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Home My WebLink AboutPaul Crawford�� ' I� � • Ministry of Municipal Affairs f/� �nt(�r�� and Housing Instructions: Financial Statement — Auditor's Report Form 4 Municipa! 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 whq was responsibfe for the conduct of the election. �, _ YYYY MM DD YYYY MM � �D For the campaign period from (day candidate filed nomination) � 2014 09 12 to 2014 1� �°I I q Y � Primary filing reflecting finances to December 31 (or 45t" day after voting day in a by-election) �''�` �� ❑ Supplementary filing including finances after December 31 (or 45"' day after voting day in a by-election) ox �m Na�� f Gandidate and Ofifice Candidate's name as shown on the ballot Last Name Given Name(s) CRAWFORD PAUL THOMAS Name of office for which the candidate sought election TRUSTEE �`.� �._�-`�� -,,- � ��:� . ��-� r , `- �_ Name of Municipality I Spending limit issued by clerk $48.0OO.OU Ward name or no. (if any) � I PICKERING v `�' . ❑ I did not accept any contributions or incur any expenses other than the nomination fee. (Complete Box A and 8 only) : •, : �- � I, PAUL CRAWFORD , a candidate in the municipality of DURHAM �� ` � �� r ,�- g M�-� ,� ;�?,�,�. , hereby declare that to the best of my knowledge and belief that these financial statements and attached supportfng s edules are true and correct. Declared before (clerk or commissioner) in the � ' � ` `' a..e. e�� s_� r�� ; � L�� - ��/1 C%� � on �YYYY/mm/dd) ,� � i � � C� t � •� �� . � � � Signature of Clerk or Commissioner � �, q_ , ; 4 _ fi` � � ,� e,,� �~ Date Filed in the Clerk's Office (yyyy/mm/dd} D��IE M. SI�IELDS, CITY �CLERK, �ITY �� I�ICKERIfVG, �X OFFI�10 COMNiI�SI�IUEFi i'iJRSUANT TO SECTI�� 112) �� THE COMM9S�IONERS F�R �`�KI�l� AF�IDAi/!TS ACT , r% - � -�% . ��'' �-,-- -°� Signature of Candidate f LOAN Name of bank or recognized lending instituiion Amount barrowed $ O.OQ INCOME ► otal amount of all contributions (From line 1 A in Schedule 1) + Refund of nomination fiiling fee + Sign deposit refund + Revenue from fund-raising events not deemed a contribution (From Part I11 of Schedule 2) + Interest earned by campaign bank account + t�ther (provide full details) 1. + 2. + 3. + Total Campaign Income (Da not include loan) _ EXPENSES (Note: include the value of contributians of goods and services) Expenses subject to spending limit Nomination filing fee + Inventory from previous campaign used in this campaign (list details in Table 5 of Schedule 1 } + Advertising + Brochures/flyers + Signs (inc�uding sign deposit) + Meetings hosted + Office expenses incurred until voting day + Phone and/or Internet expenses incurred until voting day + Salaries, benefits, honoraria, professional fees incurred until voting day + Bank charges incurred until voting day + Interest charged on loan until voting day + Other (provide full details) 1. + 2. + 3. + Total Expenses subject to spending limit = Expenses not subject to spending limit Accounting and audit + Cost of fund-raising events/activities (list details in Part IV of Schedule 2) + Voting day party/appreciation notices + Office expenses incurred after voting day + Phane and/or Internet expenses incurred after voting day + Salaries, benefits, honoraria, professional fees incurred after voting day + Bank charges incurred after voting day + Interest charged on loan after voting day + Expenses related to recount + Expenses related to controverted election + Expenses related to compliance audit + Expenses related to candidate's disability (provide full details) 1. + 2. + 3. + Other (provide full details) $ �.00 � 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 � 0.00 $ O.OU $ 0.00 C1 $ $ $ $ $ � $ $ $ $ $ 100.00 1 il li 1 11! •! 11 Ili Ili 1 ii i li 1 il i il $ 0.00 $ 0.00 $ 0.00 � 1,280.00 C2 $ $ $ � $ $ $ $ $ $ $ $ $ $ 1 11 i 1! Ili ! 