2019 PreGen HALLUM-2

30-A RC. 151710

Ohio Campaign Finance Report

LAKE BOARD OF E'..._EC.,.~ON OCT 2li 20:9 PM2:02

Prescribed by Secma,y of Stale Jl'05

RCgLStrauon Number. if PAC

Full Name ofComm1nce

Friends of Chris Hallum Full Name of Canchdalc

Christopher Hallum IOIT£e Sought Councilman

Strecet Address

2937 Lamplight Ln tty

D,stnct

3 Stale

Willoughby Hills

0

H

44094 AmuaJYear

:ry,,..,._,

Pre-Primary

~

July

August

September

Monthly

Monthly

Monthly

x ....... .,_,

~)

X

Post-Pnmary

Post-General

Pre-General

Semiannual

Tcrmmaoon

report Electrorucally filed?

Amended R_,-,

□ Yes

12'P Code

0 No

□ Yes

0No

M

°"""'-

1

y

D

5

1 I 0

9

1

Foe candidates only, durtn1 an elCCtJon year: 1f total oontnbullons and e,q,endi1ures each 1olaJ SSOO or less dunng the comb med pre- and post-pcnod:s at one dccnon. chock box. No ocher" forms are required at a post-pnmll)' or post-general penod. 1fabo\·e statement apphes See R.C JS 17 IO(H) for dct&ls

$ I Amount brought forward from last repon

3,366.44

s 2 Total monetarycontnbunons(From form No JI-A)

3,545.00

s J Totalotherincome(FromformNo Jl-A-2)

0.00 $

4 Total funds available (sum of Imes 1, 2, 3)

6,911.44 $

5 Total monetary expenditures (From Form No J 1-8)

1,837.04 $

6 Balanc.c on hand (hne 4 minus hne S)

5,074.40 $

7 Value of in.kind contnbuuom recei~ (From Form No J1.J.J)

20.00 $

8 Value of in-kind contnbuuons made (From Form No 3 I •J•2)

0.00

s 9 Outstandmg loans owed by committee (From Form No JI •C)

0.00 $

10 Outstanding debts owed by corrurunec (From Form No 31 •N)

i

c.>

Iii!

Q

1J

w

Ill::

~ w

0.00

s 11 Outstanding loans owed to commmce (From Form No 3 l·K)

_, Q

z

0.00 $

w

12. Value of independenl expenditures made (From Form No JI •U)

~

13 for Electronic Filing Entiucs only Sum of Imes 2, 7 and amoun1 of any ~ loans re<:et\'Cd dus pcnod

0.00 $

3,565.00

THE INFORMATION CONTA INED IN T HIS REPORT IS MADE U ' DER THE PENALTI' OF ELECTION FALSIFICATION. WIIO[ \ICR

/0-2'--I ~2.pf 9 Date

Contributton pag,s

Expmd1turc

P'i" _ _l_

To<~

6_

pages _ _ _

I

31-A RC 351710

Page _l _ _

Statement of Contributions Received Prcscnbed by Secretary of State 3/05

Name of Committee m Full

Friends of Chris Hallum Full Name ofContnbutor

Registration Number. if PAC

Lyle Hallum Street Address

Employcr/Occupauon/Labor Organization•

fonn (Cash. Check. etc.)

1261 Settlers Bay Ct

Check

tty

State

Bellbrook

0

IZ1p Code H 45305

Fu11 NameofContnbutor

I D I y 1 0 0 2 1 9 M

Amount

500.00

Reg1strat1on Number. 1f PAC

Frank Mahnic Street Address

Fonn (Cash. Check. etc )

Empk,ycr/Occupauon/Labor Orgamzauon•

12795 Brockway Dr

Check

r,ty

State

Valley View

0

IZ1p Code H 44125

Full Name ofContnbutor

I D I y 0 9 2 6 1 9 M

Amount

100.00

Registration Number. tf PAC

Michael Germano Street Address

Employcr'Occupa11on/Labor Organ1zat1011•

3008 Oakview Dr City

State

Willou~hbv Hills

0

12,pCode H 44092

Full Name of Contributor

Fonn (Cash. Check. etc )

