803 Geoff Kors 2022-04-10 Bobbie and John GilbertBehested Payment Report
A Public Document
Type or Print In Ink.
1. Elected Officer or CPUC Member (cast name, First name)
ELECTED OFFICER OR CPUC MEMBER:
Kors, Geoffrey City of Palm Springs
ITLE); AREA CODE/PHONE NUMI
(760)323-8299
[� Check box If an A-mendment
(Month, —ey-"pearj"�
DaiRWEPAW
APR 12 2022
ce of the City (
E Tahquitz Canyon Way
.kors@palmspringsca.gov
2. Payor Information (For additional payors, Include an attachment with the names, addresses, and proceeding information)
M
DDg�SB�
/pfj J
ITY: STATE: IP C DE:
C
AF NAME:
G
❑ Donor Advised Fund (pAF) DON (s D
: (SEE STR 0
(see Instnictlons)
BPROCEEDINGS:
❑ Payor is a named party or the subject of a proceeding before my agency. RIEF DESCRIPTION OF
3. Payee Information (For additional payees, Include an attachment with the names, addresses and relationship Information)
NAME: LDDR:ESS
Planned Parenthood of the Pacific Southwet 7no del Rio South
CITY: STATE: ZIP CODE:
capaci2108
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,
o CA o-makiing
ty board member or executive officer or position on an honorary or
advisory board,
NAME AND TITLE:
salaried ern o ee, decisi
ROLE WITH THE NONPROFIT ORGANIZATION:
James Williamson, President Board of Directors President, Board of Directors
BRIEF DESCRIPTION:
Spouse
4. Payment Information (complete all information. For estimated
payment Information check the box below.)
DATE
MONTH/DAY/YEAR AMOUNT PAYMENT TYPE BRIEF DESCRIPTION OF IN4<JND PAYMENT PURPOSE
DESCRIBEE THE LE�a�S, A�IV G�V�RE MENTAL,
CHARITABL R O O IVT
MONETARY DONATION ® LEGISLATIVE
Sponsorship of 2022 Stand Now! Event
IN -KIND GOODS OR SERVICES GOVERNMENTAL
r CHARITABLE
[] MONETARY DONATION LEGISLATIVE
IN -KIND GOODS OR SERVICES GOVERNMENTAL
CHARITABLE
❑ The Is an estimate and reflects m best efforts at obtaining the accurate REASON FOR ESTIMATE:
rl Y g
Informatlon.
5. Amendment Description and/or Comments Provide date of original Ong or confirmation number in Pert f.
6. Verification
Executed on W
ATE By
FPPC Form 803 (February/2022)
advice@fppc.ca,gov