803 Geoff Kors 2019-11-04 Gary KiefBehested Payment Report A Public Document
1. Elected Officer or CPUC Member (Last name. First name) P r C RiWaF.pmp
Kors, Geoff CITY F PALM SPRINGS
Palm Springs City Council
3200 E. Tahquitz Canyon Way
(Name and tide, it different)
2019 0V 14 PM 4: 47
OF THE CITY CLER'
❑ Amendment (see Part 5)
Behested Payment Report
For Otfiaal Use Only
Area Code/Phone Number E-mail (optional) Date of original Filing:
7605370061 (rtwnM, day, }rear)
Payor Information (For additional payors, include an attachment with the names and addresses.)
Gary Kief
9696 Culver Blvd, Ste 105 Culver City CA
Address City State Zip Code
3. Payee Information (For additional payees, include an attachment with the names and addresses.)
Equality California
3701 Wilshire Blvd #725 Los Angeles CA 90010
Address City State Zip Code
a. Payment Information (Complete all information.)
Date of Payment: 10/13/19 Amount of Payment: (In-K;ndFMV) $ 5,000
(month, day, year) (Round to whole dollars.)
Payment Type: ❑x Monetary Donation or ❑ In -Kind Goods or Servicestrawide description below.)
Brief Description of In -Kind Payment:
Purpose: (Check one and provide description below) ❑ Legislative ❑ Governmental I] 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.
I/ y
Executed on g By
DATE SIGNATURE OF ELECTED OFFICER OR CPUC MEMBER
FPPC Form 803 (January/2018)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)