2019 PreGen KLINE

Page 1

~0/9 f?e.c-

30-A RC 3517.10

GEAJ,£/C,#-l _

Ohio Campaign Finance Report PrucribedbySecrewyof~arcJro5 Full Name of Committee

Registrar ion Number, if PAC

Committee to Elect Kline Full Name of Candidate

Michael E Kline S1rce1 Address 38531

Office Sought

Dodds Landing Dr

Willoughby Hills

ty1..)

Am•ndcd Rcpon7

0

Yes

1 s,,tc OH

Ci1y

Type or Report (place X to the left of report

District

City Council

L .J

Pre-Primary

n

July Monthly

n

r

Au1u>1 Monthly

0

[!) No Rcpon El«:tronically Filed?

f.!J

Poll-Primary

Yes ~ No

Pre-General September Monthly

Dale of Election

n r 1

M

IZipC:i094

C A~

Post-General

n ...c=J Semiannual

Tcnnination

lo

1

[

5

For candidates only, during an election year: if 10181 con1ribo1ions and expenditures each 10181 $500 or less during the combined pre- and post-periods a1 one clcc1ion, check box No other forms arc required for a post-primary or post-general period, if above Slalcmcnt applies. Sec R.C. JS 17. IO(H) for details.

I. Amount brou1bt ro,,.ard fro■ lut report

s

1. Total moaellry coatrlbutloaa (From Fo,.. No. JI-A)

$

'

Q

w z

~

Q

IJ

~

I

;l u

4. Total fuada nailable (aum or liaea I, 1, 3)

s

$2,8OE

5. Total monetary eipeadlturea (Fro■ For■ No. 31-8)

s

$2,12f .34

6, Balance•• baad (line 4 mi■ua liae 5)

s

$67€ .66

7. Value ofln-kind coatrlbutloaa realved (Pro■ For■ No. 31-J-1)

$

I. Value of ia-klad coatrlbutleu ■Ide (Pro■ For■ NO: 31-J-1)

s

9. Outstandin& loans owed by committee (From Form No. JI~)

$

$550 .00

10. Outstandi•& debts owed by commitlee (Fro■ Fo,.. No. 31-N)

s

$615 . 85

.oo

$2~ .00

LAKE COUNT''

jg'

Q

1J !:;

Ii: w Q iii a: z u ~ w Ill 1111: w ~

11, Value of lndependcat expeadltura made (From Form No, JI-U)

s

13. For Electroaic Flli•I Eadtlea Hly Sum of liaea 1, 7, Hd a■Mllt or aay aew loau received this period

s

D

$55( .00

s

s

19

$2,25€ .00

J. Total other income (From l'o,.. No. 31-A-1)

II. Outslladia1 loaaa owed to co■■illee (Fro■ l'o,.. No. 31-K)

1

AAD OF ELECTJON§

.OCT 2 .2 2019 /:J-/rr/41 .J

Tl!£ INFORMATION CONTAINED IN THIS REPORT IS MADE UNDER THE PENALTY OF ELECTION FALSIFICATIO . WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE.

Michael Kline - Deputy Treasurer

10/21/2019 Date

Print Name and Title (Treasurer and Deputy Treasurer only)

Co11tribo1ton

pages_3__

Expendilurc

1

pajlCS_ __

Olhcr pages_ 4_ __

Total

pages_8_ __


31-A R.C. 3517.10

Page

Statement of Contributions Received

1

Prescribed by Sccteta,y of State 03/05

Name of Committee on full

Committee to Elect Kline Full Name of Contributor

Registration Number, if PAC

Thomas J & Gloria J Majeski Sireet Address

Fonn (Cash, Check, etc.)

Employer/Occupation/Labor Organization•

2717 Graylock Drive

Check

City

SU,e

OH

Willoughby Hills

bis l \ i

'Zip Code

44094

11

Full Name ol Contributor

Amount

$100.00

Regostration Number, ff PAC

Peter A Kamis

.

