04-09 OrdinanceRECORD OF ORDINANCES
Dacron Lceal Blank, Inc.
~YC1117a11~C8 IVO.
04-09 (Amended)
Passed
AN ORDINANCE AMENDING CHAPTER 31 (CITS
OFFICIALS) OF THE DUBLIN CODIFIED ORDINANCES
BY AMENDING AND ENACTING NEW SECTIONS TG
REVISE CONTRIBUTION LIMITS, REVISE THE TYPES OF
ENTITIES SUBJECT TO THE CONTRIBUTION LIMITS,
CREATE AN EXEMPTION FOR VOLUNTEER TIME AND
EXPENSES FOR CAMPAIGNS, AMEND THE DEFINITIONS
OF CAMPAIGN FINANCE PROVISIONS, STRENGTHEN
CANDIDATE DISCLOSURE REQUIREMENTS, AND TO
CREATE ENFORCEMENT MECHANISMS
WHEREAS, Dublin City Council ("Council") supports and encourages an open and
fair City election process whereby all citizens and political organizations have the
ability to participate in the democratic process by volunteering their time, money, and
other resources; and
WHEREAS, Council desires to balance the impact of large campaign contributions
and seeks to broaden the applicability of the contribution limits to all persons and
entities making campaign contributions and in-kind contributions; and
WHEREAS, Council desires to strengthen candidate disclosure requirements; and
WHEREAS, Council desires to amend the provisions of the Dublin Codified
Ordinances ("Dublin Code") regarding contribution limits and disclosure requirements
to prevent corruption, fraud, and undue influence and to promote open and fair
elections.
NOW, THEREFORE, BE IT ORDAINED by the Co ncil of the City of Dublin,
Union, Delaware and Franklin Counties, State of Ohio, ~ of the elected members
concurring that:
Section 1. That existing section 31.07 of the Codified Ordinances of the City of
Dublin be amended as follows.
31.07 CAMPAIGN CONTRIBUTION LIMITS.
(A) Contribution lii~zitcation. No person, political action committee, separate
segregated fund, political contribution entity, campaign committee, political party or
other organization, as such terms are defined in Chapter 3517 of the Ohio Revised
Code, shall make and no candidate for ward Council member shall accept a
contribution or in-kind contribution combined from the same source of more than
5150 per calendar year and no candidate for at large Council member shall accept a
contribution or in-kind contribution combined from the same source of more than
$250 per calendar year. The contribution limitations may be reviewed by Council
every four years beginning in 2012 to determine whether a decrease or increase is
warranted. Council may consider basing its increase or decrease rationale on the
yearly average of the previous four years of the Consumer Price Index for All Urban
Consumers, as determined by the United States Department of Labor or successor
entity.
(B) Application.
1. This section shall apply to all candidates for all elected City offices and
political action committees, separate segregated funds, political
contributing entities, political parties, and any other organization
making an expenditure, as such term is defined in chapter 3517 of the
RECORD OF ORDINANCES
Ordinance No
04-09 (Amended)
Page 2 of 4
Passed . ~0
Ohio Revised Code in support of or in opposition to candidates for City
elected offices.
2. This section shall not apply to services provided without compensation
by persons volunteering a portion or all of their time on behalf of a
person, ordinary home hospitality, or the personal expenses of a
volunteer paid for by that volunteer campaign worker.
(C) Contribution clef ninon. Contribution means any money, loan, gift,
deposit, forgiveness of indebtedness, donation, advance, payment, or transfer of funds
or anything of value, including a transfer of funds from an inter vivos or testamentary
trust or decedent's estate, which contribution is received for the purpose of influencing
the results of an election. The date of a contribution is the date that it is received, not
the date of deposit or the date on a check.
(D) In-kind contribution definition. In-kind contribution means anything of
value other than money that is used to influence the results of an election or is
transferred to or used in support of or in opposition to a candidate, campaign
committee and that is made with the consent of, in coordination, cooperation, or
consultation with, or at the request or suggestion of the benefited candidate or
campaign committee. When disclosing in-kind contributions pursuant to section 31.08
a candidate or campaign committee shall give a fair market value to the in-kind
contribution.
(E) Candidate resources. The limitations imposed by this section shall not
apply to contributions of a candidate's own resources to the candidate's own campaign.
(F) Independent expenditures. The limitations imposed by this section shall
not apply to independent expenditures. Independent expenditures shall mean
expenditures by a person, political action committee, separate segregated fund,
political contributing entity, unaffiliated campaign committee, political party, or other
organization advocating the election or defeat of an identified candidate or candidates,
that is not made with the consent of, in coordination, cooperation, or consultation with,
or at the request or suggestion of any candidate or candidates or of the campaign
committee or agent of the candidate or candidates.
Section 2. That existing section 31.08 of the Codified Ordinances of the City of
Dublin be amended as follows.
31.08 CAMPAIGN FINANCE DISCLOSURE.
(A) Definitions. Unless stated otherwise in this section, for the purposes of
this section, the words and phrases used herein shall have the meanings set forth in
Title 35 of the Ohio Revised Code. Contribution and in-kind contribution shall have
the same meaning as in section 31.07. Expenditure means the disbursement or use of
a contribution for the purpose of influencing the results of an election.
