803 Geoffrey Kors 2022-02-17 Nora TaylorBehested Payment Report
I. Elected Officer or CPUC Men
Kors, Geoffrey
Agency Name
City of Palm Springs
Agency Street Address
3200 E. Tahquitz Canyon Way
760-323-8299
A Pu
(Last name, First name)
Number I E-mail (optionao
92! t"GN E p Behasted Payment Report
PM 3: 22 1 For Official Use Only
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❑ Amendment (see Pan s)
Data of Original Filing:
(month, day, year)
2. Payor Information (For additional payors, include an attachment with the names and addresses.)
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Address! L Ile" ,.. N �^ r� (�Cl ] o//G t .4 6 7 7 -
-City Stft Zip Code
3. Payee Information (For additional payees, include an attachment with the names and addresses.)
Planned Parenthood of the Pacific Southwest
Name
1075 Camino del Rio South San Diego CA 92108
Address City state Zip Code
4. Payment Information (Complete,11 information.)
Date of Payment: 2 Amount of Payment: (In -turd FMO $ i d,
(o th, y, year) (Round to whole dollars.)
Payment Type: ® Monetary Donation or ❑ In -Kind Goods or Services (Provide descdpact, below.)
Brief Description of In-()nd Payment:
Purpose: (Check one and provide descdpWn below.) ❑ Legislative ❑ Govemmental ® Charitable
Describe the legislative, governmental, charitable purpose, or event:
Donation to PPPSW Anniversary Celbration
S. Amendment Description and/or Comments
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 2 / '�?_ By
y
FPPC Form 803 (January/2018)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/27S-3772)