803 Geoffrey Kors 2022-05-05 Maryann and Ivan PristerBehested Payment Report A Public Document Type or Print In Ink,
Amendment of Fllfng D Check box If an Amendment
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MAY 5 2022
CALIFORNIA 803 FORM
# c@iiirmailon NumSer Office of the City Cletk
1.Elected Officer or CPUC Member (Last name, First name)ELECTED OFFICER OR CPUC MEMBER:
Kors, GeoffreyOESIG�TED CONTACT-PERSON (NAME ANO TITLE):
�
fGENCY NAME:
City of Palm Springs AREA CODE/PHONE NUMBER:
(760)323-8299
AGENCY STREET ADDRESS:
3200 E Tahquitz Canyon Way;E-MAIL:
geoff.kors@palmsprlngsca.gov
2.Pa or Information (For additional payors, Include an attachment with the names, addresses, and proceeding lnformatlon)
A E: ODRES :
□ Payor is a named party or the subject of a proceeding before my agency.RIEF OESCRIPTJON OF PROCl:EblNGS:
3.Paree Information (For addltlonal payees, Include sn attachment with the names, addresses and relationship Information)
NAME: ADDRESS:
Planned Parenthood of the Pacific Southwet 1075 Camino del Rio South
CITY:
San Diego
STATE: ZIP CODE:
CA 92108 For a nonDl'Oflt organization payee, Pr9vlde a brief description of any relatlonshlp to the offlclal, official's Immediate family member or staff member In the role of founder, salaried employee, declsf on-making capacity (&oard member or executive officer) or position on an honorary or advisory board, NAME AND TITLE: 'ROLE WITH THE NONPROFIT ORGANIZATION: �RIEF DESCRIPTION:
James WIiiiamson, President Board of Directors President, Board of Directors .!Spouse4.P&ff!11tnJ lnfo1111atlon (Complete a/I Information. For estimated payment Information check the box below.)DATE AMOUNT PAYMENT TYPE BRIEF DESCR IPTION OF IN-KIND PAYMENT PURPOSE OESc�nl�ldti?iWb�.iiv��,NTAL,CMONTH/DAYIVEAR)
W!<li?-JS,�py
� MONETARY DONATION 8 LEGISLATIVE GOVERNMENTAL□IN-KIND GOODS OR SERVICES � CHARITABLE
I ( - ' □ MONE TARY DONATION -LEGISLATIVE: GOVERNMENTAL□ IN-KIND GOODS OR SERVICES CHARITABLE [J The (D.ATEtx.1oCFJr, Is an estimate and reflects my best efforts at obtaining the accurate REASON FOR ESTIMATE: lnformadon. 5.Amendment Description and/or Comments (Provide date of origins/ fl/Ing or confirmation number In Part 1.J
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Executed on " q "--..,, By , ' Ehlbi IIIDL -v < Ki t<;<
Sponsorship of2022 Stand No�t Event
FPPC Fonn 803 (February/2022) advlce@fPpc.ca.gov