S1rc.:1 Address

Fonn (Cash, Check, etc.)

Employer/Occupation/Labor Organization

36701 Rogers Road City

sute

OH

Willoughby Hills

Check

I

b1 ~p

Zip Code

4409-4

Full Name of Contributor

11

~

Amounl

$100.00

Regoslration Number, if PAC

Madeleine B Smith Street Address

Fonn (Cash, Check. etc.)

Employer/Occupllioo/Labor Organization•

38220 Dodds Hill Dr Cioy

sute

Willoughby Hills

OH

Check

I

Amount

Zip Code

44094

$25.00

o1al113l1 !9

Reaostrauon Number, Ti' PAC

Full Name of Contributor

Karen J Schaller Street Address

2512 Red Fox Pass

.

CH)

Willoughby Hills

Fonn (Cash, Check, etc.)

Employer/Occupation/Labor Organizalion'

Sta+e

OH

Check

I44094

b j8~~ ~~

Zip Code

Full Name of Contributor

Amount

$25.00

Regostration Number, if PAC

Marygail & James E Michalski Str.:et Address

Cuy

Willoughby Hills

Fonn (Cash, Check, etc.)

Employer/Occupation/Labor Organization•

38285 Dodds Hill Dr St,fe

OH

Check

I

Amount

Zip Code

44094

01812~!1 1 9

Full Name or Contributor

$25.00

Regostratoon Number, of PAC

John & Carol Lillich Street Address

Fonn (Cash, Check, etc.)

Employer/Occupation/Labor Organization

Check

37830 Milann Dr City

Willoughby Hills

Stal•

OH

1Zip Code .

o1~~~)

44094

.

Paula M Cross

Willoughby Hills

Fonn (Cash, Check, etc.)

Employer/Occupation/Labor Organization

2429 Trailard Dr Cioy

$100.00

Registration Number, ii PA

Full Name of l.:ontnbutor

Street Address

Amount

sute

OH

Check

I

Zip Code

44094

b1 ~ \

Amount

11 \

$100.00

Registration Number, ii PAC

Full Name of i;ontributor

Gregory & Lindsey Resnick Street Address

Fonn (Cash, Check, etc.)

Employer/Occupation/Labor Organization•

2404 Allen Blvd City

Beachwood

Check Stale

OH

Amount

!Zip Code

44122

oj 9 l213 l1 l9

$36.00

• Required for co~tributions from individuals over $100 to stalCwidc and general assembly candidates. If contributor is self-employed, the occupation and the name of the individual's business, if any, rather than employer should be listed. If two or morc employees contribute via payroll deduction and exceed the aggregate of $100, the labor organization of which the employees arc members, if any, must also appear. [R.C. 3517.10(8)(4)) Page Total $ 511 ,00


31-A R.C. 35 17.10

Page

Statement of Contributions Received

2

Prescribed by Secrelary of State 03/05 Name of Committee in Full

Committee to Elect Kline Full Name ofCootnbu1or

Rci;is1ra1ion Number, if PAC

Rudy & Rosemary Strauss Str!!d Address

.

Ci1y

Willoughby Hills

Fonn (Cash, Check, e1c.)

Employer/Occupation/Labor °'Janizalion

37720 Milann Dr SIIS•

OH

Check

I44094 Zip Code

o 1s

Full Name ofCootnbulor

~\

Amounl

11 \

$20.00

Regis1ra1ion Number, if PAC

John L & Marion L Wazney S1r«1 Address

Ci1y

Willoughby Hills

Fonn (Cash, Check, c1c.)

Employer/Occupation/Labor °'Janization•

38621 Dodds Landing Dr :)USC

OH

Check

I44094

p~~ i

Zip Code

D

Full Name ofCootnbutor

11

Amount

$100.00

Registration Number, if PAC

John Kleinbaum S1r«1 Address Ci1y

Willoughby Hills

:.cae

OH

Cash

I44094

Amount

Zip Code

Rcgislration Number, if PAC

Robert D & Kaye F Gongas

.

