City of Roseville

Levine Act Disclosure Requirement for Parties (and their agent(s)) to a Proceeding

The Levine Act requires a Party to a Proceeding before the City of Roseville that involves any action or consideration related to their contract, license, permit, or other entitlement for use, to disclose any campaign contributions to City elected or appointed officials totaling more than $250 within the 12 months prior to the City decision.  

When the Levine Act Form Must Be Completed
The Levine Act Disclosure Form ("form") must be completed (1) by the party to a contract with the City of Roseville ("City") (or that party's agent) at the time the party submits a response to a Request for Proposals or other solicitation, enters into contract negotiations with the City, or executes a contract with the City, whichever is earliest, or (2) by a party to a license, permit, or other entitlement proceeding before the City at the time the party (or their agent) submits the license, permit, or entitlement application to the City.  The requirement to submit this form applies where a party (or that party's agent) has contributed more than $250 to a member of the City Council, or to other appointed Officers (including, Planning Commissioners and members of other City boards and commissions) if they may participate in the proceeding, within the prior 12 months of the proceeding.  City Officers are listed at the following sites:

-The Members of the City Council
-Board and Commission Members

The party (or their agent) must submit a supplemental form if they make any new reportable contributions while the contract, license, permit, or other entitlement is being considered.

The party (or their agent) must also use this form if they need to correct any previously submitted form.

Parties (and their agents) are solely responsible for completing this form accurately.  If you are uncertain about whether you are required to report or combine a contribution, please consult with your attorney.

The foregoing statements do not constitute legal advice and individuals are urged to consult with their own legal counsel regarding the requirements of the law.

The completed form submitted to the City of Roseville is a public record.

Levine Act Fact Sheet
Levine Act Frequently Asked Questions
Levine Act Section 84308 Guide for Parties, Participants, and Agents
Levine Act Section 84308 Guide for Officers
Levine Act Regulations at FPPC website
Levine Act Disclosure Form