$40 FILING FEE

JOINT LEGISLATIVE ETHICS COMMITTEE
100 EAST BROAD STREET, SUITE 1910
COLUMBUS, OH 43215
THIS STATEMENT IS TO BE
FILED IN 2018 FOR THE
CALENDAR YEAR 2017
2017 Financial Disclosure Statement

FILED ONLINE
4/9/2018
At 2:46 PM
Please Select:  
1. NAME OF PERSON FILING STATEMENT:  

Gavarone, Theresa A.

2. MAILING ADDRESS (May use Home, Business or Govt.)
1537 Cedar Lane
Bowling Green, OH 43402
County of Wood
 
3. PHONE NUMBER
(419) 345-7768
4. CURRENT EMPLOYER(S) (Other than the General Assembly)
Employer Name
1 State of Ohio
Please read the following Financial Disclosure Statement Information:

YOU MUST COMPLETE THIS FORM IF:
  • You are a member of the General Assembly during 2018.
  • You were a member of the General Assembly during 2017.
  • You are currently, or were in 2017, an employee of the General Assembly or any legislative agency who is designated by the Joint Legislative Ethics Committee or employing agency, as a financial disclosure statement filer.
  • You are a candidate for the General Assembly whose name will appear on a ballot during 2018.
FILING FEE:$40 FILING FEE. Campaign funds MAY be used for this fee. If you are or were an employee (non-elected) of the General Assembly or any legislative agency, the $40 fee will be invoiced to your agency at a later date.

PENALTIES: Any person who knowingly files a false statement may be subject to criminal prosecution of a first degree misdemeanor. Any person who fails to file a complete financial disclosure statement by the appropriate deadline may be assessed a late filing fee of $10.00 for each day the statement is late, up to a maximum of $250.00, and may also be subject to criminal prosecution of a fourth degree misdemeanor.

FILING DEADLINE: The filing deadline is Tuesday, May 15, 2018 unless one of the following applies:

CANDIDATES APPEARING ON A 2018 ELECTION BALLOT: Must file not later than the thirtieth day before the earliest election at which his or her candidacy is to be voted on. The filing deadline for candidates whose name will appear on the May 8, 2018 Primary Election ballot is April 9, 2018.

WRITE-IN CANDIDATES: Must file not later than the twentieth day before the earliest election at which his or her candidacy is to be voted on.

AN APPOINTEE TO THE GENERAL ASSEMBLY: Any person appointed to fill a vacancy for an unexpired term in the General Assembly must file within 15 days after he or she qualifies for office, unless the deadline is extended by the Joint Legislative Ethics Committee for good cause.

A NEWLY HIRED OR PROMOTED EMPLOYEE: An employee of the General Assembly, or any legislative agency, must file by May 15, 2018, unless you were hired or promoted to a filing position in 2018; then you must file within 90 days after employment or promotion.



ATTACHMENTS: You may attach additional pages as necessary; however, please reference the appropriate section for which you are submitting additional information.

This financial disclosure statement is a public record upon filing and is made available for public review on www.ohiofds.com.

FOR MORE INFORMATION, PLEASE CONTACT THE JOINT LEGISLATIVE ETHICS COMMITTEE, OFFICE OF THE LEGISLATIVE INSPECTOR GENERAL AT (614) 728-5100.

THIS IS A PERSONAL FINANCIAL DISCLOSURE STATEMENT.
THIS IS NOT A CAMPAIGN FINANCE-RELATED REPORT.
1. INCOME

Complete EITHER Section A (Member) or Section B (Non-Incumbent Candidate or Employee), whichever is applicable.
A. IF YOU ARE A MEMBER OF THE GENERAL ASSEMBLY IN 2018 OR WERE A MEMBER OF THE GENERAL ASSEMBLY IN 2017: You are required to list EVERY source of income and identify the amount from that source in accordance with the following ranges and appropriate identifying letter: A. $0 - $999; B. $1,000 - $9,999; C. $10,000 – $24,999; D. $25,000 - $49,999; E. $50,000 - $99,999; F. $100,000 or more. “Income” includes sources of gross income for federal tax purposes and interest and dividends on all governmental securities. Also, list each source of income received by any other person for your use or benefit. You are not required to list the source of income of your spouse, unless the income was received specifically for your use or benefit. MILEAGE REIMBURSEMENT IS REPORTED IN “SECTION 8. TRAVEL”. DO NOT INCLUDE MILEAGE REIMBURSEMENT IN “SECTION 1. INCOME”.

