HomeMy WebLinkAboutHayes, TomOntario Ministry of Municipal Affairs Financial Statement —
and Housing Auditor's Report Candidate — Form 4
Municipal Elections Act, 1996 (Section 88.25)
Instructions
All candidates must complete Boxes A and B. Candidates who receive contributions or incur expenses 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 their spouse) shall be immediately paid to the clerk who is responsible
for the conduct of the election.
YYYY MM DD YYYY MM DD
For the campaign period from (day clerk received nomination) 1 2 0 2 2 l 0 7 1 2 9 1 to 1 2 0 2 3 I 0 11 0 3
n✓ Initial filing reflecting finances from start of campaign to December 31 (or 45 days after voting day in a by-election)
Supplementary filing reflecting finances from start of campaign to end of extended campaign period
B°ox A':' Name of'Candidate and Office
Candidate's name as shown on the ballot
Last Name or Single Name Given Name(s)
HAYES TOM
Office for Which the Candidate Sought Election Ward Name or Number (if any)
COUNCILLOR WARD 1
Municipality
PICKERING
Spending Limit Contribution Limit
General Parties and Other Expressions of Appreciation Contributions from Candidate and Spouse
$25,551.30 $2,555,13 $9,835.60
I did not accept any contributions or incur any expenses. (Complete Boxes A and B only)
!,BOX B:: Declaration
declare that to the best of my knowled
belief that these financial statements and attached s porting schedules are true and correct. _
-A C�<
. LAAA_�
/ C
Signature o4Cn a Date yy/mm/dd)
Date Filed (yyyy/mm/dd) Time Filed
r Initia o Id 6
or Agent (if filed in person) Signature of Clerk or Designate
0603P (2022/04) 0 Queen's Printer for Ontario, 2022 Disponiblo on frangais Page 1 of 7
Box:C . Sta*M' 1l t:of Campaign Income and Expenses
LOAN
Name of bank or recognized lending institution
Amount borrowed
INCOME
Total amount of all contributions (from line 1A in Schedule 1)
+ $
16,600.00
Revenue from items $25 or less
+ $
Sign deposit refund
+ $
Revenue from fundraising events not deemed a contribution
(from Part III of Schedule 2)
+ $
Interest earned by campaign bank account
+ $
Other (provide full details)
1.
+$
2.
+ $
3.
+$
4.
+ $
5.
+ $
6.
+ $
Total Campaign Income (Do not include loan)
_ $ 16,600.00 —Cl
EXPENSES (Note: Include the value of contributions of goods and services)
1. Expenses subject to general spending limit
Inventory from previous campaign used in this campaign
(list details in Table 2 of Schedule 1)
+ $
Advertising
+ $
5,283.88
Brochures/flyers
+ $
4,710.15
Signs (including sign deposit)
+ $
3,685.34
Meetings hosted
+ $
Office expenses incurred until voting day
+ $
102.98
Phone and/or internet expenses incurred until voting day
+ $
Salaries, benefits, honoraria, professional fees incurred until voting day
+ $
Bank charges incurred until voting day
+ $
126.46
Interest charged on loan until voting day
+ $
Other (provide full details)
1. FUEL FOR VEHICLE
+ $
200.00
2.
+ $
3.
+$
4.
+$
5.
+ $
6.
+ $
Total Expenses subject to general spending limit
= $
14,108.81 C2
2. Expenses subject to spending limit for parties and other expressions of appreciation
1. POST ELECTION CELEBRATIONS
+ $
611.48
9503P (2022/04)
Page 2 of 7
2.
+ $
3.
+ $
4.
+ $
5. --
+$
Total Expenses subject to spending limit for parties and other
= $
611.48 C3
expressions of appreciation
3. Expenses not subject to spending limits
Accounting and audit
+ $
1,695.00
Cost of fundraising events/activities (list details in Part IV of Schedule 2)
+ $
Office expenses incurred after voting day
+ $
102.83
Phone and/or Internet expenses incurred after voting day
+ $
Salaries, benefits, honoraria, professional fees incurred after voting day
+ $
Bank charges incurred after voting day
+ $
21.65
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.
+ $
4.
+ $
5.
+$
Other (provide full details)
1.
+ $
2.
+ $
3.
+ $
4.
+ $
5.
