803 Geoff Kors 2019-12-30 Frederick NobleBehested Payment Report A Public DocumenVLCEI d En
Behested Payment Report
1. Elected Officer or CPUC Member (Last name, First name)
dat RIN757
Korn, GeoffreyDEC
30 PM 3: 4Agency
NameCity
of Palm Springs OFFI
E OF THE CITY CLE
Agency Street Address
3200 E. Tahquitz Canyon Way, Palm Springs, CA 92262
Designated Contact Person (Name and title. if different)
❑ Amendment (see Part 5)
Date of Original Filing:
mourn, day, year)
Area Code/Phone Number
E-mail (Optional)
7603238200
geoff.kors@palmspringsca.gov
2. Payor Information(Foradditionalpayors, include an attachment with the names and addresses.)
Frederick Noble
Name
12100 Wilshire Blvd #200 Los Angeles CA
90025
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., Ste 725 Los Angeles CA
90010
Address City State
Zip Code
4. Payment Information (Complete all information)
Date of Payment: 10/23/19 Amount of Payment: (In-wndFMv) $ 25,000.00
(month. day, year) (Round to whole dollars.)
Payment Type: ❑x Monetary Donation or ❑ In -Kind Goods or Services (Rmvide dawnp6on below)
Brief Description of In -Kind Payment:
Purpose: (Check one and provide descdptron below) ❑Legislative I-] Governmental ❑x Charitable
Describe the legislative, governmental, charitable purpose, or event:
Palm Springs Equality Awards Sponsorship
5. Amendment Description and/or Comments
Organization reported to me on 12/12/19 despite repeated requests
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
DA
TE SIG E OF ELECTED OFFiCER OR CPOC MEMBER
FPPC Form 803 (January/2018)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)