LEVINE ACT DISCLOSURE STATEMENTCalifornia Government Code Section 84308, commonly referred to as the "Levine Act," prohibits City Officers from participating in any action concerning a license, permit, other entitlement for use, franchise, totaling more than $500 within the twelve (12) months before the proceeding, while a proceeding is pending, and for twelve (12) months following the date of a final decision in a proceeding. Agents are prohibited from making any political contributions to City Officers during this time.City Officers include City elected or appointed officers, their alternates, and any candidate for elective office. City Officers are listed at the following sites:City elected officers-https://www.longbeach.gov/officials/(excluding City Attorney)Board and Commissioners-https://www.longbeach.gov/mayor/administration/commissions-boards-committees/Candidates for elected City office -https://www.longbeach.gov/cityclerk/elections/candidates-home/Parties and their Agents are responsible for reviewing and disclosing their applicable contributions to City Officers on the record of a proceeding.As a party to a proceeding, you are also required to provide information below about contributions made by you, your agents on behalf of youor your organization, your organization subject to the proceeding with the City, and any organization you direct or control pursuant to the aggregation rules at FPPC Reg. § 18438.5,except for uncompensated officers of a nonprofit organization. This form is to be submitted to the City of Long Beach and is a public record. If you have any questions about this form, please contact your City representative for assistance. 1. Have you or your organization, or any organization you direct or control made any political contributions of more than $500 to any City Officer in the 12 months preceding the date of the submission of your proposals or the anticipated date of any City Council, Board, or Commission action related to this license, permit, or contract?YES NOIf yes, please complete the table on the following page. If needed, please continue on additional pages.Officer Name Payee Name Payment Date Payment Amount
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2. Has any Agent on behalf of you or your organization made any political contributions to any City Officer in the twelve (12) months preceding the date of the submission of your proposals or the anticipated date of any City Council Board, or Commission action related to this license, permit, or contract?YES NOIf yes, please identify the City Officer(s):Officer Name Payee Name Payment Date Payment Amount 3. Do you or your organization anticipate or plan to make any political contribution of more than $500to any City Officer in the 12 months following any City Council, Board, or Commission action related to this license, permit, or contract?YES NOIf yes, please identify the City Officer(s):Officer Name Payee Name Payment Date Payment Amount Levine Act Disclosure Form v3 Page 3
4. Does any Agent on behalf of you or your organization anticipate or plan to make any political contribution to any City Officer in the 12 months following any City Council, Board, or Commission action related to this license, permit, or contract?YES NOIf yes, please identify the City Officer(s):Officer Name Payee Name Payment Date Payment Amount Answering yes to any of the questions above does not preclude the City of Long Beach from awarding a license, permit, or contract to your organization or any taking any subsequent action related to the said license, permit, or contract. It does, however, preclude the identified City Officers from participating in any actions related to this license, permit, or contract._______________________________________________________________________________________(Date) (Printed Name/Title of Authorized Representative) (Name of business/legal entity)___________________________________(Signature)You must submit a supplemental form if you make any new reportable contribution(s) while the contract, license, permit, or other entitlement is being considered.
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LEVINE ACT DISCLOSURE STATEMENTDEFINITIONS TermDefinitionLawCovered "proceedings"A proceeding to grant, deny, revoke, restrict, or modify a license, permit or other entitlement for use, that does not solely involve purely ministerial decisions and is:(1) Applied for by the party;(2) Formally or informally requested by the party; or(3) A contract between the agency and the party or a franchisee granted by the agency to the party, other than a contract that is competitively bid, a labor contract, or a personal employment contract. FPPC Reg 18438.2(a)PartyAny person who files an application for, or is the subject of, a proceeding involving a license, permit, or other entitlement for use.Gov. Code 84308(a)(1)ParticipantAny person who is not a party but who actively supports or opposes a particular decision in a proceeding involving a license, permit, or other entitlement for use and who has a financial interest in the decision. A person actively supports or opposes a particular decision in a proceeding if that person lobbies in person the officers or employees of the agency, testifies in person before the agency, or otherwise acts to influence officers of the agency.Gov. Code 84308(a)(2)FPPC Reg 18438.4AgentA person who represents a party or participant for compensation and appears before or otherwise communicates with the governmental agency for the purpose of influencing the pending proceeding. See FPPC Reg 18438.3 for exceptions for certain consultants.FPPC Reg 18438.3Competitively BidA contract required by law to be awarded to the lowest or highest responsible bidder with a responsive bid, or, if the successful bidder refuses or fails to execute the contract, to the next lowest bidder with a responsive bid. SB 1243Labor ContractA contract or agreement reached through collective bargaining or with a representative group regarding the salary, benefits, or terms and conditions under an employment or retirement policy for employees or retirees, including a project labor agreement entered under Public Contract Code Section 2500.FPPC Reg 18438.2(a)(3)(B)Personal Employment ContractA contract for employment, including the terms and conditions of employment, between the agency and an agency employee. A contract with an independent contractor is NOT a personal employment contract.FPPC Reg 18438.2(a)(3)(C)-(D)