(1) Expenditures shall be disclosed by candidates for City elective office as of
the date they are paid. The date listed for each expense should be the date that a check
or other payment instrument is mailed, handed over or transmitted.
(B} Application. This section shall apply to all candidates for all elected
City offices.
(C) Computation of tinge. Notwithstanding any other provision in the City
Codified Ordinances, any reporting dates set forth below shall be computed
using calendar days counting each day.
RECORD OF ORDINANCES
Ordinance No
04-09 (Amended)
_-- - corm No. _ 00-}_
Page 3 of 4
Passed , 20
(D) Candidate Disclosure Statements. In addition to the registration and
reporting requirements contained in Ohio Revised Code chapter 3517, no candidate
for City elective office shall fail to file a signed campaign financial statement with the
Clerk of Council- pursuant to the deadlines as set forth in section 31.08 subsection
(E)(1)-(3).
(E) Deadlines For Candidate Disclosure Statements.
(1) By 4:00 p.m. on the Friday, 32 days before the date of the election,
reporting each contribution and all in-kind contributions and each expenditure as of
the date and time of the filing;
(2) By 4:00 p.m. on the Friday, 11 days before the date of the election,
reporting each contribution and all in-kind contributions and each expenditure as of
the date and time of the filing;
(3) By 4:00 p.m. on the Friday, 17 days after the date of the election reporting
each contribution and all in-kind contributions and each expenditure as of the date and
time of the filing. The statements required under this section shall be filed in addition
to any other provisions of state law and notwithstanding any provisions of state
election law that exempt from reporting requirements contributions under a minimum
amount.
(F} Contents of pre-election disclosure statements. The statements filed on
the Friday, 32 and on the Friday, 11 days before the general election by candidates for
elective City offices shall include a list of each contribution received, all in-kind
contributions, and the name and address of each donor, an aggregate total of all
contributions and in-kind contributions received, and a list of each expenditure of
contributions made during the campaign period, and the recipient of each expenditure.
(G) Contents ofpost-election disclosure statements. The statements filed on
the Friday, 17 days after the general election by candidates for elected City offices
shall include a list of each contribution and in-kind contribution received after the date
for the statements filed eleven days before the election, and the name and address of
each donor, an aggregate total of all contributions and in-kind contributions received
after the date for the statements filed eleven days before the election, and a list of each
expenditure of contributions made after the date for the statements filed eleven days
before the election, and the recipient of each expenditure.
(H) Publication. The Clerk of Council shall publish the candidate disclosure
statements discussed in subsections (F) and (G) above on the City's web site and, in
the Dublin Villager, the Dublin News, or any other newspaper of general circulation
the City deems suitable.
(I) Review. The Director of Accounting and Auditing shall review all
candidate disclosure statements filed under the provisions of this section for
compliance and shall refer to the Director of Law any matter which appears to
possibly conflict with or violate any of the provisions of this section.
(J) Ohio Law. The provisions of the laws of the State of Ohio pertaining to
elections that are not inconsistent with the provisions of this section shall remain in
full force and effect and shall apply in addition to the requirements of this section. In
the event of a conflict between the provisions of the laws of the State of Ohio and the
provisions of this section, the provisions of this section shall control.
Section 3. That the following section 31.09 of the Codified Ordinances of the City of
Dublin be adopted.
RECORD OF ORDINANCES
Ordinance No.
04-09 (Amended)
Passed
Page 4 of 4
31.09 CAMPAIGN FINANCE ENFORCEMENT.
20
(A) Contribution Limit Penalties. Any candidate or person who knowingly
refuses or fails to comply with the requirements of section 31.07 subsection (A) is
guilty of a third degree misdemeanor and shall be fined not more than three times the
amount accepted. A political action committee, separate segregated fund, political
contributing entity, campaign committee, political party, or other organization
violating section 31.07 subsection (A) shall be fined not more than three times the
amount contributed.
(B) Return of Contribution. In the event that a candidate returns to its
source any contribution or contributions received from that source in excess of the
amounts permitted under the provisions of this chapter within five business days of the
receipt of such excess contribution, such excess contribution shall not be considered to
have been solicited or accepted by such candidate and the candidate, person, political
action committee, separate segregated fund, political contributing entity, political
party, or other organization will not be liable under the provisions of this section.
(C) Candidate Disclosure Statement Penalties. Any candidate who fails to
file any disclosure statement required under section 31.08, knowingly files inaccurate
information, or fails to provide information required in any such report is guilty of a
fourth degree misdemeanor.
(D) Reporting. Any person with personal knowledge of a violation of
section 31.07 or section 31.48 may report such information on a sworn affidavit to the
Director of Law. The Director of Law shall transmit sworn affidavits to the City
Manager, who shall consult with the Director of Law to hire Special Counsel who
shall investigate the allegations and prosecute violations. The Director of Law shall
also transmit to the City Manager matters referred from the Director of Accounting
and Auditing under Section 31.08 subsection (I), and the City Manager shall consult
with the Director of Law in the same manner to hire Special Counsel. If Special
Counsel determines that there is probable cause to prosecute, Special Counsel shall
prosecute the matter in the Franklin County Municipal Court.