Willoughby Hills

Fonn (Cash, Check, e1c.)

Employer/Occupllion/Labor Dr¥anization

38561 Dodds Landing Dr C11y

$25.00

01912131119

Full Name ofCootnbulor

Strc:et Address

Fonn (Cash, Check, etc.)

Employer/Occupation/Labor °'¥anization•

2572 Dodd Rd

:shf•

OH

Check

I44094

Amounl

Zip Code

$50.00

019~~~) Registration Number, if PAC

Full Name of Contributor

Robert M & Darleen A Weger S1r«1 Address Ci1y

Willoughby Hills

Fonn (Cash, Check, etc.)

Employer/Occupation/Labor Dr¥anization•

38195 Dodds Hill Dr :)USC

OH

Check

I44094

Amount

Zip Code

o19l2i3l11s

$100.00

Rcg1strat1on Number, if PAC

Full Name of Contributor

Daniel Kowall Str«1 Address Ci1y

Willoughby Hills

St...

OH

Cash

I

opp°p~)

Zip Code

44094

.

William J Ferree

Willoughby Hills

:shf•

OH

Check

I44094

/l> ~ i i

Zip Code

l1

.

Joseph & Denise M Jarmuszkiewicz

Willoughby Hills

$500.00

Fonn (Cash, Check, etc.)

Employer/Occupation/Labor Dr¥anization

31301 Eddy Rd City

Amount

Rcg1stra1ion Number, if PAC

Full Name of Contributor Street Address

$50.00

Fonn ((;ash.Check, etc.)

Employer/Occupllion/Labor Dr¥anization

38780 Dodds Landing Dr Cuy

Amount

IRegistration Number, if PAC

Full Name ofContnbutor

S1rcet Address

Fonn (Cash, Check, etc.)

Employer/Occupllion/Labor Dr¥anization•

38500 Berkshire Hills Dr

:.Ille

OH

I 44094

Check Amount

Zip Code

110 lo13 l119

$50.00

• Required for contributions from individuals over $100 to sta1ewidc and general assembly candidates. If contributor is self-employed, the occupation and the name of the individual's business, ifany, rather than employer should be lisled. lftwo or more employees contribute via payroll deduction and exceed the aggregate ofS I00, the labor organization of which the employees arc members, if any, must also appear. (R.C. 35 I 7. IO(B)(4))

Page Total $ 895 ,00


31-A RC. 3517.10

Page

Statement of Contributions Received

3

Prescribed by Sccret81)1 of State 03/0S Name of Commonec m Full

Committee to Elect Kline Full Name of Contributor

Registration Number, if PAC

Christopher Biddle Street Address

.

Form (Cash, Check, eoc.)

Employer/Occupation/Labor Organization

2655 Dodd Rd City

Willoughby Hills

Cash :st,fe

OH

I Zip Code

44094

11a

Full Name of Contributor

$100.00

1i

Registration Number. if PAC

Pat & Joe Grebenc Street Address

~\

Amount

.

Form (Cash, Check, Cle.I

Employer/Occupation/Labor Organization

2265 River Rd City

Willoughby Hills

Check Slife

OH

/p ~~

12ipCode

44094

Full Name ol Contributor

Amount

1~ $50.00

Registration Number. if PAC

Frank J & Mary R Cihula Sorc:ct Address

Form (Cash, Check, etc.)

Employer/Occupation/Labor Organization

35060 Dixon Rd City

Willoughby Hills

Check :sllle

OH

Amount

IZip Code

44094

Registration Number, if PAC

Edward & Jodie E McKenna Soro,, Address

$25.00

1101110 1j9

Full Name of Contributor

.

Form (Cash, Check, etc.)