1! Ilt 1 11 1 11 Ili i li li 11i Ili i li 1 11 1. + $ 0.00 2. -� $ 0.00 3. + � O.OQ Total Expenses not subje�t to spending limit =$ 1,280.00 C3 Total Campaign Expenses (C2 + C3) - $ 1,280.00 C4 �x �: �alcu{a�ion of Su lu� or e�ci� Excess (deficiency) of income over expenses (Income — Totai Expenses) (C1 — C4) Eligibie deficit carried forward by the candidate from the last election � 1'otal (D1 — D2) I� there is a surplus, deduct any refund of candidate's or spouse's contributions to the campaign Surplus (or deficit) for the campaign + � D1 - $ D2 _ $ — $ _ � � 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 $ paid to municipal clerk in the municipality of 9503P (2013/11) � Page 3 of 8 Schedule 1 - Contributions � Part I— Summary of Contributions Contribution from candidate (include the value of inventory listed in Table 5) Contribution from spouse Total v'alue 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). . Total value of contributions exceeding $100 per contributor (from line 1 B; list details in Tables 1 — 4) • Include ficket revenue, contributions in money, goods and services where the total contribution from a contributor exceeds $100 (do not include contributions from candidate or spouse). Less: Contributions returned or payable to the contributor Contributions paid or payable to the clerk, including contributions from anonymous sources exceeding $10 Total Amaunt of Contributions (Record in �ox C) + $ + $ + $ + $ — $ _ � _ � 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 � Additional information is fisted on separate supplementary attachment Total Amount $ s503P (2013/11) Page 4 of 8 Table 2: onetaey contributions frorn corporations or unions �arne (Legal and Carrying on Full Acidress President or �uthoriz�d Arnount $ Business As) �usiness anager Represen��ive � Additional information is listed on separate supplementary attachment Table 3: Contributions in goods or services from individuals other than candidate or spouse (No#e: must also be recorded as expenses in Box C) �� Full Acfdress � Additional information is listed on separate supplementary attachment � Description of Goods or Services ,� Value $ B503P (2013/11) Page 5 of 8 Tabfe 4: Contributions in goods or services from corporations or unions (Note: must atso be recorded as exper Name of Corporation Full Address President or Authorized Description of (Legal and Carrying on _ Business Manager Representative Goods or Services Business As) � Additional information is listed on separate supplernentary attachment Total Part II Gontributions (Add Totals from Tables 1-�4) (Record in Part I- Sumrnary) Part I11- lnventory Table 5: Inventory af 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 $ � Additional information is listed on separate supplementary attachment To#al �'otal :s in Box C) Value $ $ Total Value $ 1B 9503P (2013/11) Page 6 of 8 �',, ., , �;, .., � .� Fundraising Event/Activiiy , Cocnplete a separate schesiu9e for each event or activity he6d � Additional schedule(s) attached Description of fundraising event/activity Date of event/activity (yyyy/mm/dd) Part 1— 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 Tot,al Ticket t3evenue (2A X 2�) (Include in Schedule 1) + $ X Part ll — Other revenue deemed a contribution (provide details (e.g. revenue from goods sold in excess of fair market value)) 1. + � 2. + � 3. + $ 4. + $ 5. + $ 1'otal Part 11 Revenue (include in Schedule 1) Pa�-t 611— Other revenue not deeraied a con�ribution (provide details (e.g. contributions of $10 or less; market value of goods or services sold)) 1. + � 2. + � 3. + � 4. + � 5. + � Tota6 Part III Revenue (include in Box C) Part 6V — Expenses related to fundraising event or activity (provide details) 1. 2. 3. 4. 5. 6. 7. 8. Tot.�l Part 1!/ Expenses (inc9ude in �ox C) 9503P (2013/11) + $ + $ + $ + $ + $ + $ + $ + $ 2A 2� _ $ _ $ _ $ _ $ 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 Municipality Contact Information Last Name Address Suite/Unit No. � Street No. � Street Name Cityrl'own -- Telephone No. (including area code) Fax No. ext. Province Email Address The report must be done in accordance with generally accepted auditing standards and must: Date (yyyy/mm/dd) Licence Number I'��1[K•I:la � set out the sc�ope 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 it� the Municipa! 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 ofFce 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