803 Geoff Kors 2019-11-04 Harold MatznerBehested Payment Report A Public Document Behested Payment Report
1. Elected Officer or CPUC Member (Last name, First name) CEI Viii& Stamp e • '
Kors, Geoff CITY ONFALMSPRINGS e
Palm Springs City Council
3200 E. Tahquitz Canyon Way
Area Code/Phone
7605370061
Harold Matzner
(Optional)
2019NOVO4 PM 4:47
E CITY CLc-
❑ Amendment (See Pan 5)
For Official Use Only
Date of Original Filing:
(month, day, year)
(For additional payors, include an attachment with the names and addresses.)
PO Box 1717 Elmword Park NJ 07407
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
4. Payment Information (Complete sit information.)
Date of Payment: 10/11/19 Amount of Payment: (la-K;ndFMt) $ 65,000
(month, day, year) (Round to whole dollars.)
Payment Type: ❑x 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 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 By
DATE SIGNATURE OF ELECTED OFFICER OR CPUC MEMBER
FPPC Form 803 (January/2018)
FPPC Toll -Free Helpline: 866/ASK-FPPC 1866/275-3772)