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803 Geoff Kors 2019-09-19 Grace Helen Spearman Charitable FoundationBehested Payment 1. Elected Officer or Cl Kors, Geoff Palm Springs City Council 3200 E. Tahquitz Canyon Way A Public (Last name. First name) Area Code/Phone Number I E-mail (optional) 7605370061 19 PH 2: 37 THE CITY CLEF ❑ Amendment (See Pan 5) Behested Payment Report For Official Use Only Date of Original Filing: (month. day, year) 2. Payor Information (For additional payors, include an attachment with the names and addresses ) Grace Helen Spearman Charitable Foundation 4283 Arcada Steel Palm Springs CA 92262 Address 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 allmlormaborr) Date of Payment: Payment Type: 08/28/19 (month, day, year) Amount of Payment: (In-KIndFMV) $ 10,000 (Round to whole dollars.) ❑x Monetary Donation or ❑ In -Kind Goods or ServlcestPmvlde descriptor, below) Brief Description of In -Kind Payment: Purpose: (Check one and pmvide description below) ❑Legislative ❑Governmental ❑x 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 � FPPC Form 903 (January/2018) FPPC Tolt-Free Helpline: 866/ASK-FPPC (866/275-3772)