803 Geoff Kors 2019-12-30B Geoffrey Kors & James WilliamsonBehested Paymei
1. Elected Officer or
Kors, Geoffrey
Agency Name
City of Palm Springs
A Public Docu
(Last name, First name)
3200 E. Tahquitz Canyon Way, Palm Springs, CA 92262
Area Code/Phone Number E-mail (Optional)
7603238200 geoff.kors@palmspringsca.gov
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❑ Amendment (See Pad 5)
Reheated Payment Report
For Official Use Only
Date of Original Filing:
(month, day, year)
2. Payor Information (For additional payors, include an attachment with the names and addresses.)
Geoffrey Kors & James Williamson
Name
1455 N. Vine Ave. Palm Springs CA 92262
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 C,ty state Zip Code
4. Payment Information (complete all imematim)
Date of Payment: 11/08/19 Amount of Payment: (04(indFMV) $ 10,000.00
(month, day, year) (Round to whole dollars.)
Payment Type: ❑x Monetary Donation or ❑ In -Kind Goods or Services(Proidde description below)
Brief Description of In -Kind Payment:
Equality Awards Sponsorship
Purpose:(Chaokoneand pmWdedescription below) ❑Legislative ❑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.
c
Executed on Te f By
FPPC Form 803 (January/2018)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)