803 Geoffrey Kors 2022-05-05 Deanna Baker and John DunnBehested 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 ANO TITLE):
2.
�GENCY NAME:
Amendment of FIiing D Check box tf an Amendment
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MAY 5 2022
.ce of.the City Cle:
�GENCY STREET ADDRESS:
City of Palm Springs 3200 E Tahqultz Canyon Way
�REA CODE/PHONE NUMBER:
(760)323-8299
:E-MAIL:
geoff.kors@palmsprlngsca.gov
□ Payor le a named party or the subject of a proceeding before my agency.!BRIEF DESCRIPTION OF PROCEEDINGS:
3.f!8}'88 Information (For additional payees, Include sn attachment with the names, add,esses and ,elatlonshlp Information)
NAME: l"DDRESS:
Planned Parenthood of the Pacific Southwet 1075 Camino del Rio South
CITY:
San Diego
CALIFORNIA 803FORM
STATE: ZIP CODE:
CA 92108
For a non_proflt organization pay••• provide a brief description of any relatlonshlp to the offlclal, official's Immediate family member or staff member In the role of founder, salaried employee, decision-makingcapacl!Y_ (board member or executive officer) or position on an honorary or advisory board. NAME AND TITLE: IROLE WITH THE NONPROFIT ORGANIZATION: l9RIEF DESCRIPTION:
James WIiiiamson, President Board of Directors President, Board of Directors ISpouse
4.Parment Information (Complete sll lnformstlon. For estimated payment Information check the box below.)
CATE AMOUNT PAYMENT TYPE BRIEF DESCRIPTION OF IN-KIND PAYMENT PURPOSE oesc��tlit/ldi.�iwb�.i9ttvWmNTAL, CMONTH/DAYNEAR>
1//1 r/).1 _t C11J Ii �MONETARY DONATION □ IN-KIND GOODS OR SERVICES
I {
CJ The l0X'im15tlAi;lnformaUon.
, V □ MONETARY DONATION□ IN•KIND GOODS OR SERVICES
Is an esUmate and reflects my beet efforts at obtaining the accurate
8 LEGISLATIVE GOVERNMENTAL , CHARITABLE
-LEGISLATIVE
: GOVERNMENTAL CHARITABLE
REASON FOR ESTIMATE:
5.Amendment Description and/or Comments (Provide dsts of origins/ flllng or confirmation number In Part 1.J
8.
ce
Executed on ,, < , , cc_ By , < &< > lns<1rS◄f' < � a1n.t1fmii?:
Sponsorship of 2022 Stand No�! Event
FPPC Fonn 803 (February/2022)
advlce@fppc.ca.gov