Section 4. This Ordinance shall take effect and be in force from and after the
earliest date permitted by law.
Passed this ~ -~ day of , 2009.
Mayor -Presiding Officer
ATTEST:
~ ~~~~~
Clerk of Council
SZD"
NfENfORANDUNf
TO: Dublin City Council
Terry Foegler, City Manager
Anne Clarke, Clerk of Council
FROM: Stephen J. Smith, Law Director
Jemufer Readler, Assistant Law Director
Andre Porter
RE: Ordinance 04-09(Amended) -Code Amendment re. Campaign Finance,
Document Summary
DATE: Apri130, 2009
Per the direction of City Council at the Committee of the Whole meeting on April 13,
2009, the Law Director's office has prepared the following revised documents for your
consideration:
• An ordinance amending Chapter 31 ofthe Codified Ordinances of the City of Dublin to:
o Raise the limitation on campaign contributions from $100.00 to $150.00 per
calendar year for Council members elected by voters in a ward and $250.00 per
calendar year for Council members elected at-large by City of Dublin voters
(volunteer time is exempted from this limitation); and
o Revise the definitions of "contribution, in-kind contribution, expenditure, and
independent expenditure" so that they match the Ohio Revised Code definitions
which are also applicable for candidate campaign finance reports filed at the
county Board of Elections (all references to tdae filiiag of disclosure statements by
political action committees and other political organizations have been removed);
and
o Clarify that expenditures are required to be reported on a cash basis (i.e. reported
as of the date finds are transmitted to pay for items or services received}; and
o Require that the Clerk of Council publish campaign finance disclosure statements
on the City of Dublin website as well as a newspaper ofgeneral circulation; and
o Permit any person with personal knowledge of a violation of the City of Dublin
campaign fnance ordinance to file a sworn affidavit regarding the same with the
Clerk of Council or Director of Law: and
o Permit the Director of Accounting and Auditing to review campaign finance
statements; and
o Require that Special Counsel be engaged to determine if an alleged campaign
finance violation should be prosecuted and to require that Special Counsel
prosecute the violations in Franklin County Municipal Court. (Attachment A).
• Revised Mandatory Campaign Finance Disclosure Statements for candidates and
campaign committees. The statement has been revised to follow the same rules
applicable to filing campaign finance reports at the County Board of Elections. Changes
to the form also reflect contribution limit changes, amended definitions, additional
instructions, and contain revised spreadsheet forms similar to the forms that candidates
and campaign committees use to file reports at the County Board of Elections.
(Attachment B).
2
REDLINED VERSION
04-09 (amended)
AN ORDINANCE AMENDING CHAPTER 31 (CITY
OFFIC"IALS) OF THE DUBLIN CODIFIED ORDINANCES,
BY AMENDING AND ENACTING NEW SECTIONS TO
REVISE CONTRIBUTION LIMITS, REVISE THE TYPES OF
ENTITIES SUBJECT TO THE CONTRIBUTION LIMITS,
CREATE AN EXEMPTION FOR VOLUNTEER TIME AND
EXPENSES FOR CAMPAIGNS, AMEND THE DEFINITIONS
OF CAMPAIGN FINANCE PROVISIONS, STRENGTHEN
CANDIDATE DISCLOSURE REQUIREMENTS, AND TO
CREATE ENFORCEMENT 1~1ECHANISMS
WHEREAS, Dublin City Council ("Council") supports and encourages an open and
fair City election process whereby all citizens and political organizations have the
ability to participate in the democratic process by volunteering their time, money, and
other resources; and
WHEREAS, Council desires to balance the impact of large campaign contributions
and seeks to broaden the applicability of the contribution limits to all persons and
entities making campaign contributions and in-kind contributions; and
WHEREAS, Council desires to strengthen candidate disclosure requirements; and
WHEREAS, Council desires to amend the provisions of the Dublin Codified
Ordinances ("Dublin Code") regarding contribution limits and disclosure requirements
to prevent corruption, fraud, and undue influence and to promote open and fair
elections.
NOW, THEREFORE, BE IT ORDAINED by the Council of the City of Dublin,
Union, Delaware and Franklin Counties, State of Ohio, of the elected members
concurring that:
Section 1. That existing section 31.07 of the Codified Ordinances of the City of
Dublin be amended as follows.
31.07 CAMPAIGN CONTRIBUTION LIMITS.
(A) Contribution limitation. No person, political action committee, separate
se6, regated fund, political contribution entity, campaign committee, political
~y~~~ or other organization, as such terms are defined in Chapter 3517 of
the Ohio Revised Code, shall make and no candidate for ~~~ard Council member shall
accept a contribution or in-kind contribution combined from the same source of more
than $1~~0 per calendar year and no candidate for at lame Council member shall
accept a contribution or in-kind contribution combuied from the same source of more
than $250 per calendar year. +„ ., ,,a;a.~+o rn, ,,;+,, ono..+;~,~ ,.+~;..o The contribution
limitations may be reviewed by Council every four years be~innin~ in 2012 to
determine whether a decrease or increase is warranted. Council may consider basing
its increase or decrease rationale on the yearly average of the previous four years of
the Consumer Price Index for All Urban Consumers, as determined ln' the United
States Department of Labor or successor entity.
