~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 $SSO.OO
31-A-2 RC ,517 10(B)
Page
Statement of Other Income
1
Prescribed by Secre1ary or Sla1e 2/0 I ~;1111c
ofConuniucc m Full
Committee to Elect Kline rull Name
Rcgis1ration Number, 1f PAC
Michael E Kline AJJrcss
38531 Dodds Landing Dr Willoughby Hills Full Name
Michael E. Kline
38531 Dodds Landing Dr Willoughby Hills Full Name
1\Jdrc:ss
,\Jdr<sS
Full Name
rull Name:
Full 'l'.amc:
Full Nam<
,\JJrc:ss
â&#x20AC;˘ Pia,~ the two lcner code in the Type block (one h:ner per square) which indicates the nature of the Other ln~o1111: R.:cdved: RE for a refund. un~ashed .:heck or the comminee's own insutlicient funds check received, IN for any investment or interest income earned by the com mince. S,\ for the sale of comminee assets, or LN for payments received on a loan made.
550.00 Page Total$
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)