803 Geoffrey Kors 2022-04-26 Juan Jordan BernsteinBehested 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 TITLE):
^111011Witunt or ruing te [] Check box If an Amendment ' L C' f �i (Agency)
®�)
PALM SPRING
(Month, Day, ear 201`APR 26 A 111: 10
of Palm Springs 13200 E Tahquitz Canyon Way
CODE/PHONE NUMBER: E-MAIL:
) 323-8299 geoff.kors@paimspringsca.gov
2. Payor Information (For additional payors, Include an attachment the
with names, addresses, and proceeding Information)
NAME:
i DDRESS;
I V
ITY; STATE: IP COD
r 56'1
AF NA " "
- C " U G/a
❑ Donor Advised Fund (DAF) DONORS) O R S AD ISOR: (S E I ST C I )
(see Instrucdons)
❑ Payor Is a named party or the subject of a proceeding before my agency. BRIEF DESCRIPTION OF PROCEEDINGS:
3. Payee Information (For additional payees, Include an attachment the
-with- names, addresses and relationship Information)
NAME;DDRESS:
Planned Parenthood of the PacifiSouthwet Ic075 Camino del Rio South
CITY: STATE: ZIP CODE:
For a nonprofit organization payee, provide a brief description of any relationship to the official, official's immediate family member or staff member
capacityboard member or executive officer or position on an honorary or advisory board.
San Diego CA 92108
In the role of founder, salaried employee, decision
NAME AND TITLE: ROLE WITH THE NONPROFIT ORGANIZATION:
-making
RIEF 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.)
TE
MONTHDIADAYNEAR AMOUNT PAYMENT TYPE BRIEF DESCRIPTION OF IN -KIND PAYMENT PURPOSE
DESCRIBE THE LEGIIgg��,gqTIV GVEERN ENTAL,
CHARITABLE PURPO OR EVEN.
MONETARY DONATION ® LEGISLATIVE
G U ❑ IN GOVERNMENTAL
Sponsorship of 2022 Stand Nowl Event
(� -KIND GOODS OR SERVICES
✓ CHARITABLE
[] MONETARY DONATION
LEGISLATIVE
[� IN -KIND GOODS OR SERVICES
GOVERNMENTAL
CHARITABLE
0 The an estimate and reflects my beat efforts at obtaining the accurate REASON FOR ESTIMATE:
information.
S. Amendment Description and/or Comments (Provide date of original filing or confirmation number in Pert f )
6. Verification
Executed on Y / )3 1 R
DATE By
FPPC Form 803 (February/2022)
advice@fppc.ca.gov