Employer/Occupation/Labor Organization

2963 Lamplight Lane City

Willoughby Hills

Check ~e

OH

I Zip Code

44094

110

Full Name of Contributor

~1 l

Amount

$75.00

Registration Number, if PAC

Warren C & Janet A Sterrett Street Address

Form (Cash, Check, CIC.)

Employer/Occupation/Labor Organization

38751 Dodds Landing Dr City

Willoughby Hills

Check St...

OH

IZipCodo

44094

110 11

Cuvier I Lukat

.

Form (Cash, Check, etc.)

Employer/Occupation/Labor Organization

6153 Pepperwood Ct City

Mentor

State

OH

/p

tZip Code

44060

Cny

St,+e

$500.00

Form (Cash, Check, etc)

I

1

Zip Code

1

.

Form (Cash, Check, etc.)

Employer/Occupation/Labor Organization

Stale

OH

Amount

I 1 Registration Number, if PAC

Full Name ol Contnbutor

CII)

1p

Employer/Occupation/Labor Organization

OH Sorc:ct Address

l1~

Check Amount

Rcg1strat1on Num ,er, TI' PA,

Full Name of Contnbutor

Street Address

$100.00

1j 9

Registration Number, if PAC

Full Name of Contributor

Strc:ct Address

~

Amount

I

Zip Code

1

11

1

Amount

• Required for co;tributions from individuals over $100 to sta1ewidc and general assembly candidates. If contributor is self-employed, the occupation and the name of the individual's business, ifany, rather than employer should be listed. If two or more employees contribute via payroll deduction and exceed the aggregate ofSI00, the labor organization of which the employees arc members, if any, must also appear. [R.C. 3S17. 10(8)(4))

Page Total $SSO.OO


31-A-2 RC ,517 10(B)

Page

Statement of Other Income

1

Prescribed by Secre1ary or Sla1e 2/0 I ~;1111c

ofConuniucc m Full

Committee to Elect Kline rull Name

Rcgis1ration Number, 1f PAC

Michael E Kline AJJrcss

38531 Dodds Landing Dr Willoughby Hills Full Name

Michael E. Kline

38531 Dodds Landing Dr Willoughby Hills Full Name

1\Jdrc:ss

,\Jdr<sS

Full Name

rull Name:

Full 'l'.amc:

Full Nam<

,\JJrc:ss

• Pia,~ the two lcner code in the Type block (one h:ner per square) which indicates the nature of the Other ln~o1111: R.:cdved: RE for a refund. un~ashed .:heck or the comminee's own insutlicient funds check received, IN for any investment or interest income earned by the com mince. S,\ for the sale of comminee assets, or LN for payments received on a loan made.

550.00 Page Total$


31-B R.C. 3517.10

Statement of Expenditures Prescribed by Secretll)' of State 2/0 I Name ofComminec in Full

Committee to Elect Kline To Whom Paid

M

Direct Marketing Solutions Address

33851 Curtis Blvd #211

0 9

OH

Zip Code

44095

Ciry

OH

Zip Code

4409-4

St •

OH

Zip Code

Zip Code

Ciry

y

D

y

Purpo,e

OH

Zip Code

Check Number

M

D

y

Purpo,e

s, •

OH

• Zip Code

Check Number

M

D

y

Purpo,e

St••

OH

Zip Code

Check Number

M

To Whom Paid

Address

D

Check Number

M

To Whom Pa,d

Address

y

Purpo,e

To Whom Paid

Ciry

D

Check Number

M

To Whom Paid

Address

Electronic Transrer

Purpo,e

OH

City

Check Number

M

Ciry

Address

y

Reimbursement for Campaign signs, flyers, cards &

To Whom Paid

Addr<ss

D

1 6 1 9

Purpo,e

To Whom Pa,

Address

1001

1 0

Ciry

Willoughby Hills

$715.29

Check Number M

Michael E Kline 38531 Dodds Landing Dr

Amounr

Direct mail - campaign flyer

To Whom Paid

Address

y

Purpo,e

c;,y

Eastlake

D

1 1 1 9

D

Y,

Purpo,e

SU,e

Zip Code

Check Number

OH

Page Total $2,129.34


31-C RC. 3517.10

1

Page _ __

'

