The URL can be used to link to this page

Home My WebLink AboutForm 460 - Marc Levine for City Council 2013 (2012-06-30)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 1/1/2012 through 6/30/2012 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee ❑ Recall 0 Controlled (A/so Complete Part 5) 0 Sponsored ❑ General Purpose Committee (Also Complete Part 6) Sponsored ❑ Primarily Formed Candidate/ C Small Contributor Committee Officeholder Committee ❑ Political Party/Central Committee (Also Complete Pan 7) 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO Marc Levine for City Council 2013 STREET ADDRESS (NO P.O. BOX) Date of election if applicable: (Month, Day, Year) Date Stamp COVER PAGE Page 1 of 4 For Official Use Only n/a 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement [� Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement -Attach Form 495 ❑ Amendment (Explain below) I.D. NUMBER 1318388 Treasurer(s) =) NAME OF TREASURER Bruce Raful MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 MAILING ADDRESS (IF DIFFERENT) N0. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Anselmo CA 94960 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the Information contained -herein acid in the attached s(tedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. s Executed on 7/24/2012 Date Executed on 7/24/2012 Date Executed on Date Executed on Date By By State By Signature ofControil[ng Gffaeholder, Candidate, State Measure Proponent By SignatureofControllingOfficeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276.3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee Type or print in ink. NAME OF OFFICEHOLDER OR CANDIDATE Marc Levine OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) San Rafael City Council Member RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP San Rafael CA 94901 Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER Levine for Assembly 2012 1339058 NAME OF TREASURER CONTROLLED COMMITTEE? Bruce Raful ® YES ❑ No COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 415-533-1445 COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE R_ Primarily Fnrmpri Rallnt Mancnra Cnmmittaa NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page 2 of 4 BALLOT NO. OR LETTER ( JURISDICTION I ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Januaryio5) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of California ~ ~ Campaign Disclosure Statement Tyne or print in ink. Amv"mo may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS omREVERSE NAME opFILER Marc Levine for City Council 2U13 SUMMARYPAGE Statement covers period CALIFORNIA I from1/1/2012 FORM 4's mmuox 6/302012 | pa** u of 4 Contributions Received To calculate Column e.add 6. Payments Made ....... --...... ................................. Column Column 8. GUBTOTALCAGMP/YMENTG------------ Add Lines o~r $ 3. Accrued Expenses (Unpaid Bills) ............ TOTALTHIS PERIOD 1V.NnnmnnetaryAdjustment ....... ____ ..... .................. CALENDAR YEAR 11.TOTAL EXPENDITURES M8DE... —................... ' Add Lines n~e~m $ (FROM ATT ACHED SCHEDULES) for this calendar year, only carry over the amounts U from Lines 2, 7, and e(x mnALmoATe 1. Monetary Contributions —'.—..'----'.—'.—.—. Schedule A.Line a $ O $ 0 2. LoanoRecoived--------------- --- Schedule B,Line a O U 1 8UBTO7ALCASH CONTR|BUTlONG..................... ... Add Lines /+e * U $ O 4. NnnmonetaryOunUibutione———-------- — Schedule C, Line O O Expenditures Made To calculate Column e.add 6. Payments Made ....... --...... ................................. Schedule E, Line $ 7. Loans Made ........ .......... —....................... —........ . Schedule H, Line 8. GUBTOTALCAGMP/YMENTG------------ Add Lines o~r $ 3. Accrued Expenses (Unpaid Bills) ............ .................. Schedule F Line 1V.NnnmnnetaryAdjustment ....... ____ ..... .................. Schedule cLine u 11.TOTAL EXPENDITURES M8DE... —................... ' Add Lines n~e~m $ Current Cash Statement 12. Beginning Cash Balanue-------' Previous Summary Page, Line /o � 13.Cash Receipts ... —........................... --............ Column A, Line oabove 14. Miscellaneous Increases to Caoh--------- Schedule /, Line 4 15. Cash Poymento---....... —.......... --...... —' ovmmnA, Line oabove 10. ENDING CASH BALANCE ......... Add Lines ,o~m~/4,then subtract Line m $ If this isetermination statement, Line /omust oezero. Cash Equivalents and Outstanding Debts 1O.Cash Equivalents ................... ....... —......... see instructions nnreverse o 48812 $ 48812 $ 1767]3 48812 0 488.12 O O 488.12 � � Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions novweo $ s_ 21. Expenditures | Made m________� Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date �*Amounmmthis section may m,different from amounts reported in Column B. FPPC Form *60(January/05) To calculate Column e.add v amounts mColumn xmthe corresponding amounts from Column awyour last 48812 report. Some amounts in Column Amay uenegative /2790/ figures that should be subtracted from previous period amounts. nthis is the first report being filed 0 for this calendar year, only carry over the amounts U from Lines 2, 7, and e(x ------ � � Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions novweo $ s_ 21. Expenditures | Made m________� Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date �*Amounmmthis section may m,different from amounts reported in Column B. FPPC Form *60(January/05) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Marc Levine for City Council 2013 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2012 through 6/30/2012 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 4 of 4 I.D. NUMBER 1318388 CNP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE �iFCOMMITTEE, ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID GoDaddy, domain maintenance 121.12 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 121.12 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 121.12 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 367.00 3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column (e).) ...................... $ 0 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. .... TOTAL $ 488.12 FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)