ID I 0 19 1 13 1 M

y

Online Amount

60.00

9

Registration Number, 1f PAC

Carvier Lukat Street Address

Employer/Occupat1on/Labor Organization•

fonn (Cash. Check. etc )

6153 Pennerwood Ct

Check State

~ •ty

Mentor

0

IZ1p Code H 44060

Full Name ofCmtnbutor

I D I y 0 9 2 7 1 9 M

'Amount

750.00

Reg1stra11on Number. 1f PAC

Calvin Schroek ~ wAddress

Employ,,./Oc<:"l""ian/Labo< CJ<san12,u,oo•

Fonn (Cash, Check. e\C)

2873 Lamplight Ln

Check State

~ •ty

Willoul!:hbv Hills

0

IZ1p Code H 44094

Full Name of Contributor

I D I y 0 9 1 4 1 9 M

Amount

50.00

Reg1strat1on Number. 1f PAC

Marie Louise Kittredge Street Address

Employcr/Occupat1on/Labor Organ1zat1on•

Form (C,uh. Check. etc)

6927 Indiana Ave

Check

City

State

Cleveland

0

IZ1p Code H 44105

M

Amount

0 9 12D 7 1/ 9

100.00

Registration Number, 1f PAC

Full Name ofContnbutor

Chuck Sumrada Street Address

Fonn (Cash. Check. etc.)

Employcr/Occupat1on/Labor Organization•

2316 River Rd State

~ •ty

Willoughby Hills

0

IZ1p Code H 44094

M

1

ID I 0 0 7 1

y

Check Amount

25.00

9

Registration Number. 1f PAC

Full '.Jame ofContnbutor

Roy Streetz ISU"CCtAddress tty

iz1p Code

State

Willoul!:hbv Hills

Fonn lCash. Check. etc)

EmplO)cr 'Occupa11on/La'oor Organ17.ation•

2959 Gatsby Ln 0

H

44092

Check AmOW11

M

0 9 1/ 9 1/ 9

200.00

• Required for contnbut1ons from md1V1duals over SI00 to statewide and general assembly candidates If contributor 1s self•employcd, the occupation and the name of the md1v1dual's business, if any, rather than employer should be lmed If two or more employees contnbute via payroll deduction and exceed the aggregate ofSIOO. the labor orgamzat1on of which the employees are members, if any, must appear [R C. 3517 IO(BX4)) Page Total s _~ l ~,7~8=5~.00 ~

31-A RC.35171 0

Page _2_ _

Statement of Contributions Received Prescnbed by Secretary of State 3/05

Name of Committee in Full

Friends of Chris Hallum Full Name of Contributor

Registration Number. 1f PAC

Nancv Glinski Street Address

Employer/Occupation/Labor Orgamzation•

Fonn (Cash, Check, etc.)

2903 Lamplight Ln

Check

City

S1ate

Willoughby Hills

0

IZip Code

H

44092

FuJI Name of Contributor

M

I D

Amount

I y

50.00

0 9 2 7 1 19 Registration Number, if PAC

Lawrence Kletecka Street Address

Employer/Occupation/Labor Organization•

2953 Gatsby Ln City

Willou!!hbv Hills

O State H

lz\~~~2

Full Name of Contributor

Form (Cash. Check, etc.)

Cash M

I D

Amount

I y

0 9 2 6 1 9

45.00

Registration Number. if PAC

Daniel Yeckley Street Address

Fonn (Cash, Check, etc.)

Employer/Occupat1on/Labor Organi:r.ation•

2942 Lamplight Ln ~ity

Willoue-hbv Hills

Check

0

State H

t p~~~4

Full Name ofContnbutor

M

I D

Amount

I y

1 0 0 ,4 1 9

50.00

Registration Number. if PAC

Joseph Smigelski Street Address

Employer/Occupat1on/Labor Organization•

Fonn (Cash, Check, etc.)