Statement of Loans Received Pmcribed by Scactary of Slate 3/0S Full Name ofComm,nee

--··-·"~·

Committee to Elect Kline From Whom Received

Michael E Kline

$550.00

Address

Outstanding Balance

38531 Dodds Landing Dr

$550.00

City

5tlate

Willoughby Hills Date Loanwu o riginally Incurred Registra1ion Number, if PAC

Zip Code

OH

44094

M

9

0 11

I

Lou1 Received Tbil Period

Date

1ls

2 4 1

Paymt11ts This Period M

Date D

y

M

D

y

M

D

Amounl

M D 0 11 2 4

Y,

1Is ol s 1 1 11s

s

C

$500.00

I

I

C

Amount

$50.00

I

E111ployer/Occupation/l..abor Organization•

s

I

YJ

~

I

I Prior Amount

From Whom Received

Amt. Incurred this Period Ouu1anding Balance

Address

Cioy

Stiato

Zip Code Loa■•

OH Date Loan was originally Incurred Registration Number, if PAC

1 1I 1

Employer/Occupation/Labor Ori!anization•

Paymts1ts This Period

ReNlved 11111 Period

Date

I;\

Date D

y!

M

D

Y'

M

D

y

Amount

~

[

M

[

t.i

[

I

1

s

Y)

!

I

1

Amount

s

! Prior Amount

From Whom Received

Amt. lncuncd this Period Outstanding Balance

Address S(ate

C U)

Zip Code

Date Loan was originally Incurred Registration Number, if PAC

i

I

Payments This Period

Loae1 Received Tbil Period

OH

9 i

I1

Employer/Occupation/Labor Ori!aoization•

~

Date 0

M

Date D

y

v;

Amount

YI

s

Amount

s I

M

0

~

M

D I

i

1

[

y

M

D

Yj

I

.. over SIOO to statewide and aeneral assembly candnlates. If contributor 1s self-<:mployed, the occupauon and the name of • Required fon:ontnbuuons from md1vtduals 1hc 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 arc members, if any, must also appear. [R.C. 3SI 7.IO(BX4)) It' a loan is forgiven, write ..Forgiven" in the "Outstanding Balance" space. Transfer total of all loans received this period to the Statement of Other ln,ome (Form No. 31-A-2). Transfer total of all payments made in this period to the Statement of Expenditures (Form No. 31-8). Transfer Outstanding 13alance to the Cover page (Form No. 30-A). 1 Total

prior amount $_ _ $_0_._0_0______

2 Total received this period 5_ __:. $_5_5_0._0_0_ _ _ __ (To Form No. 31-A-2) 3 Total 4

paymen'is this period$ _ _$_O _._O_O_ _ __ _ _ _ (To Form No. 31-8)

Total Outstanding Balance $ _ _S_5_5_o_ .O_O_ __ __ _ (To Form No. 30-A)


31-J-l Page 1

R.C. JSl7.10

In-Kind Contributions Received Pracribcd by Scacllry of Slale OJ/OS Nome of Committee on Full

Committee to Elect Kline Full Name of Contributor

Employer, Occupation, Labor urg111ization•

Registration Number, if PAC

David D Scott Street Address

~

Description of Item or Service

37215 Beech Hills Dr

Digital photography

City

:lh!IC

OH

Willoughby Hills

44094

Employ«, vca1pa11on, _

S,reet Address

Description of Item or Service Stajte

OH

...... _..1zat1on•

Sored Address

Description of Item or Service

SUI••

Staj le

OH S,reet Address

Description of llem or Service Stalte

IZip Code

Street Address

Description of Item or Service Stalte

fZip Code

Description of Item 01 Service

Employer, Oocupouon,

Stred Address

Description of Item 01 Service

~t•

OH

r'l yES r,, NO Registration Number, if PAC

r air Markd Value

tpCode

r"I YES NO Regostratoon Number, if PAC

1 11

r air Markd Value

Ii Received at Fundtaising Event?