You are not required to list the individual items of income from your business or profession, only the name of any business, governmental agency, or employer from which you received income; EXCEPT (1) you must list the source and dollar amount of income received, or shared with a partner in your business or profession, that is attributable to services or goods provided to a client or customer who is a “legislative agent” AND/OR (2) you must list the source and dollar amount of income received from a person or entity that is doing or seeking to do business with the General Assembly.

Attorneys, physicians, or other professionals subject to confidentiality requirements as described in Revised Code Section 102.02(A)(2)(b) should list each practice separately but need not disclose the names of their clients, patients, or other recipients of professional services unless those clients, patients, or other recipients are legislative agents. If the client, patient, or other recipient is a legislative agent, you must disclose each client, patient, or other recipient unless excepted under Revised Code Section 102.02(A)(2)(b).

For each source of income listed, briefly describe the services for which the income was received.
EXAMPLE:
Source of income Service Performed Amount (A, B, C, D, E, OR F)
1 State of Ohio Senator/Representative E
2 Smith and Jones Law Firm Lawyer C
3 Friendly National Bank Interest on Savings Account A
4 Leo Lobbyist - Legislative Agent Boat Insurance Policy $143.00
5 123 Main Street Rental Income B
Source Of Income Service Performed Amount (A, B, C, D, E OR F)
1 Latta for Congress Bookkeeping C
2 Law Offices of Davies, Ruck & Speweik Attorney A
3 State of Ohio State Representative E
B. IF YOU ARE A NON-INCUMBENT CANDIDATE FOR THE GENERAL ASSEMBLY OR AN EMPLOYEE OF THE GENERAL ASSEMBLY OR ANY LEGISLATIVE AGENCY:

You are required to list each source of gross income. You are not required to disclose any dollar amounts except as indicated below. Also, list each source of income received by any other person for your use or benefit. Remember to list your employment as a source of income. “Income” includes gross income for federal tax purposes and interest and dividends on all governmental securities. You are not required to list the sources of income of your spouse, unless the income was received specifically for your use or benefit.

You are not required to list the individual items of income from your business or profession, only the name of any business, governmental agency, or employer from which you received income; EXCEPT (1) you must list the source and dollar amount of income received, or shared with a partner in your business or profession, that is attributable to services or goods provided to a client or customer who is a “legislative agent” AND/OR (2) you must list the source and dollar amount of income received from a person or entity that is doing or seeking to do business with the General Assembly.

Attorneys, physicians, and other professionals subject to confidentiality requirements as described in Revised Code Section 102.02(A)(2)(b) should list each practice separately but need not disclose names of their clients, patients, or other recipients of professional services, unless those clients, patients, or other recipients are legislative agents. If the client, patient, or other recipient is a legislative agent, you must disclose each client, patient, or other recipient, unless excepted under Revised Code Section 102.02(A)(2)(b).

For each source of income listed, briefly describe the services for which the income was received.
Source Of Income Service Performed Amount (if required)
2. IMMEDIATE FAMILY MEMBERS
List the names of members of your immediate family. "Immediate Family" is defined as your spouse residing in your household and any dependent child.
Family Member Name
1 James F. Gavarone, III
2 Christina M. Gavarone
3 Cara M. Gavarone
4 James F. Gavarone, IV
3. BUSINESS NAMES
List all names under which you or members of your immediate family do business.
Business Name
1 Lex Loci Corporation
2 223 Rentals, LLC
3 Philly Flyers, LLC
4 Howard's Club H, Inc.
4A. FIDUCIARY RELATIONSHIPS
List the names of each corporation incorporated or authorized to do business in Ohio and each trust, business trust, partnership, or association authorized to do or transact business in Ohio in which you hold an office or have a fiduciary relationship (regardless of any monetary involvement), including holding office in a not-for-profit corporation. For each listing, give a brief description of the office or relationship.

