803 Geoff Kors 2019-12-30 PS ResortsBehested Payment Report A Public Q�
1. Elected Officer or CPUC Member (Last name, First name)
Kors, Geoffrey ZU
City of Palm Springs
3200 E. Tahquitz Canyon Way, Palm Springs, CA 92262
30 PM 3: 40
OFFICE 0 THE CITY CLEr;:
Behested Payment Report
Designated Contact Person (Name and title, if different) ❑ Amendment/See Part 5j
Area Code/Phone Number E-mail (Optional) Date of original Filing:
7603238200 geoff.kors@paimspringsca.gov mourn day. year)
Payor Information (For additional payors, include an attachment with the names and addresses.)
PS Resorts
PO Box4607 Palm Springs CA 92263
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
4. Payment Information (complete au Information.)
Date of Payment: 11/25/19 Amount of Payment: pnacndFmh $ 5.000.00
(mordh, day year) (Round to whole dollars.)
Payment Type: ❑x Monetary Donation or ❑ In -Kind Goods or Services (Provide description helow.)
Brief Description of In -Kind Payment:
Equality Awards Sponsorship
Purpose: (Check meandprovidedesodptionWow) [I Legislative ❑Governmental ❑p 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
T SIGNATURE nr ELECTE3 CF' ]_- GR CPUC MEMBER
FPPC Form 803 (January/2018)
FPPCToll-Free Helpline: 866/ASK-FPPC (866/275-3772)