365 RoyaJ Oak Blvd

Check

City

IZip Code

State

Richmond Heie-hts

0

H

44143

Full Name of Contributor

M

I D

Amount

I y

25.00

0 19 2 7 1 9 Registration Number. if PAC

Loreto Iafelice Sttcet Address

Empl,oyel'f0cc.upati.on/La00f Orsarwz.at\00•

F<><m (Cash, Check, Cl<)

38650 Florence Dr

Check

City

State

Willoue-hbv Hills

0

IZ1p Code

H

44094

Full Name of Contributor

M

I D

Amount

I y

100.00

1 0 0 13 1 9 Registration Number. if PAC

Denise Neidermeyer Street Address

Employer/Occupation/Lnbor Organization•

Fonn (Cash, Check, etc.)

2929 Lamplight Ln

Check

City

State

Willoughby Hills

0

IZip Code

H

44094

Full Name of Contributor

M

I D

1

I

Amount

y

50.00

1 10 0 6 1 9 Registration Number. 1f PAC

Pete Mizeres Street Address

Employer/Occupation/Labor Orgamzation•

963 Hanley Rd "'ity

State

Lvndhurst

0

IZip Code

H

44124

Form (Cash, Check, etc.)

I 1 10 0 M

D

Check Amount

I y

100.00

6 1 9

Registration Number. if PAC

Full Name of Contributor

Tesse Baden !Street Address

Fonn (Cash, Check, etc.)

Employer/Occupat1on/Labor Organization""

Check

2921 Lamplight Ln c;ty

State

Willoughbv Hills

0

121p Code

H

44094

M

1

ol1~ 3 1/

Amount

9

100.00

• Required for contnbut1ons from md1v1duals over$ I 00 to statewide and general assembly candidates If contributor 1s self-employed, the occupation and the name of the individual's business. if any, rather than employer should be listed. If two or more employees contnbute via payroll deduction and exceed the aggregate of SIOO, the labor organization of which the employees arc members, if any, must appear. (RC. 3517. I O(B)(4))

eage ·1otal s __~5~ 2~ □~ .00 ~

3 1-A RC351710

Pagc _3 _ _

Statement of Contributions Received Prcscnbed by Secretary ofState 3/05 Name ofConumttcc m Full

Friends of Chris Hallum Full Name ofContnbutor

Registration Number, 1f PAC

Frank Cihula Street Address

Employcr/Occupat1on/Labor Organization•

Form (Cash. Check. CIC )

35060 Dixon Rd

Check

,ty

Staie

Willou2"hbv Hills

0

IZ,p Code

H

44094

FuJI Name ofContnbutor

M

~mount

1 o l oD7 1/ 9

25.00

Registration Number. 1f PAC

Katherine Pasouale Street Address

Employcr'Oc:cupatlOn/Labor Organ1zat1on•

371 Pebblebrook Dr. r,ty

Stale

Willou!!"hbv Hills

0

IZ1p Code

H

44094

Full Name ofContnbutor

Form (Cash. Check, CIC )

ID I 1 0 0 1 1 9 y

M

Check Amoont

50.00

Reg1strauon Number. 1f PAC

Kathy Longo Street Address

Employcr/Occupat1on/Labor Organ1ution •

Form (Cash. Check. etc)

9285 Kathleen Dr. ,ty

State

Mentor

0

IZ1p Code

H

44060

Check

I

D y 0 9 3 ,0 1 9 M

I

AmoWtt

50.00

Registration Number. 1f PAC

Full Name ofContnbutor

Ron Zele Strcct Address

Employcr/Occupat1on/Labor Organization•

Fonn (Cash, Check. etc.)

740 Pebblebrook Dr.

Check

!Coty

12'P Code

State

Willoughby Hills

0

H

44094

1Amoun1

M

1 o l oD 1 I / 9

25.00

Rcg1stra11on Number. tf PAC

Full Namt ofCmmbutor

Susan Gral.nick Sue« A.ddrc~~

Fonn(Ca.sh.0-k. <t<:)

E.mployu{()c(.upat~ ~ \U.t\(,)t\•

2518 Chagrin Dr. ,ty

State

Willoughby Hills fu]l

IZ,pCodc

H

0

44094

Name of Contnbutor

Check

I

D y 1 0 0 1 1 9 M

I

Amount

50.00

Reg1strauon Number. 1f PAC

David Chervenic Strttt Address

Employer/Occupahon/Labor Organization•

Form (C4sh. Check. etc )

Check

3185 North Dover Rd. City

12•PCode

State

Silver Lake

0

H

44224

Full Name ofContnbutor

D I y 0 / 9 3 0 1 19 M

I

Amount

50.00

Registration Numbt-r. 1f PAC

Darlene Weger Street Address

Employcr/Occupa11on/Labor Organization•

Form (Cash, Check, etc.)