+ $
Total Expenses not subject to spending limits
= $
1,819.48 C4
Total Campaign Expenses (C2 + C3 + C4)
_ $
16,639.77 C5
Box D: Calculation of Surplus or Deficit
Excess (deficiency) of income over expenses
(Income minus Total Expenses) (C1— C5) + $ 60.23 D1
If there is a surplus, deduct any refund of candidate's or spouse's
contributions to the campaign — $ 60.23
Surplus (or deficit) for the campaign = $ D2
If line D2 shows a surplus, the amount must be paid in trust, at the time the financial statements are filed, to the municipal clerk
who is responsible for the conduct of the election.
9503P (2022/04) Page 3 or 7
Schedule 1-'.Contributions
Part I — Summary of Contributions
Contributions in money from candidate and spouse
+ $ 200.00
Contributions in goods and services from candidate and spouse
(include value listed in Table 1 and Table 2)
+ $
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
100.00
(do not include contributions from candidate or spouse).
+ $
Total value of contributions exceeding $100 per contributor
(from line 1 B; list details in Table 3 and Table 4)
• Include ticket revenue, contributions in money, goods and services
where the total contribution from a contributor exceeds $100
+ $ 16,300.00
(do not include contributions from candidate or spouse).
Less: Ineligible contributions paid or payable to the contributor
— $
Contributions paid or payable to the clerk, including contributions
from anonymous sources exceeding $25
— $
Total Amount of Contributions (record under Income in Box C)
_ $ 16,600.00 1A
Part II — Contributions from candidate or spouse
Table 1: Contributions in goods or services
Additional information is listed on separate supplementary attachment, if completed manually.
Table 2: Inventory of campaign goods and materials from previous municipal campaign used In this campaign
(Note: Value must be recorded as a contribution from the candidate and as an expense.)
Additional information is listed on separate supplementary attachment, if completed manually.
Part III — Contributions exceeding $100 per contributor — individuals other than candidate or spouse
950P (2022/04) Page 4 of 7
Table 3: Monetary contributions from individuals other than candidate or spouse
Name:,
Full Address
Date Received
(yyyy/mm/dd)
Amount
Received ($)
Amount'Returned
to Contributor or
-Paid to Clerk ($):
SEE ATTACHED SCHEDULE
16,300.00
Total
16,300.00
Additional information is listed on separate supplementary attachment, if completed manually.
Table 4: Contributions in goods or services from individuals other than candidate or spouse
(Note: Must also be recorded as Expenses in Box C.)
[] Additional information is listed on separate supplementary attachment, if completed manually.
Total for Part III —Contributions exceeding $100 per contributor
(Add totals from Table 3 and Table 4 and record the total in Part 1 — Summary of Contributions) $ 16,300.001 B
9603P (2022/04) Page 6 of 7
Schedule 2 - Fundraising Events and Activities
Complete a separate schedule for each event or activity held. I ❑ Additional schedule(s) attached, if completed manually.
Fundraising EventlActivity 1
Description of fundraising event/activity
Date of event/activity (yyyy/mm/dd)
Part I — Ticket revenue
Admission charge (per person)
$ 2A
(If there are a range of ticket prices, attach complete breakdown of all ticket sales)
Number of tickets sold
x 213
Total Part I (2A X 2B) (include in Part I of 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 (include in Part I of Schedule 1)
Part III — Other revenue not deemed a contribution
Provide details (e.g., contribution of $25 or less; goods or services sold for $25 or less)
1.
+$
2.
+ $
3.
+$
4.
+ $
5.
+$
Total Part III (include under Income in Box C)
Part IV — Expenses related to fundraising event or activity
Provide details
1.
+ $
2.
+ $
3.
+$
4.
+ $
5.
+$
Total Part IV Expenses (include under Expenses in Box C)
9603P (2022104) Page 6 of 7
qudtor',s Reporf,�--� I1un/c�paljecttons Act 4996(Sect1on 88;25�
A candidate who has received contributions or incurred expenses in excess of $10,000 must attach an auditor's report.
Professional Designation of Auditor
CPA, CA, LPA
Municipality
PICKERING
Date (yyyy/n
2022/12/19
Contact Information
Last Name or Single Name Given Name(s) Licence Number
MICHAEL I EVANS IC233756
Address
Suite/Unit Number Street Number
6 11730
Municipality
PICKERING
Street Name
MCPHERSON COURT
ONTARIO
Telephone Number Email Address
905-420-9637 michael@gtaaccountant.com
The report must be done in accordance with generally accepted auditing standards and must:
Postal Code
L1 W 3E6
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
0 Report is attached
Personal information, if any, collected on this form is obtained under the authority of sections 88.26 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 Act) 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.
