HomeMy WebLinkAboutDoug Dickerson�� .
f�, Ministry of Municipal Affairs
i� 1 arI and Housing
Instructions:
inanci 1 t te e t— it ' epo
Form 4
Municipal Elections Act, 1996 (Section 78)
All candidates must complete Boxes A and B. Candidates who receive contributions or incur expenses beyond the nomination.fee
must complete Boxes C, D, Schedule 1, and Schedule 2 as appropriate. Candidates who receive contributions or incur expenses in
excess of $10,000 must also attach an Auditor's Report.
All surplus funds (after any refund to the candidate or his or her spouse) shall be paid immediately over to the clerk who was responsible
for the conduct of the election.
For the campaign period from (day candidate filed nomination)
YYYY MM DD
( 20 ]'� U6 04 I to
� Primary filing reflecting finances to December 31 (or 45th day after voting day in a by-election)
❑ Supplementary filing including finances after December 31 (or 45th day after voting day in a by-election)
E�ox A: Name of Candidate and i�ffice
Candidate's name as shown on the ballot
Last Name
DICKERSC)N
Given Name(s)
DC)C1CiLf1.S
Name of office for which the candidate sought election Ward name or no. (if any)
�'ITY C;C��1��:I�,LC)� �VvARD �
Name of Municipality
C�'i�l' C)1� i'IC;�I:RI1�C�
Spending limit issued by clerk
� 1 �),�6 l ,{�0
YYYY MM DD
� 2014 I? 31 �
❑ I did not accept any contributions or incur any expenses other than the nomination fee. (Complete Box A and 8 only)
Box B: Declaration
�, B{)UC.JI�AS DI �'RSON , a candidate in the municipality of
I'iC'I�EI� INCI
, hereby declare that to the best of my knowledge and belief that these
financial statements and attached supporting schedules are true and correct.
Declared before (clerk or commissioner)
in the � . r� � �, �= �`=�� �- i��:-"��= � ,,���
on iYYYY/mm/dd) � �: �' ���°��'..s,�s°��`� •
.
�
C>���'�� �`'l �
..
���� � �
r �_
: � ,
��� �� , _ _a. �
�_ .
Signature of Clerk or Commissioner - Signature of Candidate
o�Ot C�3
Date Filed in the Cler 's Office (yyyy/mmldd)
us iaN�E wAa R,
aCommissio�er,�t�, ionalMunic�pafity
of Ourham, forThe Corporation of the
Cityof Picker°rnq,
Expires January 28, 2018.
9503P (2013/11) �O Queen's Printer for Ontario, 2013 Disponible en fran�ais Page 1 of 8
Box +�: Statement of Campaign tncome and Expenses �
LOAN
Name of bank or recognized lending institution I3ANK t�F NC�VA �Ct��T'IA
Amount borrowed $ O.�t�
INCOME
Total amount of all contributions (From line 1A in Schedule 1) +$ 28,7�0.00
Refund of nomination filing fee +$ 100.�0
Sign deposit refund + $ 0.00
Revenue from fund-raising events not deemed a contribution (From Part III of
Schedule 2) + $ 0.00
Interest earned by campaign bank account +$ 0.00
Other (provide full details)
1. + $ O.QO
2. + $ 0.00
3. + $ 0.00
Total Campaign Income (Do not include loan) _$ 2�,$5p,(}0 C1
EXPENSES (Note: include the value of contributions of goods and services)
Expenses subject to spending limit
Nomination filing fee + $ 1(�O.00
Inventory from previous campaign used in this campaign (list details in Table 5
of Schedule 1) + $ 705.73
Advertising + $ 4,758.79
Brochures/flyers + $ 2 385.55
�
Signs (including sign deposit) + $ 4,7$5.55
Meetings hosted + $ {),p(j
Office expenses incurred until voting day +$ b03.�$
Phone and/or Internet expenses incurred until voting day +$ 307.72
Salaries, benefits, honoraria, professional fees incurred until voting day +$ 1,Ot}Q.OQ
Bank charges incurred until voting day +$ I O$.17
