803 Geoffrey Kors 2022-03-24 RobinsonBehested Payment Report
A Public Document
Type or Print in Ink.
Amendment oT mung
Check box if an Amendment
on ay, ear
Date,Stam,"
MAR 2 4 2022
# Confirmation Number Office of the City C14rk
1. Elected Officer or CPUC Member (Last name, First name)
ELECTED OFFICER OR CPUC MEMBER: AGENCY NAME: AGENCY STREET ADDRESS:
Kors, Geoffrey City of Palm Springs 3200 E Tahquitz Canyon Way
DESIGNATED CONTACT PERSON (NAME AND TITLE): AREA 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 information)
ke �s � 1I � -*X
❑ Donor Advised Fund
(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 relationship information)
NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
Planned Parenthood of the Pacific SouthweS r
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.)
MDNTHDAAE/YEAR
AMOUNT
PAYMENT TYPE
BRIEF DESCRIPTION OF IN -KIND PAYMENT
PURPOSE
DESCRIBE
CHATHE LEGISLATIVE
EGP LATIVE GOVERNMENTAL,
2
MONETARY DONATION
❑ LEGISLATIVE
❑ GOVERNMENTAL
Sponsorship of 2022 Stand Nowl Event
1 ��
G
❑ N-KIND GOODS OR SERVICES
t%
r CHARITABLE
❑ MONETARY DONATION
❑ LEGISLATIVE
❑ IN -KIND GOODS OR SERVICES
GOVERNMENTAL
CHARITABLE
REASON FOR ESTIMATE:
❑ The is an estimate and reflects my best efforts at obtaining the accurate
(OAT AMOUNT)
Information.
5. Amendment Description and/or Comments (Provide date of original filing or confirmation number in Part 1.)
6. Verification
my
a
Executed on } V 22 By z2z� FPPC Form 803 (February/2022)
DATE
advice@fppc.ca.gov