803 Geoff Kors 2019-11-04 Hilton Palm SpringsBehested Payment Report A Public Document Behested Payment Report
1. Elected Officer or CPUC Member (Last name, First name) R E C E4Jy1Fz amp • '
Kors, Geoff CITY F PALM SPRINGS •
Agency Name 2019 Y 4 4 PM 4 47 Fat Official Use only
Palm Springs City Council
Agency Street Address F THE CITY CLER"
3200 E. Tahquitz Canyon Way
❑ Amendment (See Pan 5)
Area Code/Phone Number E-mail (Optional) Date of Original Filing:
7605370061 (month, day, year)
Payor Information (For additional payors, include an attachment with the names and addresses.)
Hilton Palm Springs
400 E. Tahquitz Canyon Way
Palm Springs
City
3. Payee Information (For additional payees, include an attachment with the names and addresses.)
Equality California
CA 92262
ate Zip Code
3701 Wilshire Blvd #725 Los Angeles CA 90010
Address City State Zip Code
4. Payment Information (Complete ail Information.)
Date of Payment: 10/15/19 Amount of Payment: (ta-Kind FMv) $ 5,000
(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 pmvide description below.) [I 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
DATE
By z
/ SIGNATURE OF ELECTEO OFFICER OR CPUC MEMBER
FPPC Form 803 (January/2018)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)