'Zip Code

Full Name ol Contnbutor

CII)

r air Markd Value

n

Soreet Address

St~t•

r'l vES r"I NO Reg1stn111on Number, ii PAC

Received al Fundtaising Event?

Employer, vcc:upoloon, Labor urg1111zatoon•

OH

il"'I YES r'I NO Registration Number, 1f PAC

1 11 11

Full Name ol ux,tributor

City

r •ir Markd Value

Ii Received al Fundtaising Event?

tmptoyer, uccupa11on, Labor lJrlllllozatoon•

OH

r'i vES f"I NO Regostratoon Number, ii PAC

1 11

Full Name of Contributor

City

-

1 11 I1

Employer, UCCUpatton, _ ......... .,_, tzauon•

OH

l Fair Markd Value

Received at Fundtaising Event?

t p Code

Full Naone ofCon1nbu1or

City

r'l vES r.. NO Registration Number, if PAC

rair Markd Value

' Cit>

$25.00

Received at Fundtaising Event?

I Zip Code

Description of llem or Service

Stred Address

1

1 11 11

Employer, vcc:upat,on, Labor lJrlllllizatoon•

Full Naone ofContnbutor

r air~Md Value

Received al Fundraising Event?

'Zip Code

tmployer, vcc:upatoon, Labor vrpmzatoon•

OH

~

1 11 11

Full Name ofContnbutor

City

6\

Received at Fundtaising Event?

IZip Code

Full Name or Coninbutor

City

0

... 1zauon•

r,, NO t"'I YES Registra1ion Number, if PAC

1 11 11

r•ir Markd Value

Received al Fundtaising Event? O vEs

O NO

• Required ·for contributions from individuals over $100 to stalCwidc and gencllll assembly candidales. If contributor is self-employed, lhc occupalion and 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 organizalion of which the employees arc members, if any, must also appear. [R.C.3517.10(8)(4))

Pa11.e Total

$25.00


31-N RC 3517.10

Statement of Outstanding Debts Ptcscribcd by Sea-etary ofS111e 2/01 Full Name o Commillce

Committee to Elect Kline o Whom

ed

Prior Amount

Ami.

Item or Purpose of Debt

Outstanding Balance

Michael E Kline

$615.85

Address

38531 Dodds Landing Dr

$615.85

C1mp,11Qn suppies, INrts, weblilt:

St le

CII)

OH

Willoughby Hills Date Debt was orii:inally Incurred

Zip Code Payments This Period

44094

3

Amount

9

Rc:gis1ra1ion Number. if PAC

Item or Purpose of Debt

AJdress City

le

Outstanding Balance

Zip Code Payments This Period Amount

OH

s

Date Debt was orii:iaally Incurred Registration Numbe<, if PAC

D

I Item or Purpose of Debt

AJdr<SS le

City

OH

Outstanding Balance

Zip Code Payments This Period Amount

s Date Debt was orii:inally Incurred Registra1ion Number, if PAC

II' a Jcb1 is forgiven, write "Forgiven" in the ''Outstanding Balance" column. Transfer total of all payments made in this period lo the S1a1emen1 of Expenditures (Form No. 31-B). Total amount 1urg1vcn should be included in the In-Kind Contributions Received (Form No. 31 -J-1). Transfer total outstanding debt amount 10 the cover page. Total Payments this Period S _$_O_._ O_O______ (also record oo Form 31-8) Total Outstanding Balance S _$6 _ 15 _._8_5____

_

(also record oo cover page)


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