HomeMy WebLinkAbout221011 -- Campaign Finance Report -- David LevineCANDIDATE I OFFICEHOLDER FORM C /OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
11
Filer I D (Ethics Commission Fi lers) 2 Total pages fil ed : i The C/OH Instruction Guide explains how to complete this form . b
3 C ANDIDATE/ MS I MRS I MR F IRST Ml
OFFICEHOLDER Mr. David s OFFICE USE ONLY
NAME ................................................................................. Date Received
NICKNAME LAST SUFFIX
Levine
4 CANDIDATE/ ADDRESS I PO BOX : APT I SUITE #: CITY : STATE; ZIP CODE RECEIVED
OFFICEHOLDER j~ MAILING OCT 11 2022 ADDRESS
0 Change of Address /.:l:.$~pm
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand ~de liv ered or Date Postmarked
OFF IC EHOLDER ( PHONE
Receipt ii
I
Amount $
6 CAMPAIGN MS I MRS I MR F IRST Ml
TREASURER SELF
NAME ................................................................................. Date Processed
NICKNAME LAST SUFFIX
Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE II: CITY: STATE ; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ( )
9 REPORT TYPE D January 15 ~ 3oth day before election D Ru noff D 15th day after campaign
treasurer appointment
(Officeholder On ly)
D July 15 D 8 th day before election D Exceeded Modified D Final Report (Attach C/OH -FR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED
07 / / 01 22 THROUGH 09 / 29 / 22
11 ELECT ION ELECTION DATE ELECT ION TYPE
Month Day Year D Primary D Runoff D Other
Description
11 / 08 /22 ~General D Specia l
12 OFFICE OFF ICE HELD (if any) 13 OFF ICE SOUGHT (if known)
College Station City Council, Place 2
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTEO OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL THE CANDIDA TE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDID ATE'S OR OFFICEHOLDER 'S KNOWLEDGE OR
CONSENT. CANOIOA TES AND OFFICEHOLDERS ARE REQUIREO TO REPORT THIS IN FORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE NAME COMMITTEE TYP E
0GENERAL CO MMITTE E ADDRESS
D Additional Pages
OsPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
CO MMITTE E CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commiss io n www.ethics.state.tx.us Revised 8 /1 7/2020
CANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM C/OH
COVER SHEET PG 2
15 C/OH NAME
David S Levine
16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION
TOTALS
...................
EXPENDITURE
TOTALS
...................
CONTRIBUTION
BALANCE
..................
OUTSTANDING
LOAN TOTALS
1.
2.
3.
4.
5.
6 .
TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOTAL POLITICAL EXPEND ITUR ES
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$ 4,593.86
$10,000
18 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information
required to be reported by me under Title 15, Election Code .
Please complete either option below:
(1) Affidavit
~l~)i~~V~\~c\_S_'. _li~V-"t Y\--'l'----this the day of
(2) Unsworn Declaration
My name is ---------------------' and my date of birth is -------------
My address is ___________________ --------____________ _
(street) (city) (state) (zip code) (country)
Executed in ________ County, State of ______ , on the ___ day of , 20 __ .
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx .u s Rev ised 8/17/2020
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 $250
2. D SCHEDULEA2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $
3. D SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. [;zJ SCHEDULE E: LOANS $10,000
5. [;zJ SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $4,593.86
6. D SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. D SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. D SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. D SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10. D SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. D SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
12. D SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED $
TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
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:
~
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
JAMES MURR
4 Date 5 Full name of contributor D out-of-state PAC (ID#: ) 7 Amount of contribution ($)
9/29/2022 $250.00
···················································································
6 Contributor address; City; State; Zip Code
8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions)
BROKER
Date Full name of contributor D out-of-state PAC (ID#: ) Amount of contribution ($)
··················································································
Contributor address; City; State; Zip Code
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor D out-of-state PAC (ID#: ) Amount of contribution ($)
··················································································
Contributor address; City; State; Zip Code
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor D out-of-state PAC (ID#: ) Amount of contribution ($)
··················································································
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 D out-of-state PAC (ID#: ) 9 Loan Amount($)
09/14/2022 David S Levine $10,000 ··················································································· 6 Is lender 8 Lender address; City; State; Zip Code 1 O Interest rate
a financial 0.00 Institution?
11 Maturity date
y N 12/31/2022
12 Principal occupation I Job title (See Instructions) 13 Employer (See Instructions)
14 Description of Collateral 15
D Check if personal funds were deposited into political
D none account (See Instructions)
16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed ($)
INFORMATION
··················································································
18 Guarantor address; City; State; Zip Code
D not applicable
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
-
Date of loan Name of lender D out-of-state PAC (ID#: ) Loan Amount ($)
··················································································
Is lender Lender address; City; State; Zip Code Interest rate
a financial
Institution?
Maturity date
y N
"-----~-----
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Description of Collateral Check if personal funds were deposited into political
D D account (See Instructions)
none
GUARANTOR Name of guarantor Amount Guaranteed ($)
INFORMATION
··················································································
Guarantor address; City; State; Zip Code
D 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 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
A=unting/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 pis Schedule F1: 2 FILER NAME 13 Filer ID (Ethics Commission Filers)
David S Levine
4 Date 5 Payee name
9/14/2022 Farrell Gjesdal Group
6 Amount ($) 7 Payee address; City; State; Zip Code
$2,700 4040 Highway 6 Ste 200 College Station TX 77845
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE Consulting and Advertising Campaign Consulting, Website and Digital Ad
OF buy
EXPENDITURE
(c) D Check if travel outside ofTexas. Complete Schedule T. D Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
9/27/2022 Farrell Gjesdal Group
Amount ($) Payee address; City; State; Zip Code
$1,883.56 4040 Highway 6 Ste 200 College Station TX 77845
Category (See Categories listed et the top of this schedule) Description
PURPOSE Consulting and Advertising Door Hangers and Campaign Consulting
OF
EXPENDITURE
D Check if travel outside ofTexas. Complete Schedule T. D Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
9/29/2022 Anedot
Amount ($) Payee address; City; State; Zip Code
$10.30
Category (See Categories listed at the top of this schedule) Description
PURPOSE Banking Donation Processing Fee OF
EXPENDITURE
D Check if travel outside of Texas. Complete Schedule T. D 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