OFFICE OF THE
Ohio Secretay of State
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Ohio Campaign Finance Report
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Form 30-A
ORC3511.10
Commillae Name
OfflceSol.lght
District
Neighbors for Responsible Government Slnlel Address
Sin
City
2929 Lamplight Lane Candidnl Name OR PAC Registlaliun Nwnber
Zip
oti
Willoughby Hlls
44094
Treasurer Name
Election Date (MMIDD'YYYY)
11 '°5/2019
Denise Neidermeyer Type of Report (choose one):
0
Annual
O
Semiannual
O
Pre-Primary
O
Post-Primary
[gJ
Pre-General
O
Post-General
Statewide Candidates Only:
0
July Monthly
Amended Report
0
Yes
O
August Monthly
D
September Monthly
Termination
D
Short Form Report (R.C. 3517.10(H))
Check this box if the committee wishes to terminate with this report
D
1. Amount brought torward from last report 2. Total monetary contributions (From Forms 31-A and 31-E)
Check this box if the comnittee is filing a short term report See attached instructions. $0.00 $1,675.00
3. Total other income (From Form 31-A-2) 4. Total funds available (sum of lines 1, 2, 3) 5 . Total monetary expenditures (From Forms 31-8 and 31-F)
6. Balance on hand (line 4 minus line 5)
$1 ,675.00
Iz
0.00
0
~
$1,675.00
7. Value of In-kind contributions received (From Form 31.J-1)
$0.00
8. Value of In-kind contributions made (From Form 31.J-2)
$0.00
9 . Outstanding loans owed by comrnltlee (From Form 31-C)
$0.00
10. Outstanding debls owed by comrnltllle (From Form 31-N)
$0.00
11. Outstanding loans owed to committee (From Form 31-K)
$0.00
12. Value of Independent expendlturn made (From Form 31-U)
$0.00
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THIS STATEMENT IS MADE UNDER PENALTY OF ELECTION FALSIFICATION. WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE.
110/20/2019 O..(VM/00/'(YYY)
r;-'Pages I
Last Updated 09/2017
IPogt_LI
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Statement of Contributions Received
Ohio Secretory of State
Form 31-A
ORC3517.10
Full Name of Committee Neighbors for Responsible Government Registnllion Number, f PAC
FulNlmeofConlriluor
Denise Neidermeyer SlrNI Address
Form (Cash, Cl-.ck, ate.)
Eff1Pk¥trl0c:c"'81ion/Labor Organization"
2929 Lamplight Lane Cly
Willoughby Hills
Cash Stale
OH
Zip Code
Amourt
Date (MMIDQ'YYYY)
09/19/2019
44094
$50.00
Regislration Number, r PAC
Ful Name of Conlriluor
Camille A. Schroeck SlrNI Address
Form (Cash, Cl-.ck, ate.)
Employerl0c:c"'8tion/labor Organization•
2873 Lamplight Lane Cly
Willoughby Hills
Check Stale
OH
Zip Code
Amourt
Date (MMIDD'YYYY)
10/03'2019
44094
$50.00
Regialration Number, r PAC
Ful Name of ConlrlllUlor
Edward McKenna Slraet Address
Form (Cash, Cl-.ck, ate.)
Ernployerl0c:c"'8tion/labor Organiz:ation"
2963 Lamplight Lane Cly
Willoughby Hills
Check Stl18
OH
Zip Code
Amounl
Date (MM/DDYYYY)
10/02/2019
44094
$100.00
Registnllion Number, f PAC
Ful Name of Conlriluor
Mary Cihula SlrNI Address
Form (Cash, Cl-.ck, ate.)
Ernployerl0c:c"'8tion/labor Organization"
Check
35060 Dixon Road City
Willoughby
Stata
OH
Zip Code
Amounl
Date (MMIDD'YYYY)
10/07/2019
44094
$50.00
Regislration Number, f PAC
Full Name of Conlriluor
Sharon Nichting SlrNI Address
Form (Cash, Cl-.ck, ate.)
Employer~bor Organiz:ation"
Check
35n1 Maplegrove Rd. Cly
Willoughby Hills
Stale
OH
ZipCode
44094
Amounl
Date (MM/00/YYYY)
10/01/2019
$125.00
*Required for contributions from individuals over $100 to statewide 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 more employees contribute via payroll deduction and exceed the aggregate of $100, the labor organization of which the employees are members, if any, must also appear. [RC. 3517.10(9)(4)]
I
Page Total $375.00
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OFACEOFTHE
Statement of Contributions Received
Ohio Secretay of State
Form 31-A
ORC3517.10
Full Name of Committee Neighbors for Responsible Government Full Name of eor.ril:uor
Cuvier Lukat Street Address
6153 Pepperwood Ct. Cly
Mentor
Regisntion Number, f PAC
I
State
OH
Check Zip Code
Cly
10/17'2019
Cly
Employer/Occupation/Labor Organimtion•
Stele
Zip Code
Cly
Cly
Amouft
Registration Number, f PAC
Fonn (Cash, Check, etc.)
Employer/Occupation/Labor Organization•
State
Zip Code
Amount
Date (MM/OO'YYYY)
Regisntion Nunar, f PAC
Fonn (Cash, Check, etc.)
Employer/Occupation/Labor Organization•
Staa
Zip Code
Amount
Date (MM/OO'YYYY)
Ragislration Number, f PAC
Full Name of Conlribulor
Street Address
Form (Cash, Check, etc.)
Date (MM/OO'YYYY)
Ful Name of Conlribulor
Street Addnlss
$1,300.00
Ragislration Nurnt»r, f PAC
Ful Name of ConlritlUlof
Slnlel Address
Amount
Date (MM/OO'YYYY)
44060
Ful Name of Conlribulor
SlnlelAddress
Fonn (Cash, Check, etc.)
Employer/Occupation/Labor Organization•
Form (Cash, Check, etc.)
Employer/Occupation/Labor OrganiEation•
Stale
Zip Code
Amount
Date (MM/OO'YYYY)
*Required for contributions from individuals over $100 to statewide 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 more employees contribute via payroll deduction and exceed the aggregate of $100, the labor organization of which the employees are members, if any, must also appear. [R.C. 3517.10(6 )(4)]
I
Page Total $1 ,300.00