EXAMPLE:
Name of Corporation, Trust, Business Trust, Partnership or Association Name of Office or Fiduciary Relationship
1 Smith and Jones Partner
2 XYZ Inc. President
3 Neighborhood Civic Association Volunteer Trustee
Name of Corporation, Trust, Business Trust, Partnership or Association Name of Office or Fiduciary Relationship
1 Lex Loci Corporation Vice-President
2 Latta for Congress Treasurer
4B. INVESTMENTS
List the names of each corporation incorporated or authorized to do business in Ohio and each trust, business trust, partnership, or association authorized to do or transact business in Ohio in which you and any other person for your use or benefit had an investment of more than $1,000 during 2017 (at fair market value as of December 31, 2017, or the date of disposition, whichever is earlier). Include all investments of more than $1,000 even though they constitute a source of income.

You do not have to disclose accounts with banks, building and loan associations, savings and loan associations, and credit unions if the amount is a deposit or withdrawable share account. You are not required to list investments held solely by your spouse unless the investment is strictly for your use or benefit. For each listing, give a brief description of the investment.

EXAMPLE:
Corporation, Trust, Business Trust, Partnership or Association Type of Investment
1 Acme Corporation Common Stock
2 JLEC Power Company of Ohio Utility Bond
3 Public Employees Deferred Compensation Mutual Fund
4 Brokerage Firm Money Market Account
5 ABC Fund Mutual Fund
Corporation, Trust, Business Trust, Partnership or Association Type of Investment
1 Lex Loci Corporation Common Stock
2 Public Employee Retirement System Retirement Fund
5. REAL ESTATE
List all leasehold or ownership interests in real property located in Ohio to which you hold legal title or in which you have any beneficial interest. You do not have to list your personal residence or any real property used primarily for personal recreation. List by address, parcel number, or other legal description.
NONE
6. CREDITORS
List the names of all creditors residing or transacting business in Ohio to whom you owe, or have owed, at any time during the calendar year 2017, more than $1,000 in your own name or in the name of any other person. You must disclose automobile loans, school loans, credit card accounts, and all other similar accounts if the balance exceeds $1,000 at any time during the calendar year 2017, even if no balance is currently outstanding. You do not have to disclose the debts on your personal residence or real property used primarily for personal recreation, or short-term debts resulting from the ordinary conduct of a business or profession.
Creditor Name
1 Honda Financial Services
7. DEBTORS
List the names of all debtors residing or transacting business in Ohio who owe, or have owed, you at any time during the calendar year 2017, more than $1,000 in your own name or in the name of any other person for your use or benefit. If you are an attorney, physician, or any other professional subject to a confidentiality requirement as described in Revised Code Section 102.02(A)(2)(b), you do not have to disclose the names of your clients, patients or other recipients of professional services. You do not have to disclose the names of persons indebted to you if they are short-term debts resulting from the ordinary conduct of your business or profession. Banks, building and loan associations, savings and loan associations, and credit unions need not be listed if the only monies owed to you by them are monies which you deposited with such institutions or which are in a withdrawable share account.
NONE
8. TRAVEL
List the source and amount of each payment of expenses incurred for official travel. Travel expenses include payments or reimbursements received by you in your own name, or by any other person for your use or benefit, for travel in connection with your official duties. You must disclose every payment or reimbursement of expenses for travel both inside and outside of Ohio. You must disclose travel payments or reimbursements, INCLUDING, but not limited to, MILEAGE REIMBURSEMENTS, made to you, or on your behalf, by the General Assembly. Members and employees of the General Assembly need not disclose official travel in a vehicle owned or leased by a state agency or state institution of higher education.

