HomeMy WebLinkAbout221031 -- Campaign Finance Report -- David LevineCANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN F INANC E REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages fil ed :
The C/OH Instruction Guide explains how to complete this form. 7
3 CANDIDATE/ MS I MRS I MR FIRST Ml
OFFICEHOLDE R OFFICE USE ONLY
Mr David s NAME ················································································· Date Re ceived \ \ -.So ,_
NICKNAME LA ST SUFFI X
Levine
4 CANDIDATE/ ADDRESS I PO BOX; AP T I SUITE #; C IT Y: STATE ; ZIP CODE RECEIVED
OFFICEHOLDER
0--
Change of Add ress
5 CANDIDATE/ AREA CODE PHO NE NUM BER EX T ENS ION Date Hand-delivered or Date Postm arked
OFFICEHOLDER ( PHONE
Receipt # I Amount $ 6 CAMPAIGN MS I MRS I MR FIRST Ml
TREASUR E R SELF NAME ················································································· Date Processed
NICKNAME LA ST SUFFIX
Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT I SU IT E #: CITY: STATE ; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURE R
PHONE ( )
9 REPORT TYPE D January 15 D 30th day before election D Runoff D 15th day after campaign
treasurer appointment
(Officeholder Only)
[] July 15 ~ 8th day before election n Exceeded Modified n Final Report (Attach C/OH -FR)
Reporting Limtt
10 PERIOD Month Day Year Month Day Year
COVE R E D 9 / 30 / 22 THROUGH 10 / 29 / 22
11 ELECTION ELEC TION DATE ELECTION TYPE
Month Day Year Primary Runoff Oiiier
Description
11 // 8 // 20 • General Special
12 OFFICE UH-ICI:: HELD (if any) 13 OFFICE SO UGHT (if known)
College Station City Council Place 2
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE 'S OR OFFICEHOLDER'S KNOWLEDGE OR
CONSENT. CANDIDA TES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ON LY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE TYPE C OMMITTEE NAM E
GENERAL COMMITTEE ADDRESS
Additional Pages
SPECIFIC COMMITTEE CAMPAIGN TR EAS URER NAM E
COMMITTEE CAMPAIGN TRE A S UR ER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx .us Revised 8/17/2020
CANDI DATE I OFF I CEHOLDER
CAMPAIGN F I NANCE REPORT
FORM C /OH
COV ER S H EET PG 2
15 C/OH NAME
David S Levine
17 CONTRIBUTION
TOTAL S
...................
EXP E NDITURE
TOTALS
. . . . . . . . . . . . . . . . . . .
CONTRIBUTION
BALANC E
..................
OUTSTANDING
LOAN T OTALS
1.
2.
3 .
4 .
5 .
6 .
16 Fil er ID (Ethi c s Co mmiss ion Fil ers)
TOTAL UNITEMIZED POLITICA L CONTRIBUTIONS (OTH E R T HAN
PLEDGES , LOANS, OR GUARANTEES OF LOANS , OR
CONTRIBUTIONS MAD E ELECTRONICALLY)
TOTAL POLITICAL CONTRIBUTIONS
(OTHER T HAN PL EDGES , LOANS , OR GUARANTEES OF LOANS)
TOTAL UNITEMIZED POLITICAL EXPEN D ITUR E.
TOTAL POLITICAL E XP E NDITUR ES
TOTAL PO LI TICAL CONTRIBU T IONS MAINTA I NE D AS O F TH E LAST DAY
OF REPORTING PERIOD
TOTAL P RINC I PAL AMOUN T OF ALL OUTSTANDING LOANS AS OF T H E
LAST DAY OF TH E R EPO RTI N G PE RI O D
$ 0.00
$ 1,000.00
$ 0.00
$ 12,375.88
$ 0.00
$ 20,000.00
18 SIGNATUR E I swe ar, or affi rm, und e r penalty of perj ury, that the accompany ing report is true and correct and includ es all info rmation
requ ired to be reported by me under Title 15, Election Code.
Si gnature of Candidate or Officeholde r
Please co mpl ete e ither optio n be low:
(1) Affid avit
NOTARY STAMP/SEAL
Sworn to and sub scrib ed be fore me by n~v i ~ Le. U'\ f'CL thi s th e day of Oc.+o bo. .-
:.:W 'J-, to certify wh ich, w itne ss my hand and seal of office .
"I. Oti.-_.,...t _
(2) Unsworn Declaration
My name is ----------------------' and my date of birth is -------------
My address is ____________________ --------___ , ____ ------
(s tree t) (city) (state) (z ip code) (cou ntry)
Executed in --------County , State of ______ , on the ___ day of -,--..,,..,..---'' 20 ___ .
