803 Geoff Kors 2019-12-30 Renova EnergyBehested Payment Report A Public
1. Elected Officer or CPUC Member (Last name, First name)
Kors, Geoffrey
City of Palm Springs
3200 E. Tahquitz Canyon Way, Palm Springs, CA 92262
Area Code/Ph
7603238200
Renova Energy
75181 Mediterranean
geoff.kors@paimspringsca.gov
rfEC
DEC 30 Pfi 3: 4
LFI E CIF TNc CITY CLI
❑ Amendment (see Part 5)
Behested Payment Report
For Official Use
Date of Original Filing:
(month, day, year)
(For additional payors. include an attachment with the names and addresses.)
Palm Desert CA 92211
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 an inrormabon)
Date of Payment: 11/25/19 Amount of Payment: (ln-wndFnfv) $ 5,000.00
(month, day, year) (Round to whole dotiam.)
Payment Type: ❑x Monetary Donation or ❑ In -Kind Goods or Services (Provide Description below)
Brief Description of In -Kind Payment:
Equality Awards Sponsorship
Purpose: (Check one andprowde description below) ❑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 12/12/19 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.
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Executed on 3ATE By TUREOF ELECTEDOFFICER ORCPUCMEMBER
FPPC Form 803 (January/2018)
FPPCToll-Free Helpline: 866/ASK-FPPC (866/275-3772)