You do not have to disclose expenses incurred at a meeting or convention of a national or state organization to which any state agency, including, but not limited to, any legislative agency or state institution of higher education as defined in Section 3345.011 of the Revised Code, or any political subdivision in Ohio pays membership dues. Questions regarding membership status should be directed to the organization.
Source Amount
1 Citizens for Gavarone $3,300.28
2 American Legislative Exchange Council $796.05
3 National Conference of State Legislatures $5,754.71
4 State Legislative Leaders Foundation $3,227.02
5 Ohio House of Representatives $5,116.80
6 Ohio Chamber of Commerce $138.01
7 Ohio Jewish Communities, Inc. $1,642.27
8 Ohio House Republican Organizational Committee $133.40
9 Council of State Governments $1,367.11
9. GIFTS
List the source of each gift worth more than $75, aggregated for the calendar year 2017, received by you in your own name, or by any other person for your use or benefit. If you are a member or employee of the General Assembly, also list the source of each gift or gifts over $25, aggregated for the calendar year 2017, received from a legislative agent. If you are a member or employee of the General Assembly, you are prohibited from receiving a gift or gifts from a legislative agent where the value of the gift or gifts aggregated per calendar year, exceeds $75.

You do not have to disclose the source of gifts received under a will or by inheritance. Also, you do not have to disclose the source of the gifts received from your spouse, parents, grandparents, children, grandchildren, siblings, nephews, nieces, uncles, aunts, cousins, step-relations, brothers-in-law, sisters-in-law, sons-in-law, daughters-in-law, father-in-law, mother-in-law, or any person to whom you stand in loco parentis, or received by way of distribution from any inter vivos or testamentary trust established by a spouse or ancestor.
Source of Gift
1 National Conference of State Legislatures
2 State Legislative Leaders Foundation
3 Council of State Governments
4 American Legislative Exchange Council
5 Ohio Jewish Communities Inc.
10. MEALS, FOOD AND BEVERAGES
List the source of each payment of expenses for meals and other food and beverages received in connection with your official duties that exceed $100 aggregated for the calendar year 2017. Expenses include payments or reimbursements to you. You must include the General Assembly if it was the source of expenses or reimbursements for meals, food, or beverages totaling over $100 for the calendar year 2017.

You are not required to disclose the source of meals and other food and beverages provided at a meeting at which you participated in a panel, seminar, or speaking engagement; or at a meeting or convention of a national or state organization to which any state agency, including, but not limited to, any legislative agency or state institution of higher education as defined in Section 3345.011 of the Revised Code, or any political subdivision in Ohio pays membership dues. Nor must you disclose any meals or beverages, which have been reported in Section 8 above as travel expenses paid by the General Assembly.
Source of Meal/Food/Beverage
1 National Conference of State Legislatures
2 State Legislative Leaders Foundation
3 Council of State Governments
4 American Legislative Exchange Council
5 Ohio Jewish Communities Inc.
6 Community Blight Solutions
11. NON-DISPUTED INFORMATION
Lobbyists and their Employers are required to report expenditures made for the benefit of, or on behalf of, State public officials and certain designated staff members. If you were a Member of the General Assembly or a designated legislative staff filer in 2017, you may upload a personalized report of non-disputed information for calendar year 2017 by selecting the 'Load From OLIG/JLEC' button below. In the alternative, you may attach the non-disputed notice(s) you received from a Lobbyist or Employer by selecting 'Add New Attachment' at the end of this form and uploading the documentation.

If you dispute reported expenditures or have questions regarding your report, please contact JLEC at 614-728-5100.