(B) Application.
1_This section shall apply to all candidates for all elected City offices-
and political action committees, separate segregated funds, political
contributing entities, political parties, and any other organization
making an expenditure, as such term is defined in chapter 3517 of the
Ohio Revised Code in support of or in opposition to candidates for City
ele~cte~d offices.
44-49 (Amended)
Page 2 of 5
2. This section shall not apply to services provided without compensation
by persons volunteering a portion or all of their time on behalf of a
person, ordinary home hospitality, or the personal expenses of a
volunteer paid for by that volunteer campaign worker.
(C) Contribution definition. C-en~t~e~n~'•~a° ~~, '~.~ael~~
.Contribution means any
money, loan, gift, deposit, forgiveness of indebtedness, donation, advance, payment,
or transfer of funds or an. thing of value, uicluding a transfer of funds from an utter
vivos or testamentary trust or decedent's estate, which contribution is received for the
purpose of influencing the results of an election. The date of a contribution is the date
that it is received, not the date of deposit or the date on a check.
(D) C~~i~E.t,~ , . In-Kind Contribution definition. In-kind
contribution means anythin~ of value other than money that is used to influence the
results of an election or is transferred to or used in support of or in opposition to a
candidate, campaign committee and that is made with the consent of, in coordination,
cooperation, or consultation with, or at the request or sug~4estion of the benefited
candidate or campaign conunittee. When disclosing in-kind contributions pursuant to
section 31.48 a candidate or campaign committee shall give a fair market value to the
in-kind contribution.
~E~ Candidate resources. The limitations imposed by this section shall not
apply to contributions of a candidate's own resources to the candidate's own campaign.
(~~ Independent expenditures. The limitations imposed by this section
shall not apply to independent expenditures. Independent expenditures shall mean a~
~~expenditures by a person, political action committee, separate sure ag ted
fund, political contributing entity, campaign committee, political party, or other
organization advocatuig the election or defeat of an identified candidate or candidates,
that is not made with the consent of, in coorduiation, cooperation, or consultation with,
or at the request or suggestion of any candidate or candidates or of the campaign
committee or went ofthe candidate or candidates.
Section 2. That existing section 31.48 of the Codified Ordinances of the City of
Dublin be amended as follows.
31.08 C :~A~ZPAIGN FINANCE DISCLOSURE.
(A) Definitions. Unless stated otherwise in this section, for the purposes of
this section, the words and phrases used herein shall have the meanings set forth in
44-09 (Amended) Page 3 of 5
~rTitle 35 of the Ohio Revised Code. Contribution and in-kind contribution
shall have the same meaning as in section 31.07. Expenditure means the disbursement
or use of a contribution for the purpose of influencing the results of an election.
(17 Expenditures shall be disclosed by candidates for City elective office as of
the date they are raid. The date listed for each expense should be the date that a check
or other payment instniment is mailed, handed over or transmitted.
(B) Application. This section shall apply to all candidates for all elected
City offices.
(C) Computation of time. Notwithstanding any other provision in the City
Codified Ordinances, any reporting dates set forth below shall be computed using
calendar days counting each day.
(D) Candidate Disclosure Statements ~, ~. In addition to
the registration and reporting requirements contained in Ohio Revised Code chapter
3517, no°~•,'~ ° .,a:a.,+° ~,•~ °'°•,+:.-° "~°° candidate for City elective office shall
fail to file a signed campaign financial statement with the Clerk of Council~ursuant
to the deadlines as set forth in section 31.08 subsection (E)(11-(31.=
~E~ Deadlines Fo~° Candidate Disclosure Statements.
(1) By 4:00 p.rn. on the Friday, 32 days before the date of the election,
reporting each contribution and all in-kind contributions and each expenditure as of
the date and time of the filing;
(2) By 4:00 p.m. on the Friday, 11 days before the date of the election,
reporting each contribution and all in-kind contributions and each expenditure as of
the date and time of the filing;
(3) By 4:00 p.m. on the Friday, 17 days after the date of the election reporting
each contribution and all in-kind contributions and each expenditure as of the date and
time of the filing. The statements required under this section shall be filed in addition
to any other provisions of state law and notwithstanding any provisions of state
election law that exempt from reporting requirements contributions under a minimum
amount.
(liF) Contents of pre-election repe~tsdisclosure statements. The statements
filed on the Friday, 32 and on the Friday, 11 days before the general election
candidates for elective City offices shall include a list of each contribution received
+~,,. ,,.,.,,a;,a.,+°, all in-kind contributions, and the name and address of each donor, an
aggregate total of all contributions and in-kind contributions receiveda
Via, and a list of each expenditure of ~ contributions made during the
campaign period, and the recipient of each expenditure.
