803 Geoff Kors 2019-12-30 Geoffrey Kors & James WilliamsonBehested Payment Report A Public Docillilij YED Behested Payment Report
1. Elected Officer or CPUC member (Last name, First name) ell I Or A L M WePSJU4S • 1
•
Kors, Geoffrey 0 PH 3: 4 0 1 For Official Use Only
Aoancv Name
City of Palm Springs
3200 E. Tahquitz Canyon Way, Palm Springs, CA 92262
OFFICE OF HE CITY CL;
Designated Contact Person (Name and title, if different) ❑ Amendment(see Parts)
Area Code/Phone Number E-mail (Optional) Date of Original Filing:
(month, clay, year)
7603238200 geoff.kors@palmspringsca.gov
Payor Information (For additional payors, include an attachment with the names and addresses.)
Geoffrey Kors & James Williamson
1455 N. Vine Ave. Palm Springs CA 92262
Address City State Zip Cope
3. Payee I nformation (For additional payees, include an attachment with the names and addresses.)
Equality California Institute
3701 Wilshire Blvd., Ste 725 Los Angeles CA 90010
Address City state Zip Code
4. Payment Information (Complete allinrormaton.)
Date of Payment: 11/12/19 Amount of Payment: (rMDndFMt� $ 10,000.00
(month, day, year) (Round to whole dollars.)
Payment Type: ❑x Monetary Donation or ❑ In -Kind Goods or Services(Pmwde descdpaon below)
Brief Description of In -Kind Payment:
Equality Awards Sponsorship
Purpose:(Crack weand pidescaptonbelow) ❑Legislative ❑Governmental ZCharitable
Describe the legislative, governmental, charitable purpose, or event:
Palm Springs Equality Awards Donation at Event
5. Amendment Description and/or Comments
Organization reported to me on 12/19/19 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.
30222--Executed on DATE By LE ORE OF E D OFFICER OR CPUC MEMBER
FPPC Form 803 (January/2018)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)