Interest charged on loan until voting day +$ 0.00
Other (provide full details)
1. ���I�C� + $ 1,688.91
2, TR�;Ch; + $ 500.00
3. �-�i)M�:OFI�1�.r F�:P�;N�E + $ 400.00
Total Expenses subject to spending limit =$ 172343.Ob C2
Expenses not subject to spending limit
Accounting and audit + $ 1,737.a0
Cost of fund-raising events/activities (list details in Part IV of Schedule 2) +$ U.OU
Voting day party/appreciation notices +$ 2,SQ0.00
Office expenses incurred after voting day +$ 467.8�
Phone and/or Internet expenses incurred after voting day +$ 61.97
Salaries, benefits, honoraria, professional fees incurred after voting day +$ ?,100.00
Bank charges incurred after voting day +$ 5.00
Interest charged on loan after voting day +$ Q.00
Expenses related to recount +$ 0.00
Expenses related to controverted election +$ 0.00
Expenses related to compliance audit +$ ().00
Expenses related to candidate's disability (provide full details)
1. + � U.00
2. + $ 0.00
3. + $ (1.00
Other (provide full details)
1. �F�)t)� + $ 4�.(?9
2. [�E;7'1�I[,II�?(:� - 2 ��IIIC�LES + $ 452.OU
3. Ft��;C, + $ 228.12
Total Expenses not subject to spending limit
Total Campaign Expenses (C2 + C3)
_ $ 7,591.98 C3
_ $ 24,9 �5.0�- C4
9503P (2013/11) Page 2 of 8
'Box D: CalGUlation of �urplus or Deficit
Excess (deficiency) of income over expenses (income - Total Expenses)
(C1 — C4) + $ 3,914.96 D1
Eligible deficit carried forward by the candidate from the last election —$ (1,014.OQ) D2
Total (D1 — D2)
If there is a surplus, deduct any refund of candidate's or
spouse's contributions to the campaign
Surplus (or deficit) for the campaign
_ $ 2,90t1.96
- $ 7�5.7�
_ $ ?,1 �)5.23 D3
If line D3 shows a surplus, the amount must be paid in trust, at the time the financial statements are filed, to the municipal clerk who was
responsible for the conduct of the election.
Amount of �291C��•��
paid to municipal clerk in the municipality of �'ICI{ERING
9503P (2013111) Page 3 of 8
Schedule 1 - Contributions
Part I= Summary of Contributions
Contribution from candidate (include the value of inventory listed in Table 5) +$ 705.73
Contribution from spouse + $ 0.00
Total value of contributions not exceeding $100 per contributor
• Include ticket revenue, contributions in money, goods and services
where the total contribution from a contributor is $100 or less (do not
include contributions from candidate or spouse). +$ 0.00
Total value of contributions exceeding $100 per contributor (from line 1 B; list
details in Tables 1— 4)
• Include ticket revenue, contributions in money, goods and services where
the total contribution from a contributor exceeds $100 (do not include
contributions from candidate or spouse). +$ 28,750.0�
Less: Contributions returned or payable to the contributor —$ �.t)()
Contributions paid or payable to the clerk, including contributions from
anonymous sources exceeding $10 _ $ {),{)��
Total Amount of Contributions (Record in Box C) _$ 29,�55.%3 1A
Part II — List of Contributions from Each Single Contributor Totalling more than $100
Table 1: Monetary contributions from individuals other than candidate or spouse
Name Full Address Amount $
�FI: �^I'�1���'�-�T.I� [..,IST
❑ Additional information is listed on separate supplementary attachment
Total
9503P (2013/11) Page 4 of 8
2014 Municipal Election Contributors
Pickering Professionai Firefighters Associaiion
P.O. Box 144
Pickering, ON L1V 2R2
Margan's Port Restaurant Inc.