38195 Dodds Hill Dr. fC,ty

Slate

Willou2"hbv Hills

0

iz,p Code

H

44094

Fu11 Name ofContnbutor

Check

I

M D I y 0 9 3 0 1 9

AmOWll

100.00

Registration Number, 1f PAC

Dennis Cocco Strcct Address

E.mploycr'Occupat1onfLabor Orgamzauon•

Form (Cash. Check. etc)

2933 Lamplight Ln

Check

,ty

State

Willoughby Hills

0

IZtp Code

H

44094

Amount

M

0 9 12D4 1/ 9

75.00

• Required for contnbut1ons from md1v1duals over SI 00 to statewide and general assembly candidates If contnbutor 1s self-employed, the occupation and the name of the md1v1dual's business, 1fany, rather than employer should be listed lf ty..o or more employus contribute via payroll deduction and exceed the aggregateofSIOO. the labor orgamzat1on of which the employees are members, if any, must appear (R C. 3517 10(8)(4)) (•age I otal s _ _-" 42 :S ,a.a..OO =-

31 -A R.C. 3517 10

Pag~

Statement of Contributions Received Prescnbed by Secretary of State 3/05 Name of Committee in Full

Friends of Chris Hallum Full Name ofCootributor

Registration Nwnber. if PAC

Edward McKenna Street Address

Employer/Occupa1ionl'Labor Organ1zat1on•

Fonn (Cash, Check, etc.)

2963 Lamolight Ln

Check

Jty

State

Willou11:hbv Hills

0

H lz;~ ~4

'

Full Name of Contributor

M

I

D

I

Amount

y

0 9 2 10 1 9

100.00

Registration Number. if PAC

Thomas Majeski Street Address

Employer/ Occupation/Labor Organization•

2717 Gravlock Dr. City

Willou11:hbv Hills

0

Check

IZ,p Code

Stale

H

Form (Cash, Check, etc_)

44094

Full Name of Cootributor

M

I

D

I

Amount

y

0 19 1 3 1 9

100.00

Registration Number, if PAC

Christopher Collins Street Address

City

State

Fairport Harbor

Fonn (Cash. Check, etc.)

Employer/Occupation/Labor Organi7.ation•

688 Second St., Unit 2

0

IZtp Code

H

44077

Full Name of Contributor

I I 0 9 2 10 1 9 M

D

y

Check Amount

50.00

Registration Number, if PAC

Robert Sacerich Street Address

Employer/Occupation/Labor Organization '

Fonn (Cash, Check. etc.)

2947 Rockefeller Rd.

Check

City

State

Willoughby Hills

0

IZ1p Code

H

44094

Full Name of Contributor

M

I

D

I

Amounl

y

50,00

0 19 1 2 1 9 Registration Number. if PAC

Michael Kirsch Street A.ddrC'i.'i

Fonn (Cash, Chc<,k, <te.)

E.mpl.oy«(Occupat\00/L&OCK' 0-r~\-zat\Of\•

33850 Parkview Rd

Check

City

State

Willoughby Hills

0

IZip Code

H

44092

M

I

D

I

Amount

y

0 19 1 18 1 19

100.00

Registration Number, if PAC

Full Name of Contributor

Marie Ann Federico Street Address

Employer/Occupation/Labor Organization •

2392 Trailard Dr City

Willou11:hbv Hills

O S1a1e H

12i~ ~~

4

Full Name of Contributor

Form (Cash, Check, etc.)