9603P (2022/04) Page 7 of 7
TOM HAYES CANDIDATE DONATION SUMMARY - 2022
Name
Address
Telephone/Cell
Cheque #
Cheque Date
Deposit Date
Amount
Geoffrey L Grayhurst
138 Hanna Road, Toronto, Ontario M4G-3N7
302
August 12, 2022
August 25, 2022
700.00
Enzo Spigarelli
629 Ambenaood Crescent, Pickering, Ontario L1V-3Y6
718
August 31, 2022
September 1, 2022
250.00
David J Ryan
1028 Rouge Valley Drive, Pickering, Ontario L1V-4N7
9
August 31, 2022
September 1, 2022
500.00
Dominic N. Delic
47 Linton Avenue, Ajax, Ontario L1T-3A7
(905) 428-9342
674
September 1, 2022
September 10, 2022
250.00
Al Libfeld
82 Arjay Crescent, North York, Ontario M2L-1 C7
2800
September 8, 2022
September 15, 2022
500.00
Steven Aaron Libfeld
12 Kereven Street, Toronto, Ontario M5M-4J8
261
September 7, 2022
September 15, 2022
500.00
Paolo Sacilotto
119 Roselena Drive, Schomberg, Ontario LOG-1 TO
(905) 590-0077
131
September 13, 2022
September 15, 2022
1,200.00
Dimitrios Apostolopoulos
186 Bartley Drive, Toronto, Ontario M4A-1 E1
328
September 1, 2022
September 19, 2022
650.00
Emma Apostolopoulos
186 Bartley Drive, Toronto, Ontario M4A-1 E1
113
September 1, 2022
September 19, 2022
650.00
Katherine Apostolopoulos
186 Bartley Drive, Toronto, Ontario M4A-1 E1
329
September 1, 2022
September 19, 2022
650.00
Peter Apostolopoulos
186 Bartley Drive, Toronto, Ontario M4A-1 E1
106
September 1, 2022
September 19, 2022
650.00
Stavros Apostolopoulos
186 Bartley Drive, Toronto, Ontario M4A-1 E1
57
September 1, 2022
September 21, 2022
650.00
Shawn Lacey
7 Monterey Court, Ashburn, Ontario LOB-1AO
18
September 15, 2022
September 21, 2022
1,200.00
Lamont Dean Wiltshire
538 West Shore, Pickering, Ontario L1 W 2T6
79
October 7, 2022
October 8, 2022
1,200.00
John Carrick
130 Country Club Drive, King City, Ontario L4B-1 M4'
149
October 4, 2022
October 12, 2022
1,200.00
Glenn R Healy
2 Ontario Blvd., Ajax, Ontario L1Z-1X6
787
October 6, 2022
October 12, 2022
250.00
Dana Saccoccio
417 Woodgrange Ave., Pickering, Ontario L1 W-2B4
70
October 13, 2022
October 17, 2022
500.00
Caroline Weppler
626 Park Crescent, Pickering, Ontario L1 W-2T2
46
October 13, 2022
October 17, 2022
200.00
Lisa Planer
46 Purdon Drive, North York, Ontario M3H-4X1
34
October 13, 2022
October 19, 2022
1,200.00
1 Petrovich
408 - 99 Eagle Rock Way, Maple, Ontario L6A-5A7
49
October 17, 2022
October 19, 2022
1,000.00
Wenjin Yang
101 Gorman Ave, Woodbridge, Ontario L4H-OZ6
2
October 6, 2022
October 19, 2022
1,200.00
Alan Bird
55 Brimwood Court, Pickering, Ontario L1 V-6L1
593
October 15, 2022
October 19, 2022
500.00
Nick Dilorenzo
18-68 Millwick Drive, North York, Ontario M9L-1Y3
99
October 17, 2022
October 20, 2022
500.00
Peter Feaver
7 Monterey Court, Ashburn, Ontario LOB-1A0
429
October 26, 2022
October 27, 2022
200.00
TOTAL
16,300.00
Monday, December 19, 2022
MICHAEL EVANS
CHARTERED PROFESSIONAL ACCOUNTANT
1730 McPherson Court, Unit 6, Pickering, Ontario, L1W3E6
INDEPENDENT AUDITORS REPORT
To the City Clerk of the City of Pickering.
