803 Geoffrey Kors 2022-03-24 Johnson & JohnsonBehested Payment Report
A Public Document
Type or Print In Ink.
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1. Elected Officer or CPUC Member Gast name, First name)
ELECTED OFFICER OR CPUC MEMBER: AGENCY NAME:
Kors, Geoffrey City of Palm Springs
DESIGNATED CONTACT PERSON (NAME AND TITLE): AREA CODE/PHONE NUMBER:
(760) 323-8299
2. Payor Information (For additional payors, include an attachment with the names, addresses, and proceeding informatio.
�Aw: DDDRESS: /n
) tM k P, `/`Pl1V 4h5) V"` Lt' �G✓t �✓U J >0DR/�,, 70 !°I1 07►^�/�v
❑ Donor Advised Fund
(see Instructions)
❑ Payor is a named party or the subject of a proceeding before my agency. I
3. Payee Information (For additional payees, Include an attachment with the names, addresses and
LIAR 2 4 2022
Office of the City
Y STREET ADDRESS:
E Tahquitz Canyon Way
'.kors@palmspringsca.gov
//P I !;i- Ptfs G I ('4-
NAME: ADDRESS: CITY: STATE: ZIP CODE:
Planned Parenthood of the Pacific Southwt 1075 Camino del Rio South San Diego CA 92108
For a nonprofit organization payee, provide a brief description of any relationship to the official, official's Immediate family member or staff member In the role of founder, salaried employee, decision -making
capacity (board member or executive officer) or position on an honorary or advisory board.
NAME AND TITLE: ROLE WITH THE NONPROFIT ORGANIZATION: BRIEF DESCRIPTION:
James Williamson, President Board of Directors President, Board of Directors Spouse
4. Payment Information (Complete all information. For estimated payment information check the box below.)
MONTHD/DAY/YEAR) AMOUNT PAYMENT TYPE BRIEF DESCRIPTION OF IN -KIND PAYMENT PURPOSE DESCRIBE
THELEGISLATIVE
E PURPOSE GOR EVENT 1
a MONETARY DONATION ❑ LEGISLATIVE Sponsorship of 2022 Stand Nowl Event
2 r �Gr IN -KIND GOODS OR SERVICES O GOVERNMENTAL
El CHARITABLE
MONETARY DONATION LEGISLATIVE
IN -KIND GOODS OR SERVICES GOVERNMENCHARITABLETAL
The (DATE AMOUNT) is an estimate and reflects my best efforts at obtaining the accurate I
Information.
5. Amendment Description and/or Comments (Provide date of original filing or confirmation number in Part f.)
6. Verification
Executed on l2 y �-�- By &ZL_� &24 FPPC Form 803 (February/2022)
GATE advice@fppc.ca.gov