DS-DE 12 Levine 2015-M08 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Philip Levine For Mayor OFFICE USE oNLY
Name - 4n
(2) 1425 N. View Drive =
Address (number and street) . -
Miami Beach, FL 33140
City, State, Zip Code
❑ Check here if address has changed (3) ID Number: -- .17°
(4) Check appropriate box(es):
SI Candidate Office Sought: Mayor of Miami Beach
El Political Committee(PC)
El Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
El Party Executive Committee (PTY) El Check here if PTY has disbanded
❑ Independent Expenditure (IE)(also covers an El Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 08/28/2015 To 08/311/2015/ Report Type: M08-2015
CI Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , 0.00 Expenditures $ , , . 0.00
Loans $ , 250,000.00 Transfers to
Office Account $ , , .0.00
Total Monetary $ , , 250,0.00.00
Total Monetary $ .0.00
In-Kind $ 0.00
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 250,000.00 , $ 0.00 ,
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record(ss. 839.13, F.S.)
I certify that I have examined this report and it is true, correct, and complete:
(Type name) S-nford B. Horwitz (Type name) Philip Levine
❑Individual(only/.r IE D Trea ur:r El Deputy Treasurer El Candidate ❑C pegs: •;� "o -C and PTY)
or electioneering mm.,/ /
r
X • 406, X
Signature V Signature
DS-DE 12(Rev.11/13) / SEE REVERSE FOR INSTRUCTIONS
`Pr___ occ(
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Philip Levine For Mayor
(1) Name (2) I.D. Number
08/28/2015 08/31/2015 1
(3) Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First,Middle)
Sequence Street Address& Contributor Contribution In-kind
Number City, State,Zip Code Type Occupation Type Description Amendment Amount
Levine, Philip Media Co.
08/31/2015 1425 N. View Drive owner
/ / Miami Beach, FL 33140
1 LOA 250,000.00
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
7_0( (-4
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Philip Levine For Mayor (2) I.D. Number
(3)Cover Period 08/28/015 / through 08/31//2015 / (4) Page 1 of 1
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last,Suffix, First,Middle) (add office sought if
Sequence
Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
i
1
/
/
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
c--Pe_ 3 0(
CAMPAIGN LOANS REPORT ITEMIZED
Page 1 of 1
(PLEASE TYPE)
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
Philip Levine
1425 North View Drive
Miami Beach, FL 33140
OCCUPATION: Media Co. - Owner OCCUPATION:
AMOUNT OF LOAN: $250,000.00 AMOUNT OF LOAN:
DATE RECEIVED: 8/31/2015 DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: AMOUNT OF LOAN:
DATE RECEIVED: DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: AMOUNT OF LOAN:
DATE RECEIVED: DATE RECEIVED:
DS-DE 73A(Rev.08/03)