(EGA Contents ofpost-election ~fdisclosure statements. The statements
filed on the Friday, 17 days after the general election by candidates for elected Cite
offices shall include a list of each contribution and in-kind contribution received after
the date for the statements filed teneleven days before the election, and the name and
address of each donor=; an aggregate total of all contributions and in-kind
contributions received ~~ +'~° .,•,~a:a•,.,, after the date for the statements filed tt~eleven
days before the election, and a list of Teach expenditures of contributions~~~rl
made'~~ +'~° .,•,.~a:,a„~° after the date for the statements filed t,~eleven days
before the election, and the recipient of each expenditure.
44-49 (Amended) Page 4 of 5
(FtH) Publication. The Clerk of Council shall publish the candidate
disclosure statements discussed in subsections (BF) and (~G) above ,~
on the City's website and, in the Dublin Villager, the Dublin News, or any other
newspaper of general circulation the City deems suitable.
(ICI) Review. The ~`' ~~'~ ~~~ ~`~~~~~•,~' Director of Accounting and Auditing
shall review all ~s candidate disclosure statements filed under the provisions of
this section for compliance and shall refer to the Du~ector of Law anv mattero
_ which appears to possibly^conflict with or violate any of
the provisions of this section.
(J) Ohio Law. The provisions of the laws of the State of Ohio pertaining to
elections that are not inconsistent with the provisions of this section shall remain in
full force and effect and shall apply in addition to the requirements of this section. In
the event of a conflict between the provisions of the laws of the State of Ohio and the
provisions of this section, the provisions of this section shall control.
Section 3. That the following section 31.49 ofthe Codified Ordinances ofthe City of
Dublin be adopted.
31.Q9 C'ANTPAIGN FINANCE ENFORCEMENT.
~A) Co~7tribution Limit Penalties. Any candidate or person who knowingly
refuses or fails to comply ~~~ith the requirements of section 31.47 subsection (A) is
Lg silty of a third degree misdemeanor and shall be fined not more than three times the
amount accepted. A political action committee, separate se~gated fund, political
contributing entity, campaign committee, political party, or other organization
violatu7g section 31.47 subsection (A} shall be fined not more than three times the
amount contributed.
(B) Return of Contribution. In the event that a candidate returns to its
source anv contribution or contributions received from that source in excess of the
amounts permitted under the provisions of this chapter within fit%e business days of the
receipt of such excess contribution, such excess contribution shall not be considered to
have been solicited or accepted by such candidate and the candidate, person, political
action committee, separate segregated fund, political contributing entity, political
party, or other organization will not be liable under the provisions of this section.
(C) Candidate Disclosure Statement Penalties. Any candidate ~~~ho fails to
file any disclosure statement required under section 31.48, knowingly files inaccurate
information, or fails to provide information required in any such report is ~iilty of a
fourth degree misdemeanor.
(D) Re~ortina. Any person ~~~ith personal knowledge of a violation of
section 3 L47 or section 31.48 may report such information on a s~~~orn affidavit to the
Director of La`~~. The Director of La«~ shall transmit s«~orn affidavits to the City
Manager, ~~-~ho shall consult with the Director of Law to hire Special Counsel who
shall uivestigate the allegations and prosecute violations. The Director of Law shall
also transmit to the City Manager matters referred from the Du~ector of Accounting
and Auditing under section 31.08 subsection (I) and the City Manager shall consult
with the Director of Late in the same manner to hire Special Counsel. If Special
44-49 (Amended)
Page 5 of 5
Counsel determines that there is probable cause to prosecute, Special Counsel shall
prosecute the matter in the Franklin County Municipal Court.
Section 4. This Ordinance shall take effect and be in force from and after the
earliest date permitted by law.
Passed this day of , 2449.
Mayor -Presiding Officer
ATTEST:
Clerk of Council
1VIANDATORY CAMPAIGN
FINANCE DISCLOSURE STATEMENT
FOR CANDIDATES AND CAMPAIGN COMMITTEES FOR CITY OF DUBLIN
ELECTIVE OFFICES
CAMPAIGN FINANCE DISCLOSURE STATEMENT
This Form Must Be Filed With The Clerk of Council:
By 4:00 p.nl. 011 the Friday, 32 days before the date of all election;
By 4:00 p.nl. on the Friday, 11 days before the date of an election; and
By 4:00 p.nl. On the Friday, 17 days after the date of all election.
GENERAL INFORIt~IATION
Section 31.08 Of the Dublin Codified Ordinances, as amended by Ordinance No. 04-09,
requires candidates for City Of Dublin elected off ces and their campaign committees t0 file this
disclosure statement. This statement is in addition to any reports or statements that candidates
must f le as required by Ohio Revised Code Section 3517.10 and notwithstanding any statements
Or reports not required to be filed under the same chapter Of the Ohio Revised Code.
Each disclosure statement shall include an itemized description Of every contriblrtioll Or
ill-kind conh'ibutioll received and every expellditlu-e made since the Illost recent disclosure form
filled by the Calldldate alld Campalgll COlllllllttee. Aggl'egate expelldltlll'eS a11d COlltl'1b11t10I1S Illllst
be indicated on this form, as requested. The Ilallles and addresses of each contributor and
recipient Of expenditures must also be provided.
