FINANCIAL DISCLOSURE STATEMENT statement is to be filed in 2017 formation for calendar year 2016 Financi Please type or print clearly. See instructions for assistance with this page. [SECTION A. PERSONAL CONTACT INFORMATION last Name First Name Mt TAYLOR aR 1 | ~ SECTION 8, STATUS (Check allthat apply) FOROFFICIALUSE ONLY — O candidate CANDIDATES: Please list the date of 1D) writen Candidate the first election (primary, specta, oF FILED q Elected to an office general) when your name will appear IL Appointed to an unexsired fon the ballot. term in elective office MAY 12 2017 TD Pubte oF Month] bay [Year Pubtic Employee | 2017 ‘OMIO ETHICS COMMISSION G1 voluntary Filer / Other ae (SECTION. PUBLIC POSITION, OFFICE, ORJOB oo Position/Title (Example: council member, sherit, Board member, oF Job DD seoking LIEUTENANT GOVERNOR: D tote OO bela ic Entity you serve in 2017, served in 20%6, or will erve if elected STATE OF OHIO Publi Salary sar Date: End Date: . D Uncompensates [Bint ae Year] [Month| Day [Year Gi tesenon sieon0 Folsfolilatol+l+) fol+[+[sl2lol sl} & | Zi_516,000 or more tel | | |e [SECTION 0. ADDITIONAL PUBLIC POSITION, OFFICE, OR JOB. — = sz Position/Title (Example: council member, sheriff, board member, oF job ttle} O seeking | — BD. [SUPERINTENDENT O tote ~ ge Die |p a “public Enity you serve n 2017, served in 2016, or wil serve elected _ U x [OHIO DEPARTMENT OF INSURANCE 5 2 — — 2 Public Salary: ‘Start Date: x Gi uncompensated [Manth|~ Day |__Year Day_[_— Year DH tesstnansic.000 [ofr|ifolafofa|s s|2jofsl7 §Z)_$16,000 or more FOR OHIO ETHICS COMMISSION USE ONLY. 1 Watkin TB filer has answered every required question Date incomplete frm 1) inter office 2 Fier has not answered these questions returned to filer O Wocheck Date completed form fev by: DY, returned 08: Page Lora41, SOURCES OF INCOME - ALL FERS MUST ANSWER THIS QUESTION: {For help, see instructions page 4) C1 Ihave no sources of income that lam required to list SS + Source of incoime’” oye “2 " Sefvice Provided. "7! ieeunea A Lt Governor!Superintendent, Dep, of insurance] Lt. Governar/Superntendent, Dept. of Insurance | [8 Merit Lynch Dividendsinterest ‘FirstMerit Bank — Interest. je Stateoforio ‘Tax Refund E (see Addendum with list of addi — — “| * Check nstrctions to see whather you ae required to disclose amounts of income. 2. SOURCES OF GIFTS - Au sues MUST ANSWER THIS QUESTION (For help, seeinstrctons page 5) T thave no sources of gts that Lam eauired to ist [s Grba Tes us. [§ prrGiovalchemiéal | © Bel inc (see Addendum for lst of adiional gts) © Ballreici’s Bros., Inc. 3. NAMES OF SPOUSE RESIDING IN HOUSEHOLD AND ANY DEPENDENT CHILDREN - AUFLERS MUST ANSWER THIS QUESTION: Co There are no immediate family members whose names Iam requifed to list {For help, see instructions page 5) "FSpousd Resid ih Housthold Depend ehidren | Donzell 8. Taylor Dependent chitaren, 4. NAMES OF BUSINESSES - AL FLERS MUST ANSWER TH QUESTION: (For help, se instructions page 5) 1F you or anyone vou listed in Question 3 owns or operates a business, list the name of the business. T_There are no business names that | am required to is ‘A See Addendum with list of businesses. 5, LAND (REAL ESTATE) IN OHIO - ALL FLERS MUST ANSWER THIS QUESTION: (For help, se instructions page 6) C1 thaveno real estate that !am required to list. F 7 Land (Real Estate) in OWVo, i “Wise address on if address is unavailable; plat number ‘A 2052 South Plaza Drive, Akron, OH 44919 : i ¢ Page 2 of 466, CREDITORS OVER $1,000 - AL FieRs MUST ANSWER THis QUESTION: (For help, see instructions page 6) D have no creditors that 1 am required to list. Creditor _- Creditor . '& American Express Nordstrom - Visa | 8 First National Bank of Omaha e i JP Morgan Chase Master Card (United) F 7. DEBTORS OVER $1,000 - AL FUERS MUST ANSWER THs QUESTION: (Forhelp, see instructions page 6) WZ thave no debtors that ! am required to list Debtor i Debtor a > 8, INVESTMENTS OVER $1,000 - at FLERS MUST ANSWER THs QUESTION; (For help, see instructions page 6 and 7), 1 thave no investments that | am required to list. Nature of Investment Corporation, Trust, Business Trust, Partnership, or Association State Farm Life insurance 8 Mertll Lynch Brokerage Account ~ ~ "| (eee Addendum with list of investments) © Mert Lynch IRA __ (see Addendum with list of investments) © College Advantage Plan FBO: Joseph R, Taylor Money Market E College Advantage Plan FBO: Michael A, Taylor Money Market F IF YOU NEED ADDITIONAL SPACE, PLEASE ATTACH A SEPARATE SHEET. 