Levine, Philip - June 1, 2017mR/iii'1
COUNTY
MIAMI -DADE COUNTY ELECTIONS DEPARTMENT
REPORTING OF SOLICITATION OF CONTRIBUTIONS FOR
POLITICAL COMMITTEES, ELECTIONEERING COMMUNICATIONS ORGANIZATIONS,
501(c)(4) ORGANIZATIONS AND POLITICAL PARTIES
Name
Philip Levine
Address (number and street)
960 Alton Road
City, State, Zip Code
Miami Beach, FL 33139
❑ CHECK IF ADDRESS HAS CHANGED
OFFICE USE ONLY
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Filing as:
® Elected Official
Office: Mayor of Miami Beach
® Miami -Dade County Candidate
Office:
® Municipal Candidate
(Name of Municipality)
Office:
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. (SECTION APPLICABLE TO
CANDIDATES ONLY)
(Type name)
x
.v.
Treasurer
❑ Deputy Treasurer
Date
I certify that I have examined this report and it is true,
correct, and complete. (FOR BOTH ELECTED
OFFICIALS AND CANDIDATES)
(Type name)
Elected Off 'aI Candidate
x
Signature
Date/
WWI IA
6/6/17 P PC
REPORTING OF SOLICITATION OF CONTRIBUTIONS FOR
POLITICAL COMMITTEES, ELECTIONEERING COMMUNICATIONS ORGANIZATIONS,
501(C)(4) ORGANIZATIONS AND POLITICAL PARTIES
This report must be filed by Miami -Dade County and Municipal Elected Officers and Candidates to publicly disclose their fundraisinc
activities for Political Committees, Electioneering Communications Organizations, 501(C)(4) Organizations and Political Parties
within five days of commencing solicitation activities, either directly or indirectly, on behalf of said organization(s).
Philip Levine
(1) Name I.D. Number
(2) Page 1 of
riu ri
COUNTY
1
(Only for County Candidates)
(3)
Row
Number
(4)
Name of PC, ECO,
501(c)(4) Organization
or Political Party
(5)
PC, ECO,
501(c)(4)
Organization or
Political Party
(6)
Description of Relationship between
Candidate /Officer and
PC, ECO, 501(c)(4) Organization or
Political Party
(7)
Date
solicitation
activities
started
1
ALL ABOUT FLORIDA
Pc
Established - Maintained
6/1/2017
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CCC DC\ /CDCC Cr%D IMCTDIIr'`TIr uc Akir1 r`rIfC % /AI IICC
INSTRUCTIONS FOR REPORTING OF SOLICITATION OF CONTRIBUTIONS FOR
POLITICAL COMMITTEES, ELECTIONEERING COMMUNICATIONS ORGANIZATIONS,
501(C)(4) ORGANIZATIONS AND POLITICAL PARTIES
In accordance with Ordinance No. 16 -46 and 16 -75, codified in Sections 12 -14.2 and 12- 14.2.1 of the Code of Miami -DadE
County, Florida, respectively, Miami -Dade County and Municipal Elected Officers and Candidates must file this form to publicly
disclose their fundraising activities for Political Committees or Electioneering Communications Organizations.
Sec. 12 -14.2. County and Municipal Elected Officer and Candidate Reporting Requirements for Political Committee and
Electioneering Communication Organization Solicitations.
(1) Effective January 1, 2017, each candidate for County or municipal office in Miami -Dade County shall insure that their
designated campaign treasurer shall, within five (5) days of commencing solicitation activities, either directly or indirectly, on
behalf of a political committee or electioneering communications organization, file a one -time report with the Supervisor oI
Elections or other applicable filing officer indicating that the candidate is undertaking solicitation activities on behalf of such
political committee or electioneering communications organization. The report shall identify the name of the political
committee or electioneering communications organization on behalf of whom such funds are being solicited and a description
of the relationship between the candidate and the political committee or electioneering communications organization. The
report shall be filed on a form created by the Supervisor of Elections for such purpose.
(2) Effective January 1, 2017, upon commencement of any solicitation activities undertaken on behalf of any political committee
or electioneering communications organization, each County or municipal elected officer in Miami -Dade County who is not
also a candidate for another County or municipal office shall, within five (5) days of commencing solicitation activities, either
directly or indirectly, on behalf of a political committee or electioneering communications organization, file a one -time report
with the Supervisor of Elections or other applicable filing officer indicating that the officer is undertaking solicitation activities
on behalf of such political committee or electioneering communications organization. The report shall identify the name of the
political committee or electioneering communications organization on behalf of whom such funds are being solicited and a
description of the relationship between the officer and the political committee or electioneering communications organization.