This report will be published on the City's website and, in the Dublin Villager, the
Dublin News, or any Other newspaper of general circulation the City deems suitable.
Any candidate or campaign committee that fails to file a required report or fails to
provide any information required in any such report is guilty of a folu•th degree misdemeanor.
In addition to these regllirelllellts, Section 31.07 of the Dublin Codified Ordillatlces
pI'Ol11bItS Ca11d1dateS f01' Clty Of Dllbllll COL111C11 alld tllell' Ca1111)algll CO111I111tteeS fl'0111 aCCeptlllg
I110I'e than $150 (ward elections) Or X250 (at-large elections) lil Callll)algll COlltl'1b11t1011S OI' 111-
kind contributions combined from any person, political action committee, separate segregated
flllld, pOlltlcal COI1t1'lblltlllg elltlty, Calllpalgll COlllllllttee, polltlCal pal'ty 01' Otllel' O1'gaIllZat1011 pel'
Calelldal' yeal'.
ATTACHMENT B
~IIIau7S-16.9 ~
BACKGROUND & SU1I~IMARY INFORMATION
NAME
STREET ADDRESS
CITY STATE ZIP CODE
OFFICE SOUGHT
NAME OF TREASURER
TYPE OF REPORT
32 DAYS PRIOR TO AN ELECTION
11 DAYS PRIOR TO AN ELECTION
17 DAYS FOLLOWING AN ELECTION
AMOUNT BROUGHT FORWARD FROM LAST REPORT $
BALANCE ON HAND $
TOTAL CONTRIBUTIONS RECEIVED $
VALUE OF IN-KIND CONTRIBUTIONS RECEIVED $
TOTAL EXPENDITURES MADE (INLUDING OUTSTANDING DEBTS) $
;~~ iao~sa~ e ;
STATEMENT OF CONTRIBUTIONS RECEIVED
COlltl'lbllt1011 111ea11S ally lllOlley, loan, gift, deposit, forgiveness of indebtedness, donation,
advallCe, paylllellt, O1' tl'allsfel' Of funds 01" aIlyt111I1g Of Value, 111Cllldlllg a tI'allsfel- Of fLlI1dS f1-0111 all
llltel' VIVOS O1' testalllelltal'y tl'Llst OI' deCedeIlt'S estate, WI11C11 COIlt1'lbllt1011 1S I'ecelved f01' the
plu-pose of influencing the 1-esults of all election. Plll'Stlallt to Section 31.07 of t11e Dtlbllll
Codified Ordinances, Il0 COlllbllled COlltl'lbllt1011 and 111-kllld COllt1'lbllt1011 fi'0111 ally pel'SOIl,
corporation, or organization can exceed $150 in ward elections or $250 in at-large elections. If
you need more space to fully answer any question, attach additional sheets, with your name and
the applicable question Ilwllber(s) On each sheet.
• Every contrib>.ltor's name, complete address, date of contribution and amount contributed
must be listed, regardless of amount of the contribution.
• The State block should be completed with the U.S. Post Office's standard two-letter
abbreviation. For example, Ohio would appear as OH.
• The Date block should be completed with six digits. For example, March 9, 2008, would
appear as 03 09 08.
• T11e date of a COl1t1-Ibllt1011 is the date that the candidate Or an agent of the calllpalgn
committee receives the contribution. It is not the date of deposit or the date on the check.
For example, if a candidate announces a campaign fiuldraiser t0 be held On November 1,
2009, and on October 28, 2009, all lndlvldllal gives the Calllpalgll tl-eaSUl'e1' a Check t0
attend the fiuldraiser, the Date block would appear as 10 28 09.
• The form in which the eollt-ibutioll is received must be indicated, such as check, cash or
money order. Cash means currency or coin.
• A COlltl'lbll11011 1-ecelVed f1-0111 a statewide political action committee lllllst hst its state
regist-atioll number. A contribution from a federal political action committee must
include its federal registration number.
• Yotl ShOllld IlOt list the I1a111eS Of two COlltl'lbllt0l'S 111 the Ftlll Na111e Of the COllt1'lbllt0l'
field. Eacll COI1tI-1bL1t1011 1-ecelved f1-0111 II1d1V1dl1alS lllllst be attl'Ibllted t0 a S1llgle pel'SO11.
Wllell a C11eCk IlaS I1101'e than Olle llldlvldllal listed Oll lt, ask WIlO the actual CO11tI'ibLlt01' is
Or list the person who signed the check.
• COIlt-1bl1tOl'S play llOt I'elllalll aIlO11y111011S by I-egtlest. If a contributor does not want t0 be
identified, the contribution should not be made. However, If all aIlO11yI110L1S COlltl'lbllt1011
is received, efforts must be made by the committee to identify the contributor. If the
efforts are tlllsllccessfill, the contribution should have an explanation Of the circumstances
that caused it to be aIlO11yI110115 and a description Of the efforts made to determine the
collt-ibLltor's identity. This illforlllatlon should appear in the address portion of the
contribution page entry.