I 0,9 1 8 1 9 M

I

D

y

Online Amount

25,00

1

Registration Number. if PAC

Carrie Biro Street Address

Fonn (Cash, Check, e1c.)

Employer/Occupation/Labor Organization•

2821 Forest Ln

Online

City

State

Willou11:hbv Hills

0

121p Code H 44094

Full Name of Contributor

M

I

D

I

Amount

y

50.00

0 , 9151.9 Registration Number, if PAC

PatGrebenc [Street Address

City

State

Willoughby Hills

Fonn (Cash, Oieck, etc )

Employer/Occupation/Labor Organization•

2265 River Rd 0

IZ1p Code

H

44094

I I 0 9 1 14 1 M

D

Online Amount

y

9

100.00

• Required for contnbutions from md1v1duals over $100 to statewide and general a ssembly candidates. If contributor 1s self-employed. the occupation and the name of the individual's business. if any, rather than employer should be listed. If two or more employees contnbute via payroll deduction and exceed the aggregate ofSIOO. the labor organiz.ation of which the employees are members, if any. must appear [R C 3517 IO(BX4)}

Page Totals _ _-" 5"7"5"' .lJU "'--

31-A R.C 3517.10

Pase _5_ _

Statement of Contributions Received Prescnbed by Secretary of State 3/05

Name of Committee in Full

Friends of Chris Hallum Full Name of Contributor

Registration Number. if PAC

Claudine Daurudas Street Address 38213

Form (Cash, Check, etc.)

Employer/ Occupat1on/Labor Organization•

Dodds Hill Dr

Online

Cuy

IZip Code

State

Willoughby Hills

0

H

44094

Full Name of Contributor

Amount

M I D I y 0 19 1 4 1 9 Registration Nwnber, 1f PAC

50.00

Karen Schaller Street Address 36926

Form (Cash. Check, etc.)

Employer/Occupat1on/LaOOr Organization•

Beech Hills Dr

Gty

12ipCode

State

Willoul?hbv Hills

0

H

44094

Full Name o f Contributor

Online M 0 9

I

D 1 14

I

Amow,t

y 1

9

25.00

Registration Number, if PAC

CT Latsa Street Ad dress 28914

Employer/Occupation/Labor Organization•

Fonn (Cash. Check. etc.)

Eddy Rd

Online

City

IZip Code

State

Willoul?hbv Hills

0 , H

44094

Full Name of Contributor

Amount

M I D I y 0 19 3 9 Registration Number, if PAC

1

1

40.00

Joe Palmer Street Address

Employer/Occupa11on/Labor Organiz.ation•

Fonn (Cash. Check. etc.)

Online ·,-,ity

IZ1p Code

State

Willoul?hby

0

H

44094

Full Name of Contributor

Amount

M I D I y 0 19 1 2 9 Registration Number. if PAC

1

75.00

Jay Neidermeyer Street Addre<if.

2929

Emp!.oyu fOccupati.oo/LaOOf Otgani·ta\\(){\•

forn, (Cash, Chee~. etc.)

Lamplight Ln

Online

City

IZip Code

State

Willou1?hby Hills

0

H

44094

Full Name of Contributor

Street Address

City

City

1

State

! Zip Code

M

I

y

D

Amount

0 19 2 7 1 9 Registration Number, if PAC

Employer/Occupauon/Labor Organization•

State

12,p Code

Fonn (Cash, Check, etc )

M

~

I

AmOWlt y

Registration Number, 1f PAC

Full Name ofContnbutor

City

50.00

Form (Cash. Check, etc.)

I

~treet Address

1

Employer/Occupauon/Labor Organization•

Full Name of Contributor

Street Address

Amount M I D I y 0 9 2 9 Registration Number, 1f PAC

Form tCash, Otec'k, etc.)