1289 Wharf St.
Pickering, QN L1W 1A2
2385667 Ontario Limited
9140 Leslie St., Unit 210
Richmond Hill, ON L4B OA9
Mr. Richard Bruton
1854 Brookshire Sq.
Pickering, ON L1V SE9
J.F.C. Developments Ltd.
25 Buggey Lane
Ajax, ON L1Z 1X4
Bayly Development Corporation
P.O. Box 87680
Thornhill, ON L3T 5W0
Solera Sustainable Energies Company Limited
1845 Sandstone Manor, Suite 15
Pickering, ON L1W 3X9
Barry Browning
2230 Walkers Line, Unit 15
Burlington, ON L7M 3Y8
SC Financial Investments Inc.
700 Applewood Cres. Site 100
Vaughan, ON L4K SX3
Fieldgate Land Development Limited
5400 Yonge St. Suite 301
Taronto, ON M2N 5R5
Metrus Development
3� Floral Pkwy. Suite 300
Concord, ON L4K 4R1
25C;.00
750.00. ; `.
t� ��
,� 1
200.00 ����
500.00 �"°� ��-��
G
�
�so.00 }
;
750.00 ��3r
400.00 ��
750.00 ��`�
75�.00:��'�°�;
500.00�`�:
Mr. Leo McArthur
P.O. Box 4080
Markham, ON L3R 9R8
Miller Paving Limited
P.O. Box 4080
Markham, ON L3R 9R8
1815 Ironstone Co-tenancy H/0
1815 ironstone Manor, Unit 1
Pickering, ON L1W 3W9
Mr. David Sim
1000 Rambleberry Ave.
Pickering, ON L1V 5Y3
Pine Ridge Tower Limited
24 Executive Place
Kitchener, ON N2P 2N4
Bell Canada
5099 Creekbank Rd.
Building D, Floor 6
Mississauga, ON L4W 5N2
Mr. Vijay Gupta
562 Renforth Dr.
Etobicoke, ON M9C 2N2
Linli Management Limited
2900 Steeles Ave. E., Unit 206
Thornhill, ON L3T 4X1
Rayal Auto Body
971 Alliance Rd.
Pickering, ON L1W 3M8
7603860 Canada Inc.
2 Bloor St. W. Suite 700
Toronto, ON M4W 3� -' ,
1889119 Ontario Inc.
1295 Wharf St., Unit 9
Pickering, QN L1W 1A2
1083922 Ontario Inc.
1773 Bayly St.
Pickering, ON L1W 2Y7
200.00���\
300.00r `
750.00���
100.00' ,,
750.00-
750.00,�'�
250.00 �
100.00; .
500.00' ,
750.00
750.00
750.OQ '
Redfords Insurance Brokers Limited
1903 Valley Farm Rd.
Pickering, ON L1V 1X6
Monarch Kitchen & Bath Centre Limited
1020 Brock Rd. S., Unit 6
Pickering, ON L1W 3H2
Mr. Vernon Mason
1939 Glenview Rd.
Pickering, ON L1V 1W9
Mr. Jules Kronis
45 Timberlane Dr.
Downsview, ON M3H 1J3
SR & R Bay Ridges (Two) Ltd.
150 Ferrand Dr., Suite 801
Toranto, �N M3C 3E5
1658262 �ntario Limited
151 Spinnaker Way, Unit 5
Vaughan, ON L4K 4C3
A{Itemp Products Company Limited
827 Brock Rd. S.
Pickering, 4N L1W 3J2
Louisville Homes Limited
11 Col. Danforth
Toranto, ON M1C 1P8
Spar-Marathon Roofing Supplies
3689 Weston Rd.
Weston, ON M9L 1W4
M r. Saga r Agga rwa I
30 Malta Ave., Apt. 2408
Brampton, ON L6Y 4S5
Bitondo s Market Limited
RR #1
Locust Hill, QN LOH 1J�
Averton (Brock} Limited
151 Pennsylvania Ave., Suite S
Vaughan, ON L4K 1C3
75�.00�°
250.C10�
�
50.00:ry `r
��
Zoo.oa���.