The report shall be filed on a form created by the Supervisor of Elections for such purpose.
(3) Any County or municipal elected officer or candidate who fails to file a report as required by this section on the designated
due date shall, for the first violation, be sent a letter of reprimand and instruction regarding the provisions of this Section, and
for each subsequent violation, be subject to a fine of $50 per day for the first three (3) days and, thereafter, $500 per day for
each day late not to exceed $5,000. Such fine shall not be an allowable campaign expense and shall be paid only from the
personal funds of the candidate or officer. Any candidate or officer may appeal or dispute the fine to the Miami -Dade County
Commission on Ethics and Public Trust based upon, but not limited to, unusual circumstances surrounding the failure to file
on the designated due date, and may request, and shall be entitled to, a hearing before the Commission on Ethics and Public
Trust, which shall have the authority to waive the fine in whole or in part. Any such appeal or dispute shall be made within
twenty (20) days after receipt of notice from the Supervisor of Elections that payment is due or such appeal or dispute shall
be waived.
FILING OUT ALL THE REQUIRED FIELDS:
(1) Type name and I.D.# of candidate. The I.D.# only applies to Miami -Dade County candidates.
(2) Type page numbers (e.g., 1 of 3).
(3) Type the row number. Each detail line shall have a row number assigned to it.
(4) Type name of Political Committee, Electioneering Communications Organization, 501(c)(4) Organization or Political Party.
(5) Select the type of organization from the drop -down menu.
(6) Describe the relationship between the Candidate or Official and the organization.
(7) Enter the date solicitation activities commenced.
Once form is completed, print it, sign it, and submit an electronic copy to the appropriate office. County Officials /Candidates are
to submit completed forms to the Miami -Dade County Elections Department via email at am a: nsnmia,nida de. gov.
Municipal Officials /Candidates are to submit completed forms to their muni;,ipal clerk.
Granado, Rafael
From: Christian Ulvert <christian.ulvert @gmail.com>
Sent: Monday, June 05, 2017 1:25 PM
To: Granado, Rafael
Subject: Mayor Levine PC
Attachments: SKM BT_C36017060513240.pdf
Mr. Granado,
Please find attached the completed form for a political committee Mayor Philip Levine established in February.
Please note that while the committee was establish then, solicitation of funds (outside of Mayor Levine's
personal contribution) for the PC started on June 1, 2107. Therefore, as required by Miami -Dade Election laws,
the MD -28 form is being submitted with your office. Please confirm receipt.
Many thanks,
Christian Ulvert
President
EDGE Communications
2929 SW 3rd Avenue
Suite 220
Miami, FL 33129
(786) 762 -4990 ofc
(305) 336 -3631 cell
christian.ulvert(c�gmail.com
1
Granado, Rafael
From: Granado, Rafael
Sent: Monday, June 05, 2017 7:04 PM
To: 'Christian Ulvert'
Cc: Hatfield, Liliam; Barbou, Regis
Subject: RE: Mayor Levine PC
Attachments: LEVINE - MD -ED 28.pdf
Good afternoon Mr. Ulvert:
We are acknowledging receipt.
Regards,
MIAMIBEACH
Rafael E. Granado, Esq., City Clerk
OFFICE OF THE CITY CLERK
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-673-7411 rafaelgranadoc miamibeachfl.gov
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical,
historic community.
From: Christian Ulvert [ mailto :christian.ulvert @gmail.com]
Sent: Monday, June 05, 2017 1:25 PM
To: Granado, Rafael
Subject: Mayor Levine PC
Mr. Granado,
Please find attached the completed form for a political committee Mayor Philip Levine established in February.
Please note that while the committee was establish then, solicitation of funds (outside of Mayor Levine's
personal contribution) for the PC started on June 1, 2107. Therefore, as required by Miami -Dade Election laws,
the MD -28 form is being submitted with your office. Please confirm receipt.
Many thanks,
Christian Ulvert
President
EDGE Communications
2929 SW 3rd Avenue
Suite 220
Miami, FL 33129
(786) 762 -4990 ofc
(305) 336 -3631 cell
christian.ulvertc gmail.com
1