EmployerlOccupaUon/Labor Orgamzafton•

State

12,p Code

M

y

D

I

Am0Wll

I

• Required for contnbutions from md1v1duals over SI 00 to statewide and general assembly candidates. If contributor 1s self-employed, the occupation and the name of the individual's business, if any. rather than employer should be listed If two or more employees contribute via payroll deduction and exceed the aggregate of SI 00. the labor organization of which the employees are members, if any, must appear (R.C 3517.10(8)(4)) Page Total s ___ 2_4~0.~U~U-

31-B R.C. 3517.10

l_

Page _ _

Statement of Expenditures Prescnbed by Secretary of State 2/01

Name of Committee in Full To Whom Paid

M

Lance Brittain Photography Address

13132 West Geaul!a Tri City

Chesterland

Photos for campaign material State IZip Code n H 44026

7144 lndustrial Park Blvd Mentor

Political signs State IZip Code r, H 44060

WillouP-bv Hills

n

12ip Code

State

H

Political sil!OS State 121pCode r, H 44060

2937 LamPlil!ht Ln

Hotcards push card order

Willoul!bv Hills

n

12ip Code

State

H

110.00

1003 D

y

Amount

277.13

9

Check Number

1005

I l 1 10 2 3 1 9 D

y

Amount

157.67

M

,,

D

I

y

Amount

1 0 2 3 1 9

55.00

Purpose

Postal!e Stamps purchase from CVS Check Number State 1Z1p Code r. I H 44094 1006

To Whom Paid

M

Chris Hallum

,I I D

y

Amount

501.90

1 0 2 3 1 9 Purpose

2937 Lamplie:ht Ln

Repayment of Loan

Willoul!bv Hills

n

j,-.ity

1Z1p Code

State

H

Check Number

44094

IToWhom Paid

1007

M

I I D

City

Amount

Check Number

Chris Hallum

Address

y

I I 1 /0 2 3 1

44094

To Whom Paid

Address

D

Purpose

City

WillouP-bv Hills

1002

I I 1 0 1 1 1 19

M

Chris Hallum

2937 Lamoli!!ht Ln

685.34

Purpose

To Whom Paid

V'jty

Amount

9

Check Number

M

Fulton Si!!n & Decal

!Address

y

Check Number

44092

To Whom Paid

Address

50.00

Purpose

Postage Stamps

Mentor

D

1

28121 Chardon Rd

7144 Industrial Park Blvd

I I 9 2 3 1

M

City

l"ity

ount

Purpose

Marc's

Address

,r

1001

0

!lo Whom Paid Address

y

Check Number

M

Fulton Si!!n & Decal City

D

Purpose

To Whom Paid I.Address

I I

0 9 1 0 1 9

y

Amount

Purpose

State

,Z,p Code

Check Number

Page Total$

1,837.04

31-C R.C. 3517.10

Page _ __

Statement of Loans Received Prescribed by Secretary of State3/05 Full Name of Committee

Friends of Chris Hallum From Whom Received

501.90

NJ~w.-.<'__,

Address

2937 Lamplight Ln City

State

Willoughbv Hills uate Loan was lnamed

Amt. Incurred this Period

Prior Amount

Chris Hallum Zip Code

Loans Rtteived This Period Date y M D s

OH 44094 M

D

Amount

M

1 0 1 9 1/ 5

Registration Number, if PAC

M

Employer/Occupation/Labor Organization•

M

D

y

D

y

Date

Payments This Period Amount y

s

D

Ml M

D

y

D

y Amt.. Incurred this Period

Prior Amount

Address

Outstanding Balance State

uate Loan was onguwiy

M

Zip Code D

lnamed Registration Number, if PAC

I

Loans R«cived This Period Date y M D

Payments T his Period

Date

Amount

s

y

Employer/Occupation/Labor Organization•

Amount

M

D

y

M

D

y

M

D

y

M

D

y

Ml

D

y

From Whom Received

Outstanding Balance State

uate Loan was onguwiy lncuned Registration Number, if PAC

s

Amt. lncurrcd this Period

Prior Amount

Address City

501.90

1 0 2 3 1 9

From Whom Received

City

Outstanding Balance

M

Zip Code D

I

Loans R«cived This Period Date y M D s

y

Employer/Occupation/Labor Organi1.ation•

Payments This Period

Date

Amount

Amount

M

D

y

M

D

y

M

D

y

M

D

y

M

D

y

s

• Required for contnbutions over S 100 to statewide and general assembly candidates If contributor is self.-cmployed. occupation and the name of the indiV1dual's business. if any, rather than employer should be listed. If two onnore employees donate via payroll deduclion and exceed the aggregate o f SI 00, the labor organization of which

the employees arc members, if any, must appear. R.C. 35 17. 10(8)(4) lfa loan is forgiven. write "Forgiven" in the "Outstanding Balance" space. Transfer total of all loans received this period to the Statement of Other Income (Fonn No. 31-A-2).

