803 Geoffrey Kors 2022-05-05 Linda and Mel KatzBehested Payment Report
A Public Document
Type or Print In Ink.
Amendment orFHlng 0 Check box If an Amendment
'onlfi, bay, Y'r)
D CALIFORNIA 803 FORM
#. Conhrrnailon Number
MAY 5 2022
Office of the City Cl eir.i:i
1.Elected Officer or CPUC Member (Last name, First name}ELECTED OFFICER OR CPUC MEMBER:fGENCY NAME: �GENCY STREET ADDRESS: Kors, Geoffrey City of Palm Springs 3200 E Tahqultz Canyon Way OESIGNATEO CONTACT PERSON (NAME ANO TITLE):AREA CODE/PHONE NUMBER: (760)323-8299 �E•MAIL:geoff.kors@palmsprlngsca.gov
2.Pa or Information (For additional payors, Include an attachment with the names, addresses, snd procsedlng lnformetlon)
• AME: OORESS:
RIEF DESCRIPTION 0-F PROCEEDINGS: □ Payor Is a named party or the subject of a proceeding before my agency.
3.Payee Information (For additions/ payees, Include an attachment with the names, addresses and relationship Information}
NAME: ADDRESS: Planned Parenthood of the Pacific Southwet 1075 Camino del Rio South
.)
CITY:
San Diego
!ZfP-CODE:r)_tJICj
STATE: ZIP CODE:
CA 92108
For a non.Profit organization payee, provide a brief description of any relationship to the official, offlclal's Immediate family member or staff member In the role of founder, salaried employee, decfsf on-making capacity (l>Oard 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 Information. For estimated payment Information check the box below.)CATE (MONTHIDAYIYEAR> AMOUNT PAYMENT TYPE BRIEF DESCRIPTION OF IN-KIND PAYMENT PURPOSE 0esc��irrn%h.if�Wb�.'1J�tr�mNTAL,
lc'J. MONETARY DONATION B LEGISLATIVE
l/l1<ln <;, ODtJ GOVERNMENTAL □ tN-KtND GOODS OR SERVICES � CHARITABLE
I I ✓ I □ MONETARY DONATION '"" LEGISLATIVE : GOVERNMENTAL □ IN .. KIND GOODS OR SERVICES � CHARITABLE
C The dJX'f&m'10DAf1 Is an estimate and reflects my best efforts at obtaining the accurate REASON FOR ESTIMATE:
lnformaUon.
5.Amendment Description and/or Comments (Provide date of origins/ filing or confirmation number in Part 1.J
8. ce
Executed on 5' , <, I!!. c::= By 5 <C, < '-""'1:fr,J<,<, Gii!LIX I I ICE
Sponsorship of 2022 Stand No�I Event
FPPC Form 803 (February/2022)
advlce@fppc.ca.gov