Qualified Opinion
I have audited the accompanying Financial Statements Auditor's Report Form 4 (the "Financial
Statements") of Tom Hayes (the "Candidate"), which comprise the Statement of Campaign Income and
Expenses, the Calculation of Surplus or Deficit, and the attached schedules of Contributions for the
campaign period from July 29, 2022 to January 3, 2023 relating to the election held on October 24, 2022.
In my opinion, except for the possible effects of the matter described in the Basis for Qualified Opinion
paragraph the Financial Statements for the campaign period from July 29, 2022 to January 3, 2023 are
prepared, in all material respects, in accordance with the accounting requirements of subsections 88.8
through 88.31 of the Municipal Elections Act, 1996.
Basis for Qualified Opinion
I conducted my audit in accordance with Canadian generally accepted auditing standards. My
responsibilities under those standards are further described in the Auditors responsibilities for the audit
of the financial statements section of our report. I am independent of the Candidate in accordance with
the ethical requirements that are relevant to my audit of the Financial Statements in Canada. I have
fulfilled my other ethical responsibilities in accordance with these requirements. I believe that the audit
evidence I have obtained is sufficient and appropriate to provide a basis for my qualified opinion.
Due to the nature of the types of transactions inherent in an electoral campaign, the completeness of
contributions and other revenues of goods and services and receipts and disbursements is not
susceptible to satisfactory audit verification. Accordingly, my verification of these transactions was
limited to the amounts recorded in the accounting records of the Candidate. and I was not able to
determine whether any adjustments might be necessary to contributions and other revenue, expenses,
assets and liabilities, and surplus or deficit.
Emphasis of Matter— Basis of Account and Restriction on Distribution and Use
The Financial Statements are prepared to assist the Candidate in complying with the provisions of
subsections 88.8 through 88.31 of the Municipal Elections Act. 1996. As a result, the Financial
Statements may not be suitable for another purpose. My report is intended solely for the Candidate and
the Ministry of Municipal Affairs and Housing and should not be distributed to or used by parties other
than the Candidate and the Ministry of Municipal Affairs and Housing. My opinion is not modified in
respect of this matter.
Responsibilities of the Candidate
The Candidate is responsible for the preparation of the Financial Statements in accordance with the
provisions of subsections 88.8 through 83.31 of the Municipal Elections Act. 1996. and for such internal
control as the Candidate determines is necessary to enable the preparation of the Financial Statements
that are free from material misstatement, whether due to fraud or error.
Auditors responsibilities for the audit of the Financial Statements
My objective is to obtain reasonable assurance about whether the Financial Statements as a whole are
free from material misstatement, whether due to fraud or error, and to issue an auditor's report that
includes my opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an
audit conducted in accordance with Canadian generally accepted auditing standards will always detect a
material misstatement when it exists. Misstatements can arise from fraud or error and are considered
material if, individually or in aggregate, they could reasonably be expected to influence the economic
decisions of users taken on the basis of these Financial Statements.
As part of an audit in accordance with Canadian generally accepted auditing standards, I exercise
professional judgement and maintain professional skepticism throughout the audit. I also:
Identify and assess the risks of material misstatement of the Financial Statements, whether due
to fraud or error, design and perform audit procedures responsive to those risks, and obtain
audit evidence that is sufficient and appropriate to provide a basis for my qualified opinion. The
risks of not detecting a material misstatement resulting from fraud is higher than for one
resulting from error, as fraud may involve collusion, forgery, intentional omissions,
misrepresentations, or the override of internal control.
Obtain an understanding of internal control relevant to the audit in order to design audit
procedures that are appropriate in the circumstances, but not for the purpose of expressing an
opinion on the effectiveness of the Candidate's internal control.
Evaluate the overall presentation, structure and content of the Financial Statements and
whether the Financial Statements represent the underlying transactions and events in a manner
that achieves fair presentation.
I communicate with the Candidate regarding, among other matters, the planned scope and timing of the
audit and significant audit findings, including any significant deficiencies in internal control that I identify
during my audit.
I also provide the Candidate a statement that I have complied with relevant ethical requirements
regarding independence and communicate with the Candidate regarding all relationships and other
matters that may reasonably be thought to bear on my independence, and where applicable, related
safeguards.
Michael Evans, CPA
Chartered Professional Accountant, Licensed Public Accountant
Toronto, Ontario
December 19, 2022