;II ~au7Ra~ ~~ ~
Page
Statement of Contributions Received
Name ot'Candidate or Campaign Conunittee Vl Pull
Dull\ame ofContributor Registration tiumber,iCP:\C
SueetAddrc,s Street:\ddress Continued Donn (Cash,Check.etc.)
('its' State ZipCude ~I D 1 :\mouut
Pull \anle o fCuntnlnltur Registration Number, if P:1C
Street Address Sireei.-\ddress Continued Fuml (Cash,Check,etc.)
City Stag ZiIlCode \1 I}I 1 Amount
1'1111~;IIIII'11t( lllllllblllllr IZe(!I5lrall(111~111»Illr,11P:\C~
Street :\ddress S ueet :\ddress Cu ntinued Foml (Cash, Check, etc.)
City State %ipCode \1 D 1 Amount
1 ull\ame ofContributor Registration \umbcr.ifP:\C
Sweet:\ddress Street:lddress Continued Fonn (Cash,Check,etc.)
City State Zip Code \I D l .\mount
1" 1111 ~:1 llle o l C (~ Illnbll ll/r Rtgl~lfa 11011 Nll lllber, It P:\C
Strut:\ddres<_ Str«t.lddress Continued Fonn (Cash,Check,ctc.l
Cite State ZipCodc \1 D l Amount
Full \;unc o f Cu nnibutu r Regis tratio n Number, if P :\C
Sired :\ddress Sweet Address Continued Ponn (Cash,Check,etc.)
Cite State Zip Code ~, I}
1 li .-\m(lunt
Pull \'ame o i Contributor Registration Number, ifP:1C
Street:\ddress Street:lddress Continued Donn (Cash,C'hcck.cte.)
(~it~ State LipCode \l D!
I 1 :\mount
Full \ame u f Cu nuihlltu r Registration Number, if P AC
Street Address Street :\ddres s C untinued Fonn (Cas h. Check. etc,)
Cih state Zip Code \I D 1 Amount
PageTotalS 0.0~
STATEMENT OF IN-KIND CONTRIBUTIONS RECEIVED
IIl-1<llld COlltl'1bL1t1011 I11ea11S allytlllllg Of value other tllall lllOlley that is Llsed t0 111fI11e11Ce the
results Of all election Or is transferred to Or used in support Of Or in opposition t0 a candidate,
Calllpalgll COlllllllttee and that is made with the consent of, 111 coordination, cooperation, or
CO11SLlltat1011 with, or at the request Or suggestion of the benefited candidate Or campaign
committee. These COllll'1b11t1011S shall be given a fair market value by the candidate or the
Ca111pa1g11 COlllllllttee. Pul'Sllallt to Section 31.07 of the Dublin Codified Ordinances, no
C0111bliled COlltl'Ibllt1011 alld 111-kllld C011t1'Ibut1011 fI'0111 ally pel'SOIl, COI~01'at1011, Or OI'ga111Zat1011
can exceed $150 ill ward elections or $250 in at-large elections. If you need more space to fully
answer any question, attach additional sheets, with your Hanle and the applicable question
number(s) On each sheet.
• The Statement Of I11-K1nCl COIlt1'1b11t1011S Received form is used to report when the
candidate or campaign committee receives items Or services. All 111-kllld COlltl'1b11tI0I1S
117L1st be 1teI111Zed. FOr exa111p1e, if someone donates postage stamps for use by the
committee, the form would show the date they were received, the name and street address
Of who gave them, that it was stamps that were received and the fair market value Of the
stamps. The date that should be used is the date on which the item was received Or benefit
occurred.
• This form is also used when items or services are purchased by the candidate or someone
else on behalf of the candidate or campaign committee and for which reimbursement is
not requested or desired ("out of pocket" expenses).
• The Date block should be completed with six digits. For example, March 9, 2008, would
appear as 03 09 08.
• The State block should be completed with the U.S. Post Office's standard two-letter
abbreviation. For example, Ohio would appear as OH.
