803 Geoffrey Kors 2022-03-24 Amy c. & Carl E.Behested Payment Report
A Public Document
Type or Print in Ink.
1. Elected Officer or CPUC Member (Last name, First name)
ELECTED OFFICER OR CPUC MEMBER:
Kors, Geoffrey
DESIGNATED CONTACT PERSON (NAME AND TITLEI:
Arnenament or ruling Date "
Check box if an Amendment
on ay, ear
MAR 2 4 2022
Conrmatlon um er office of the City C!
4GENCY NAME: AGENCY STREET ADDRESS:
City of Palm Springs 3200 E Tahquitz Canyon Way
4REA CODE/PHONE NUMBER:E-MAIL:
(760) 323-8299 geoff.kors@palmspringsca.gov
2. Payor Information (For additional payors, include an attachment with the names, addresses, and proceeding
NAME: DDRESS:
n. 4-by 40 C✓ �) G' PG✓ I
DAF NAME:
❑ Donor Advised Fund (DAF)
(see instructions)
❑ Payor is a named party or the subject of a proceeding before my agency.
3. Payee Information (For additional payees, Include an attachment with the names, addresses and re/atl
NAME: ADDRESS:
Planned Parenthood of the Pacific Southwes r 1075 Camino del Rio South
For a nonprofit organization payee, provide a brief description of any relationship to the official, official's immedlat
capacity (board member or executive officer) or position on an honorary or advisory board.
NAME AND TITLE:
James Williamson, President Board of Directors
Information)
ISan Diego
member or staff member In the role of founder,
ROLE WITH THE NONPROFIT ORGANIZATION:
President, Board of Directors
4. Payment Information (Complete all information. For estimated payment information check the box
DATE AMOUNT PAYMENT TYPE BRIEF DESCRIPTION OF IN -KIND
MONTH/DAY/YEAR
MONETARY DONATION
2 S C� vG N-KIND GOODS OR SERVICES
❑ MONETARY DONATION
❑ IN -KIND GOODS OR SERVICES
Spouse
ZIP CODE:
92108
decision -making
PURPOSE DESCRIBE RITABLE PURPOSt, OR EVENTENTAL,
LEGISLATIVE Sponsorship of 2022 Stand Now! Event
GOVERNMENTAL
CHARITABLE
LEGISLATIVE
GOVERNMENTAL
CHARITABLE
❑ The (DATE)AMOUNT) oUNT) Is an estimate and reflects my best efforts at obtaining the accurate
Information.
5. Amendment Description and/or Comments (Provide date of original filing or confirmation number in Part 1.)
6. Verification
2
Executed on By FPPC Form 803 (February/2022)
DATE
advice@fppc.ca.gov