750.Ot��`��,
750.Ot��.
� ��
750.���`��
� a,
�s�o.oa �,
750.0���
��
750.04����`�
.�->
750.OQ �
Binns inc.
333 Kingston Rd.
Pickering, 4N L1V 1A1
Triple Properties V11 Inc.
186 Bartley Dr.
Toronto, ON M4A 1E1
Priority Submetering Solutions
1465 Pickering Pkwy., Suite 104
Pickering, ON L1V 7G7
Sabourin Kimble & Associates Ltd.
110 Old Kingston Rd.
Ajax, QN L1T 2Z9
Mr. Patrick Dovigi
46 Strathearn Rd.
Toronto, ON M6C 1R5
Valiant Rental Properties Limited
177 Nonquon Rd.
Oshawa, ON L1G 3S2
Invar Building Corporation
220 Duncan Mill Rd., Suite 301
Toronto, ON M3B 3J5
Kindwin �Brock) Development Corporation
23 Lesmil) Rd., Suite 111
Taronto, �N M3B 3P6
1851037 Ontario Inc.
1211 Kingston Rd.
Pickering, ON L1V 6M5
Brookvalley Developments Inc.
137 Bowes Rd.
Concord, ON L4K 1H3
Mr. Boyd Penny
1052 Dunbarton Rd.
Pickering, ON L1V 1G8
Jodee Trucking Leasing Ltd.
90 Promelia Crt.
Markham, ON L3S 3S4
200.00-�
�
750.00�"�
�� �t
25(1.00�'`°
750.00 �`�
�� ��
SOO.Ot�`�
750.00�'
�� �a
<<�,x
500.00 ���
300.0 ��
750.00�,
2183497 �ntario Ltd.
30 East Beavercreek, Suite 104
Richmond Hill, ON L4B 1J2
Viva Pickering 4PC4 Inc.
3845 �athurst St., Suite 206
Toronto, ON M3N 3N2
The Bench Press Ltd.
P.O. Box 245
Gormley, 4N LOH 1G0
Concordian Mgmt.-Dalemont
7077 Keele St., Suite 102
Concord, ON L4K OB6
Dorsay (Pickering) Limited
150 Yark St., Suite 1701
Toronto, QN MSH 3S5
750.00�
500.00�
�so.00�
�so.00 �
750.00 /
Table 2: Monetary contributions from corporations or unions
Nam� (Legal and Carrying on I Full Address
Business As)
President or
Business Manaqer
❑ Additional information is listed on separate supplementary attachment
Authorized
Representative
Table 3: Contributions in goods or services from individuals other than candidate or spouse
(Note: must also be recorded as expenses in Box C)
Name
Full Address
❑ Additional information is listed on separate supplementary attachment
Total
Description of Goods
or Services
Total
Amount $
Value $
9503P (2013/11) Page 5 of 8
Table 4: Contributions in goods or services from corporations or unions (Note: must also be recorded as expenses in Box C
Name of Corporation Full Address President or Authorized Description of Value $
�Legal and Carrying on Business Manager Representative Goods or Services
Business As)
❑ Additional information is listed on separate supplementary attachment
Total Part II Contributions (Add Totals from Tables 1-4) (Record in Part I— Summary)
Total
Part III — Inventory
Table 5: Inventory of Campaign Goods and Materials from Previous Campaign used in this Campaign
(Note: value must be recorded as a contribution from the candidate and as an expense)
Description Date Acquired Supplier Current Market Quantity
(yyyy/mm/dd) Value $
SM.�.I.�i_; I.,A�v1�l 51GNS 2010 4.26 6(i
1til
� • �I E1]
❑ Additional information is listed on separate supplementary attachment
�.58
43
Total
$ 1B
Total Value $
25�.C(}
3�$.94
7t35.?3
9503P (2013/11) Page 6 of 8
Schedule 2— Fundraising Events and Activities
Fundraising EventlActivity
Complete a separate schedule for each event or activity held
❑ Additional schedule(s) attached
Description of fundraising event/activity
Date of event/activity (yyyy/mm/dd)
Part I — Ticket Revenue