~u~au7sa~~ ~
Page
Statement of Ir~Kind Contributions Received
Name ufC'andidate orGunpaign Committee in I=ull
FuIlName ofContrihutur Street Address Continued Regutr+tk~nNumber, iCPAC
Sl R'Ct i\ddress 0.scriptiunaf~[tem ur Sen~ice ~-1 D 1 Pair \4arket Value
Cn~ State "Lip Cu de Recei~ ed at Fundrti; ink! I:~ ent°
L-~ 1'ES L..I NC)
FuIlName ofContributor Street Address Continued RegiSUatk~nNun+ber. it~l':\C
SneetAddress [7escriptionut~hcmorScnke ~1 D l fair~larl;ctValue
Cin
_ State
I Zip Code 12ecci~ ed at I~ undrtis utg E~ cnt''
L~.I YES L-.I M
PuII Name ofC'untributur Street Address Continued Registration Numlxrr. ifPAC
St R',el i\ddress Description ufttem or Sen~i~e M D S Pair \larket Value
Cite
- Stag
I l.ip Code Recei~•ed at Funch~ti; ing G~ ent''
L-.I 175 L~.~ Nt ~
FuIlName ofContributor Strut Address Continued Rl'LtTllathlll Nunth~r. ifl':\C
Street Address DescriptiunofhemorSenice t\1 D 1' Fair\iarket Value
Cn~ State Zip Code Recei~ ed at Fundrais inP. E. ent''
L-.I lTS L-J NO
FuIlName o1~Contributor Street Address Continued Registratk+n Nunil~er, ifP;\C
Street Address AscriptionofhemorSen~ice M D 1' Fair~iarkct\alue
City
- State Lip Code Recei~edatPundn+~utgE~ent''
~„~ STS u No
I~uIlNante ufC'onu-ibutor Street Addn;ss Continued RegistrationNumlxr, ifPAC
StrectAddress DescriptionofhemorSenice M DI
I ~ Fair~larketValue
Crt~
. State
I Zip Code RecenedatFundnthntgE~ent"
L-.I YES L-.I Nc_)
Pull Name o fContributor Strcct Address Continued Reiistration Numlxxr. if P AC
Street Address Desctiptionof~hemorSenicc \1 D l Fairillarkct Valur
Cd~~ State Zip Code Recei~ ed at Fundr.+~ utg E~ ent''
~„~ ti~ES ~ Nt ~
Full Name o fCo nttibuto r Street Addres s Continued Regis tr-tion Numlx r, if P AC
StrectAddress DescriptionofhemorSen•ice ~i D 1 Pairi~lar{;et Value
City State Zip Co de Recer\~edatFundraisutgE~ent'~
L-.I YES I~ NO
(li I ~07Sa6 9 I
P aee Total S
STATEMENT OF EXPENDITURES
Expendihrre 111ea11s the disbursement or Llse of a contribution for the pul'pose of influencing the
results Of an election. If you need Vlore space t0 fully answer ally question, attach additional
sheets, with your Hanle and the applicable question 11LUllber(s) On each sheet.
• The Statement Of Expenditures lists the purpose for which fiords were used, the Hanle and
address Of the entity t0 which the expenditure was made, and the anloLUlt and date Of the
expenditures.
• Expenditures should be reported ore a cash basis (i.e. reported as Of the date fiends are
transmitted to pay for items or services received). The date listed for each expelldihu'e
should be the date that a check Or other payment instrument is mailed, handed over, or
transmitted. For example, if the campaign committee orders yard signs and receives the
signs On October 10, 2008, along with all invoice for the yard signs, but does not pay the
invoice until November 15, 2008, the expenditure should be reported as being made o11
11 15 08.
• List each payee's complete address.
• The Date block should be completed with six digits. For example, March 9, 2008, would
appear as 03 09 08.
• The Purpose block should list the specific reason that the expense was made; purposes
such as "expense" Or' "1111SCellalleollS" al'e Vaglle, and therefore, not acceptable.
• The State block should be completed with the U.S. Post Office's standard two-letter
abbreviation. For example, Ohio would appear as OH.
• The Cllecl< Number block should be completed with the I1L1Illber Of the catllpalgtl
COmllllttee check Used t0 111a1Ce the experlclltllre. Expelldlhlr'eS made by personal check
ShOllld IlOt be fisted 011 this fOi'Ill.
• Copies of canceled checks or receipts for all expenses must be attached to this report or a
copy Of the campaign committee bank Or credit card statement maybe submitted.
• A check or portion of COlltl'lbllt1011 8'0111 a COlltl'1bLItOI' that IS r'etlll'lled because Of
lllslllflClellt fL111dS O1' becaLlse It VlOlated COlltl'lbllt1011 111111tat10I1S should be rtemlzed oll
this form, stating the name, address, amount and reason.
~t~~-lu7sab.9 ~
I' ale
Statement of Expenditures
Name ofCandidate orCampaign Committee in roll
"fo Nhom Paid i\~i D ti Amount
r\ddres s P urpos
Cit} State 7ipCode Check Number
~I~u \1'hum Paid M D l Amount
:\ddres, Purpose
City State lip Code Check Number
To \\ltout Paid M D
f 1 Amount
Addre, s P urpo s c
Cit> State lip code check Number
To \\ltontPaid M D 1 r\ntount
Address Purpose
<'itt~ State lip Codc check Number
i'u t4hom Paid \1 D
I \ .~\mnunt
:\ddress Purpose
cite Suite Lip Code Check Number
ru \\lwm Paid n'I D l Amount
Address Purpose
Cite State LipCude Check Number
"lo \11t~~m Paid M D ti Amount
Address Purpose
City State Zip Code Check Nunilter
l~0 1Vhom paid M
I D
I. 1 Amount
r\ddres s P urpu s c
Cite State Iip Code Check Number
P a~,e Total S
SIGNATURE
By SIgI1111g veIOW, I Sweal' 01' affli'lll that t111S Statelllellt alld Ally add1t10I1a1 attael1I11eI1tS ~laVe veeIl
prepared or carefillly reviewed by nle, alld CO11Stltllte 171y COIllplete, truthfill alld con'ect
disclosure of all required infonnatioll.
Name:
Sl~llatlll'e:
Date:
~H i-1u7S~6.9