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Home My WebLink AboutForm 460 - Marc Levine for City Council 2013 (2011-12-31)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 7/1/2011 through 12/31/2011 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee El Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information 1 I.D. NUMBER 1318388 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Marc Levine for City Council 2013 STREET ADDRESS (NO P.O. BOX) CITY San Rafael STATE CA ZIP CODE 94901 AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL FAX / E-MAIL ADDRESS Date Stamp Date of election if applicable: (Month, Day, Year) n/a COVER PAGE Page 1 of (0 For Official Use Only 2. Type of Statement: ❑ Preelection Statement, Quarterly Statement Semi-annual Statement E] Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement -Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Philip Bruce Raful MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Anselmo CA 94960 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information con fined herein and irate attached schedules is true and complete. I certify C under penalty of perjury under the laws of the State of California that the foregoing is true and correct. I Executed on 1 /31 /12 By Executed on 11311112 Date Executed on Date Executed on Date By or By Sgrratuire of ComirollingOfficeholder Candidate.. State Measure Proponent By S;gsa!ureofContoliirigOffixholde,,. Candidate StateMeasureProponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee 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? Philip Bruce Raful ® YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 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 COVERPAGE-PART2 Page of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO, OR LETTERI JURISDICTION I ElSUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT OFFICE SOUGHT OR HELD I 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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Type orprint nnink. SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA Summary Page to wxv/o unxam. | 7/1/2O11 FORM 46do from Expenditures Made To calculate Column o.add 0. Payments Made ........... ........... --....................... Schedule E,Line 4 o 12/31/2011 Page 3 8. SUBTOTAL CASH PAYMENTS ............... —................. Add Lines o~r o 9. Accrued Expenses (Unpaid BUb)----- through 10.Nonmunetary Adjustment ........ —... .... .................... of SEE INSTRUCTIONS ON REVERSE Add Lines o+o~m u the first report being filed O for this calendar year, only carry over the amounts U from Lines 2. 7. and n (if NAME OF FILER I.D.NUMBER Marc Levine for City Council 2013 1318388 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTODATE 16020 20. Contributions Expenditures Made To calculate Column o.add 0. Payments Made ........... ........... --....................... Schedule E,Line 4 o 7. Loans Made ...................... ... --.......................... Schedule H,Line o 8. SUBTOTAL CASH PAYMENTS ............... —................. Add Lines o~r o 9. Accrued Expenses (Unpaid BUb)----- —----.ochedule F Linea 10.Nonmunetary Adjustment ........ —... .... .................... Schedule cLine x 11.TOTAL EXPENDITURES MADE ....... ........................ Add Lines o+o~m u Current Cash Statement 12. Beginning Cash Balance ......... ____ ..... Previous Summary Page. Line ,s $ 13.Cash Receipts .............. —.................. ___ ....... Column ^ Line uabove 14. Miscellaneous Increases to Cash .................. ........ Schedule 'Line 4 15.Cash Payments ............................. —............... Column A, Line nabove 16. ENDING CASH BALANCE ......... �Add Lines o~/a~1*then subtract Line /s $ If this isatermination statement, Line mmust uozero. Cash Equivalents and Outstanding Debts 1&.Cash Equivalents ................... ... ____ ... ... See instructions onreverse y 19. Outstanding Debts ... __ ............. AddLine 2 +Line9in Column B above $ O 6304.24 15804.73 15804.73 0 15804.73 8071.31 To calculate Column o.add u amounts mColumn AmoE corresponding amounts from Column omyour last -- 0424 report. Some amounts m Column Amay uenegative figures that should ue oummmsu from previous 1767.13 period amounts. xthis /o the first report being filed O for this calendar year, only carry over the amounts U from Lines 2. 7. and n (if ------ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Muu,~ (if Subject mVoluntary Expenditure Limit) Date u/Election Total mDate (mm/dd/yy) ___-- s__-------- | $--------- | �«nounmmm�oaommmo be different from amounts | �pvrteumColumn a. 0 FPPCForm wm(Jrnuary/05) Schedule D oummary OT GXpenuliures Type or print in ink. Statement covers period Su ortin /O osin Other Amounts may rounded pp g pp g to whole dollars. lars. 7/1/2011 Candidates, Measures and Committees from CALIFORNIA •R 460 i SEE INSTRUCTIONS ON REVERSE through 12/31/2011 Page tA of + NAME OF FILER I.D. NUMBER 1318388 DATE NAME OF CANDIDATE OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD(JAN, CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE 1- DEC_ 31) F REQUIRED) 12/25/11 Levine for Assembly 2012 ID 1339058 Monetary Contribution 5000 12800 12800 ❑ Nonmonetary Contribution ❑ Independent ® Support Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary i Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 5000 i ' I Schedule D Summary 1. Itemized contributions and independent expenditures made this period. Include all Schedule D subtotals. 5000 2. Unitemized contributions and independent expenditures made this period of under $100..................................................................................... $ I 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summa Page.) TOTAL $ 5000 P P p � Summary 9 } ............ FPPC Form 460 {January/05} FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) ~ Schedule E Type mprint mink. ��kK�� xmvun�m�uemv�o ` ' mwomoummrs Payments ��aK�e ONS owREVERSE NAME OF FILER Marc Levine for City Council 2013 Statement covers period from 7Y1/2011 12/31/2011 through - SCHEDULE (CONT.) Page ___m /.o.wuwasn 1318388 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. omIP compaignpampxcmaliamisc. Mon member communications RAD radio airtime and production costs owa campaign consultants wnG m000noo and uvvoaranoon nro mmmru cmnmom/onn CTB contribution (exv|ainnonmunmary)~ opC: omoo oxvonoeu SAL campaign workers' salaries ovo civic onnanvnn PET pennon circulating TeL t.x or cable airtime and production oomo no conu|uam nnnnmaov/ men PHO phone banks TRC candidatetravel, lodging,and meals rwo fundraising events poL polling and survey research TRS ntaff/nnouoetmve|. lodging, and meals IND independent expenditure xuvvomno/ovnom"o vmom (explain)* poa voutago, delivery and messenger uam/ms TSF transfer oowvoen committees of the same candidate/sponsor Lea legal defense pmz professional services <mne|, mnoovnonu> vnT voter registration Ln campaign literature and mailings PRT print ads \A/Ea information technology costs (mtemet.e-maiV NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER LID, NUMBER) Sierra Club, Marin Group, PO Box 3058, San Rafael CA 94912 CTB 100 California Leadership Institute, 1092 K St #43, Sacramento CA 94814 CTB 150 Al Boro Retirement Dinner Committee, 92 Upper Oak Dr San Rafael CA 94903 CTB 150 US Postal Service, San Rafael CA postal supplies, stamps 154.24 California Democratic Party, 1401 21st St., Sacramento CA 95814 conference registration 195 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 749.24_ pppnForm wmpanuany/0q 13 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 7/1/2011 through 12/31/2011 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment Page of I.D. NUMBER 1318388 III CMP 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 END 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 (IF COMMITTEE, ALSO ENTER LID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Levine for Assembly 2012, PO Box 150084, San Rafael CA 94915 ID 1339058 TSF 5000 Democratic Central Committee of Marin, PO Box 6411, San Rafael CA 94903 CTB 250 Los Angeles County Democratic Party, 3550 Wilshire BI #1203, Los Angeles CA 90010 CTB 200 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 5400 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 6199.24 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 105 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 $ 6304.24 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)