Transfer total of all payments made in this period to the Statement of Expenditures (Fonn No. 31-8). Transfer Total Outstanding Balance to the cover page (Form No. 30-A).

Total prior amowll S 2 Total received this period S

501.90 0.00

3 Total Payments this Period S

501.90

4 Total Outstanding Balance S

0.00

(To Fonn No. 31-A-2)

(also rCCO<d on Form 31-8) (To Form No. 30-A)

31-J- I

Page _ __

R.C. 3517 .10

In-Kind Contributions Received Prescribed by Secretary of State 3105 Name of Committee in Full

Friends of Chris Hallum Full Name of Contributor

Employer. Occupation. Labor Organization •

Gardner for Mavor Street Address

Description of hem or Service

38123 Dodds Hill Dr.

Postage

City

Willou11'hbv Hills Full Name of Contributor

In

State H

44094

Employer. Occupation, Labor Organization • Description of Item or Service

38123 Dodds Hill Dr. City

Willoul!hbv Hills Full Name of Contributor

n

Mailing Supplies State H ' Zip Code 44094

Employer. Occupation. Labor Organization •

Gardner for Mavor Street Address

Description of Item or Service

38123 Dodds Hill Dr.

CampaiITT1 Literature

City

Willoul!hbv Hills Full Name of Contributor

State

0 I OD

1

Y

9 1 9

IFair Market Value

61.11

OYEs □ No Registration Nwnber, if PAC

t

0 I OD

6

1/

9

lfair Market Value

19.10

Received at Fund.raising Event?

OYEs O NO Registration Nwnber, if PAC

t

0 I OD

4

1/

9

IFairMarket Value

75.82

Received at Fundraising Event?

IZip Code

II

n

t

Received at Fund.raising Event?

' Zip Code

Gardner for Mavor Street Address

Registration Nwnber, if PAC

44094

Employer, Occupation, Labor Organization •

OYEs □ No Registration Number, if PAC

Gardner for Mavor Street Address

38123 Dodds Hill Dr. City

Description of Item or Service

Camoaicm Literature State

' Zip Code

Full Name of Contributor

Employer, Occupation, Labor Organization •

Street Address

Description of Item or Service

City

State

' Zip Code

Full Name ofContributor

Employer. Occupation. Labor Organization •

Street Address

Description of Item or Service

City

State

' Zip Code

Full Name of Contnbutor

Employer, Occupation. Labor Organiza1ion •

Street Address

Description of hem or Service

City

State

' Zip Code

Full Name of Contributor

Employer, Occupation, Labor Organization •

Street Address

Description of Item or Service

City

State

' Zip Code

OM

I o 1/ IFairMarket Value 16.88 9 2 4 9

Received at Fund.raising Event?

O YEs □No Registration Nwnber, if PAC M

D

y

' Fair Market Value

I I Received at Fundr.using Event?

OYEs ONO Registration Nwnber, ,f PAC M

D

y

' Fair Market Value

I I Received at Fw1<!raising Evenl?

OYEs □ No Registration Nwnber, if PAC M

D

y

rair Market Value

I I Received at FWldraising Event?

ONO □ YES Registration Nwnber. if PAC M

D

y

IFair Markel Value

I I Received at FWldraising Event?

□ YES

□ No

• Required for contributions from individuals over SI 00 to statewide and-general assembly candidates. If contributor is self-employed, the occupation and the name of theindividual's business. if any. ratherthan employer should be listed. If two or more employees contribute via payroll deduction and exceed the aggregate ofSIOO, the labor

organization of which the employees are members, if any, must appear. [R.C. 35 I 7. 10(8)(4)1

Page Total S

172.91