(month) (year)
Sign at ure of Candid ate/Offi ce hold er (D ec larant)
Forms pro vided by Texas Ethi cs Commi ssion www .eth ics .sta te .tx .us Re vi sed 8/1 712020
SUBTOTALS -C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID (Ethics Commission Filers)
David S Levine
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. • SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ 1,000.00
2. SCHEDULEA2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. • SCHEDULE E: LOANS $ 10,000.00
5. • SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12,375.88
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED $
TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/1712020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form. 1 Total pages Schedule A 1: 1
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
David S Levine
4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution ($)
Alexander Long
10/01/2022 ··················································································· 500.00 6 Contributor address: City; State; Zip Code
302 Fairway Dr Bryan, TX 77801
8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions)
Retired Retired
Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($)
Justin Farrell
10/18/2022 ·················································································· 500.00 Contributor address; City; State; Zip Code
4040 Hwy6 College Station, TX 77845
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Managing Partner Farrell Gjesdal Strategy Group
Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($)
··················································································
Contributor address; City; State; Zip Code
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($)
··················································································
Contributor address; City; State; Zip Code
Principal occupation I Job title (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17 /2020
LOANS SCHEDULE E
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form. 1 Total pages Schedule E:
1
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
David S Levine
4 TOTAL OF UNITEMIZED LOANS $
5 Date of loan 7 Name of lender 0 out-of-state PAC (ID#: ) 9 Loan Amount($)
10/28/2022 David S Levine 10,000.00
··················································································· 6 Is lender 8 Lender address; City; State; Zip Code 1 O Interest rate
a financial 0.00
Institution?
fil N
11 Maturity date
y 12/31/2022
12 Principal occupation I Job title (See Instructions) 13 Employer (See Instructions)
14 Description of Collateral 15
Check if personal funds were deposited into political
none account (See Instructions)
16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($)
INFORMATION
··················································································
18 Guarantor address; City; State; Zip Code
not applicable
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
--
Date of loan Name of lender 0 out-of-state PAC (ID#: ) Loan Amount ($)
··················································································
Is lender Lender address; City; State; Zip Code Interest rate
a financial
Institution?
r~~i I~ Maturity date
y ! N
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Description of Collateral Check if personal funds were deposited into political
none
account (See Instructions)
GUARANTOR Name of guarantor Amount Guaranteed ($)
INFORMATION
··················································································
Guarantor address; City; State; Zip Code
not applicable
Principal Occupation (See Instructions) Employer (See Instructions)
·--
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17 /2020
POLITICAL EXPENDITURES MADE F1 FROM POLITICAL CONTRIBUTIONS SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX B(a)
Advertising Expense Event Expense Loan RepaymenVReimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME 13 Filer ID (Ethics Commission Filers)
2 David S Levine
4 Date 5 Payee name
10/06/2022 Bryan Broadcasting
6 Amount ($) 7 Payee address; City; State; Zip Code
3,648.00 2700 Earl Rudder Fwy S #5000 College Station, TX 77845
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE Advertising Expense Radio Ads OF
EXPENDITURE
(c) Check if travel outside ofTexas. Complete Schedule T. Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit CIOH
Date Payee name
10/28/2022 Farrell Gjesdal
Amount ($) Payee address; City; State; Zip Code
8,690.28 4040 Hwy 6 Ste 200 College Station, TX 77845
Category (See Categories listed at the top of this schedule) Description
PURPOSE Printing Expense and Advertising Direct Mail and Sign Placement OF
EXPENDITURE
Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit CIOH
Date Payee name
10/13/2022 Anedot
Amount ($) Payee address; City; State; Zip Code
20.30
Category (See Categories listed at the top of this schedule) Description
PURPOSE Banking Donation Processing Fee OF
EXPENDITURE
Check if travel outside ofTexas. Complete Schedule T. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
I---
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/1712020
POLITICAL EXPENDITURES MADE F1 FROM POLITICAL CONTRIBUTIONS SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME 13 Filer ID (Ethics Commission Filers)
2 David S Levine
4 Date 5 Payee name
10/18/2022 Anedot
6 Amount ($) 7 Payee address; City; State; Zip Code
20.30
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE Banking Donation Processing Fee OF
EXPENDITURE
(c) Check if travel outside ofTexas. Complete Schedule T. Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address: City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
--
Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
'''
Date Payee name
Amount ($) Payee address; City; State: Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Check if travel outside ofTexas. Complete Schedule T. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17 /2020