9, OFFICES/FIDUCIARY RELATIONSHIPS - at rusts MUST ANSWER THIS QUESTION: (For help, se instructions page 8) 1 thave no offices or fiduciary relationships that | arm required to list. Corporation, Trust, Business Trust, Partnership, or Association ‘Office or Nature of Relationship A Mary Taylor Revocable Trust Trustee 8 ‘SKIP QUESTIONS 10 AND 11 IF YOU ARE ONLY REQUIRED TO FILE AS A: + College or university trustee «+ City, township, school district, ESC, oF sanitary dstcict + Candidate fora city, township, school district, oF ESC official or employee serving in @ postion that is paid position that is paid less than $16,000 a year less than $16,000 2 year 10, FOOD OR BEVERAGES - au FERS EXCEPT THOSE USTEDIN THE BOK ABOVE MUST ANSWER THIS QUESTION: TZ have no sources of meals, food, or beverages that | am equired tots (For helo, see instructions page 8) ~__Souree of Food of Beverages "_Souree of Food of Beverages A — c ‘ _—_ Page 30f 41 thave no sources of travel expenses that | am required to list, (For help, see instructions page 9) E ere aoa x Dar 11695 + O0oT [Tar700 | © o00T — ce] © ODOT — a ~ 189.75 le oot 008 [> oe Adar wv to adnal ava 112, NON-DISPUTED INFORMATION - aut tug] ae REQUIRED to anger Question 12, Alot Mes shou skip this question and goto aeston 13, {Z)_ have no information that ! am required to list {For help, see instructions page 9} 13, SIGNATURE - AL ERS MUST SIGN THe STATEMENT: (For help, see instructions page 10} By signing this statement: + t swear or affirm that this statement and any additional attechments have been prepared or carefully reviewed by m: and constitute my complete, truthful, and correct disclosure ofall required information, and that the address listed on. age 1is 8 correct mailing adress. + acknowledge and understand that, among other potential violations and penalties, knowingly filing 9 false statement is ‘2 criminal misdemeanor of the first degree, in violation of Sections 202.02(0] and 2921.13(A)(7) of the Revised Code, punishable by a fine of not more than $1,000, imprisonment of not mare than six months, or both. + Lacknowledge and understand that fing a false statement may be grounds for removal from public office or dismissal ‘rom public emplayment pursuant to Sections 3.04 and 124.34 of the Revised Code. + | acknowledge that, in 2016, | served in, or ia 2017, 1am serving in or 8 candidate for, the position indicated on page 1 of this statement. {you have any questions before signing this form, please contact the Ohio Ethics Commission at (614) 456-7090. Before signing this statement, please review to make sure thal you have answered each question you are required to answer if you have nothing to list in response to any question, check the box indicating that you have nothing to list, Ifthe response to any requited question is omitted, the Commission will eturn the statement to you 2s incomplete. Any person who falls to file a complete statement by the appropriate filing deadiine will be assessed a late filing fee and may be subject to criminal penalty. Deliver completed statement to: Ohio Ethics Commission, 30 W. Spring St. L3, Columbus, OH 43215 my filing fee is: (For help, see instructions page 2) WZ) Enclosed icheck or money order payable to "Ohio Ethics Commission") © Submitted Online included in my attorney registration fees (Judges, Magistrates, and Judicial Candidates Only) My public ageney is required or hes agreed to pay my filing fee Your siGnarure is nequineo Here: 2-7 ore S/F _ fev 01-2017 Page 4 of 4MARY TAYLOR OHIO LIEUTENANT GOVERNOR, OHIO ETHICS COMMISSION 2016 FINANCIAL DISCLOSURE STATEMENT ADDENDUM 1. SOURCES OF INCOME: Source of income ‘Service Provided ‘Amount™ {if required) FIRS "Tax Refund - G. City of Green Tax Refund 1H. City of Columbus. "Tax RefundMARY TAYLOR OHIO LIEUTENANT GOVERNOR ‘OHIO ETHICS COMMISSION 2016 FINANCIAL DISCLOSURE STATEMENT ADDENDUM 2. SOURCES OF GIFTS: Source of Gifts JobsOhio ‘Gnward Ohio ‘Ohio Convention Committee 2076 Rhinegeist Ohio Republican Party Consul General of India ‘Serbian Ambassador The Hunt institute Council of the Great Lakes Region lolz) |e <]-]zJo]>| ‘Champaign County Republican Party * Actual or in-kind expenditures for the travel, meals or lodging of the Governor's designees pursuant to RCC. 187.03(B), provided by JobsOhio in connection with the Governor's performance of official duties related to JobsOhio.MARY TAYLOR ‘OHIO LIEUTENANT GOVERNOR, OHIO ETHICS COMMISSION 2016 FINANCIAL DISCLOSURE STATEMENT ADDENDUM 4. NAMES OF BUSINESSES: My husband, Donzell S. Taylor, owns interests in the following entities, which “do business" as described in the example given in Question 4. Unless otherwise noted, each of these entities is in good standing under the laws of the State of Ohio or the jurisdiction in which they are required to be registered or are currently doing business. The information provided in response to Question 4 may not be considered an ‘acknowledgment that any of these individuals “do business" other than through their ownership interest in these entities, with all ofthe rights (including but not limited to limited liability) afforded by applicable law. 1235. Miler Road, ULC. 123 S. Miller Road, ULC. lirevocable Trust for the benefit of Joseph Taylor, Don Taylor, Trustee, 123 5. Miler Road, LLC. lrevocable Trust forthe benefit of Michael Taylor, Don Taylor, Trustee Al Investment Holdings, LLC ‘Aur Thee, LUC ‘Akron Legacy Real Estate Development, LLC ‘Athletic Club Construction, LLC Cleveland Aihletic Club, LLC Cleveland Euclid Hotel Associates LLC Cleveland-Massilon Professional Center, LLC Eagle Ford Oil Company, Inc. (rescinded ownership 6/27/16) Environments 4 Business, LLC. Greystone Partners, LLC Hamilion Legacy, LLC Historic Journal News LLC Historie Por Clinton City Hall, LLC Historie Robinson Schwenn, LLC inSITE Advisory Group, LLC IWP Bloomington, LLC IWP New Albany, LUC WP New Albany Investment, LLG WP Rootstown, LLC WP Rootstown Investment, LLC ‘Massillon Senior Living, Lia‘Mileraf-Welty Construction Company, LLG (entity dissolved as of 3/9/17) MIM Holdings, Ine. Nomh Street, LLC OAP.O. LLC Private Jets, LLC. Ridgewood Road Properties, LUC ‘Strategie Thinking Technologies LLC ‘Satiler's Point Associates, LLC Welty/Bold, LLC Welty/Ti-C NEOMED, LLC. Welty Building Company, LLC of North Carolina Welty Building Company, Ltd ‘Wey Construction Company, LLC (Formerly known as Welly/Brae Burn Construction Company, ULC) ‘Welty Energy & infrastructure, LLC (formerly known as Welty Power Services, LLC) Welty PA, LLC ‘Welty Shared Services, LLC Welty-Testa Builders, LLC ‘Whitestone Cleveland LLC ‘White Pond Investments, LLCMARY TAYLOR, OHIO LIEUTENANT GOVERNOR OHIO ETHICS COMMISSION 2016 FINANCIAL DISCLOSURE STATEMENT ADDENDUM 8 INVESTMENTS OVER $1,000: Corporation, Ete. Nature of investment ‘Meri Lynch Brokerage Account Cohen & Steers Select Fund Columbia Larke Cap Fund Eaton Vanace Tex Managed Fund EQT Corp Janus Forty Fund Class C Victory RS Select Growth Fund ‘Merril Lynch TRA Bank of America Money Market ‘American Growth Fund of America Class American Euro Pacific Growth Fund Class C ‘American Investment Company of America Class C Blackrock Global Allocation Fund Class C Fidelity Advisor Small Cap Value Class C Hartford Equity income Fund Loomis Sayles Strategic Income Fund Clase C Pimco Total Return Fund Class C RS Select Growth Fund Class ©MARY TAYLOR ‘OHIO LIEUTENANT GOVERNOR, OHIO ETHICS COMMISSION 2016 FINANCIAL DISCLOSURE STATEMENT ADDENOUM 14, TRAVEL EXPENSES: ‘Source of Travel Expense: “Amount ‘Ohio Department of insurance $344.20 ‘Ohio Department of Insurance $58.10. ‘Ohio Department of Insurance $582.20, Ohio Department of Insurance $238.26 Ohio Department of Insurance $201.73 ‘Ohio Department of insurance $145.45