803 Geoffrey Kors 2022-03-24 Rosanne and Joel HolidayBehested Payment Report
A Public Document
Type or Print In Ink.
Check box if an Amendment
(mont , Day, ear
# on rmdon Number
1. Elected Officer or CPUC Member (Last 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: E
(760) 323-8299 c
2. Payor Information (For additional payors, include an attachment with the names, addresses, and proceeding information)
NAME: Drf;�3�DRESSS:
09 d < IA e7 rlC Q 7 del � Ar-A
❑ 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 relations/
NAME: ADDRESS:
Planned Parenthood of the Pacific Southwev- 1075 Camino del Rio South
For a nonprofit organization payee, provide a brief description of any relationship to the official, official's immediate far
capacity (board member or executive officer) or position on an honorary or advisory board.
NAME AND TITLE: ROLE WITH THE NONPROFIT ORGAN12
James Williamson, President Board of Directors President, Board of Directors
4. Payment Information (Complete all information. For estimated payment information check the box below.)
DATE AMOUNT PAYMENT TYPE BRIEF DESCRIPTION OF IN -KIND PAYMEI
MONTHIDAYIYEAR
y MONETARY DONATION
IN -KIND GOODS OR SERVICES
I3 MONETARY DONATION
IN -KIND GOODS OR SERVICES
The InATFJAF OUP is an estimate and reflects my best efforts at obtaining the accurate
Date stamp(,A44dWl
fit11%
office of the City
E Tahquitz Canyon Way
kors@palmspringsca.gov
a- 11�4
CITY: STATE:
San Diego CA
member or staff member In the rote of founder, salaried employee,
ON: IBRIEF DESCRIPTION:
PURPOSE
LEGISLATIVE
GOVERNMENTAL
CHARITABLE
LEGISLATIVE
GOVERNMENTAL
CHARITABLE
5. Amendment Description and/or Comments (Provide date of original filing or confirmation number in Part 1.)
6. Verification
IN
ZIP CODE:
a2108
hip of 2022 Stand Now! Event
Executed on
FPPC Form 803 (February/2022)
advice@fppc.ca.gov