Admission charge (per person)
(If there are a range of ticket prices, attach complete breakdown of all ticket
sales) + $
Number of tickets sold X
Total Ticket Revenue (2A x 2B) (Include in Schedule 1)
Part II — Other revenue deemed a contribution
(provide details (e.g. revenue from goods sold in excess of fair market value))
1. + $
2. + $
3. + $
4. + $
5. + $
Total Part II Revenue (include in Schedule 1)
Part III — Other revenue not deemed a contribution
(provide details (e.g. contributions of $10 or less; market value of goods or services sold))
1. + $
2. + $
3. + $
4. + $
5. + $
Total Part III Revenue (include in Box C)
Part IV — Expenses related to fundraising event or activity (provide details)
1. + $
2, + $
3. + $
4. + $
5. + $
6. + $
7, + $
8. + $
Total Part IV Expenses (include in Box C)
aA
2B
_ $
_ �
_ $
_ �
��
�Z�7
1 1 1.
�
9503P (2013/11) Page 7 of 8
Auditor's Report '
Municipal Elections Act, ;1996 (Section 78�
A candidate who has received contributions or incurred expenses in excess of $10,000 must attach an auditor's report.
Professional Designation of Auditor
C:'l�arte����d �'rc�f�essio��al /�,i;co��ntal��
Municipality
I)��ri�ar��
Contact Information
Name
Last Name
Crt•iftiths
Address
Suite/Unit No. Street No. Street Name
i ()5 �Vc�r���u���rs I7riv�
First Name
Rose
Date (yyyy/mm/dd)
2015/0?lii9
Licence Number
�1093?0
City/Town Province Postal Code
��v'hit:�� t)1�11 L 1 N 1 C"4
�
Telephone No. (including area code) Fax No. Email Address
?bt� �316-�5t�b ext.?026 28�-475-5�3�E� info��U,l'OS��I�iftithscma.co111
The report must be done in accordance with generally accepted auditing standards and must:
• set out the scope of the examination
• provide an opinion as to the completeness and accuracy of the financial statement and whether it is free of material
misstatement
� Report is attached
Personal information, if any, collected on this form is obtained under the authority of sections 78 and 95 of the Municipal Elections Act,
1996. Under section 88 of the Municipal Elections Act, 1996 (and despite anything in the Municipal Freedom of Information and
Protection of Privacy Ac� documents and materials filed with or prepared by the clerk or any other election official under the Municipal
Elections Act, 1996 are public records and, until their destruction, may be inspected by any person at the clerk's office at a time when
the office is open. Campaign financial statements shall also be made available by the clerk in an electronic format free of charge upon
request.
9503P (2013/11) Page 8 of 8
RG AGC�UNTING
CHARTERED PRdFESS10NAL ACC4UNTANT
105 Consumers Drive
Whitby, Ontario �1N 1C4
Telephone: (289) 316-{�508
NOTICE TO RE�►DER
�n the basis of inforrnatian provided by management,l hav� compiled the Financia! Statement —
Auditor's Report as at Deeember 31 for Mr. Dotaglas Dickerson, City Councilor for the City of
Pickering. � ���
I have not performed an audit, but reviewed and cc�nfrmed that ali contributions and expenses are
accurate based on the information and documen#ation provided by Mr. Dickerson. It is complete and
accurate and it is free of material misstatement.
� r
�f
Rose Gri iths, CPA, CMA
Whitby, Qntario
January 16, 2015