complete allinformatlon)
Date of Payment: 08/14/19 Amount of Payment: tin-KndPMV) $ 5,000
(month, day, year) (Round to whole dollars)
Payment Type: ❑x Monetary Donation or ❑ In -Kind Goods or Services(PmNde description below)
Brief Description of In -Kind Payment:
Purpose: (Check one andpmvide descnpbun below) ❑ Legislative ❑ Governmental Z Charitable
Describe the legislative, governmental, charitable purpose, or event:
Sponsorship of 2019 Equality Awards
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 09/08/19 By
DAM
FPPC Form 803 (January/2018)
FPPC Toll -Free Helpline: 866/A5K-FPPC (866/27S-3772)