Expenditures may be monitored at any time by visiting the Ohio Lobbying Activity Center at www2.jlec-olig.state.oh.us/olac/Reports/ExpenditureSearches.aspx
I HAVE NO NON-DISPUTED INFORMATION TO REPORT:  
I PREFER TO LIST AND/OR ATTACH MY NON-DISPUTED INFORMATION:  
Date Employer Amount Description
1 2/10/2017 Ohio Children's Hospital Association $3.80 OCHA Regional Advocacy Day
2 2/10/2017 Toledo Regional Chamber of Commerce $18.81 Legislative breakfast
3 4/10/2017 University of Toledo $12.00 appetizer buffet
4 7/26/2017 Bowling Green State University $21.09 lunch and campus tour
5 12/18/2017 Bowling Green State University $20.00 lunch
6 11/15/2017 Community Blight Solutions $431.03 Dinner as part of Israel trip
7 10/4/2017 Ohio Advocates for Medical Freedom $30.63 DVD & Book
8 9/6/2017 Ohio Chamber of Commerce $138.01 Lodging at Salt Fork Conference
9 11/11/2017 Ohio Jewish Communities, Inc $30.00 Israel Mission-Masada Admission
10 11/11/2017 Ohio Jewish Communities, Inc $64.76 Israel Mission-Dead Sea Swim & Lunch
11 11/8/2017 Ohio Jewish Communities, Inc $160.87 Israel Mission-Tour Guide
12 11/7/2017 Ohio Jewish Communities, Inc $1,642.27 Israel Mission-Flights, Hotels, & Ground Transportation
13 11/8/2017 Ohio Jewish Communities, Inc $562.46 Israel Mission
14 9/15/2017 The Success Group, LTD $35.00 Impact Ohio Toledo Regional Conference
15 12/8/2017 Toledo Regional Chamber of Commerce $9.70 legislative lunch
12. LICENSES
Any member of the General Assembly who engages in the conduct or practice of a particular business, profession, trade, or occupation that is subject to licensing or regulation by any branch, department, division, institution, instrumentality, board, commission, or bureau of the state, is required to file a notice that he or she is the holder of a particular license, or is engaged in such activity, as part of the financial disclosure statement. Therefore, if you are a member of the General Assembly, list all licenses held or a description of any regulated activity.
License Held/Regulated Activity
1 Law License/practice of law
2 Liquor License/sale of alcohol
BEFORE FILING THIS STATEMENT, PLEASE REVIEW EVERY QUESTION TO MAKE CERTAIN YOU HAVE DISCLOSED THE NECESSARY INFORMATION OR, IF YOU HAVE NOTHING TO DISCLOSE IN A GIVEN QUESTION, YOU HAVE CHECKED THE BOX MARKED “NONE”.

IF THE ANSWER TO ANY QUESTION IS OMITTED, THE STATEMENT IS INCOMPLETE UNDER THE LAW.

PERSONS WHO FAIL TO FILE A COMPLETE STATEMENT BY THE APPROPRIATE DEADLINE MAY BE ASSESSED A LATE FILING FEE OF $10.00 FOR EACH DAY THE STATEMENT IS LATE, UP TO A MAXIMUM OF $250.00. A KNOWING FAILURE TO FILE IS A MISDEMEANOR OFFENSE.
ACKNOWLEDGEMENT
By clicking the 'File' button, I swear or affirm that this statement and any additional attachments were prepared or carefully reviewed by me and constitute a complete, truthful, and correct disclosure of all required information.

I acknowledge awareness and understanding of Sections 102.02(D) and 2921.13(A)(7) of the Ohio Revised Code which prohibit me from knowingly filing a false statement and which are criminal misdemeanors of the first degree, punishable by a fine of not more than $1,000 or imprisonment of not more than six months, or both. (See Revised Code Sections 102.99(B), 2921.13(F)(1), and 2929.21.)

I acknowledge that I am required to pay a $40 FILING FEE, or that I am, or was, an employee (non-elected) of the General Assembly, or any legislative agency and that my agency is responsible for the filing fee.

This financial disclosure statement is a public record upon filing and is made available for public review on www.ohiofds.com.

NOTE: No person is required to file more than one financial disclosure for any given calendar year with the appropriate ethics agency. If you are a member of the Ohio General Assembly you will file the JLEC statement with the Joint Legislative Ethics Committee regardless of your status as a former local or statewide officeholder, candidate for local or statewide office or service on a state board or commission. If you are a member or employee of the General Assembly and receive a Financial Disclosure Statement from the Ohio Ethics Commission, DISREGARD the statement provided by the Ohio Ethics Commission.
PLEASE PRINT THIS STATEMENT FOR YOUR RECORDS