HomeMy WebLinkAboutChris Braney
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~l- Ontario Ministry of Municipal Affairs Financial Statement - Auditor's Report
and Housing
Form 4
Municipal Elections Act, 1996 (Section 78)
Instructions
All candidates must complete Boxes A, B, C, D, E and F and Schedule 1. All candidates must complete Schedules 2, 3 and 4 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.
YYYY MM DD YYYY MM DD
For the campaign period from (day candidate filed nomination) 2010 01 04 to 2010 12 1
® 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)
Box A: Name of Candidate and Office
Name of Candidate
Last Name First Name I Middle Initial
3raney Chris
Mailing Address
Suite/Unit No. Street No. Street Name
265 Stover Crescent
City/Town Province Postal Code
Pickering On L 1 V 6R1
Telephone No. (incl. area code) Fax No. Email Address
Business Home
905-999-4646 905-509-2426 cbraney(dtelus.blackberry.net
Name of office for which the candidate sought election Ward Name or No. (if any)
Trustee. Public Board City of Pickering
Name of Municipality
Pickering
BOX B: Summary of Campaign Income and Expenses
1. My spending limit (as issued by clerk) was - - - - - - - - - - - - - - - - - - - - $ 46,274.30
2. Surplus (or deficit) from previous election - - - - - - - - - - - - - - - - - - - - $ 0.00
3. Total contributions received (from Schedule 1) - - - - - - - - - - - - - - - - - - - $ 4.967.29
4. My total campaign expenses that were subject to the spending limit were (from Box C) - - - $ 5.644.79
5. My total campaign expenses that were not subject to the spending limit were (from Box C) - - $ 0.00
6. Total of all campaign expenses (from Box C) - - - - - - - - - - - - - - - - - - - $ 5.644.79
7. Election campaign surplus/deficit from current election (from Box E) - - - - - - - - - - $ -677.50
8. Contributions refunded to candidate or spouse (from Box E) - - - - - - - - - - - - - $ 0.0()
9. Amount paid to clerk (from Box E) - - - - - - - - - - - - - - - - - - - - - - - $ 0.00
9503P (2010/01) @ Queen's Printer for Ontario, 2010 Disponible en frani;ais Page 1 of 8
Box C: Statement of Campaign Period Income and Expenses
From To For Candidate
YYYY MM DD YYYY MM DD
2010 01 04 2010 12 31 Chris Braney
INCOME
Candidate's surplus from immediately preceding election released by the clerk + $ 0.00
Contributions from candidate - - - - - - - - - - - - - - - - - - + $ 1,956.18
Contributions from spouse of candidate - - - - - - - - - - - - - - + $ 0.00
All other contributions - - - - - - - - - - - - - - - - - - - - - + $ 3,01 1.11
Revenue from fund-raising functions not deemed a contribution
(from Schedule 2, Part III) - - - - - - - - - - - - - - - - - - - - - + $ 0.00
Interest income - - - - - - - - - - - - - - - - - - - - - - - + $ 0.00
Other (provide full details)
1 + $ 0.00
2 + $ 0.00
3. + $ 0
Total Campaign Period Income - - - - - - - - - - - - - - - - - - - - - - - - - - - $ 4,967.29 C1
EXPENSES (Note: include the value of contributions of goods and services)
Expenses Subject to Spending Limit
Advertising - - - - - - - - - - - - - - - - - - - - - - - - + $ 918.69
Bank charges - - - - - - - - - - - - - - - - - - - - - - - + $ 10.73
Brochures - - - - - - - - - - - - - - - - - - - - - - - - + $ 1,435.10
Interest on loan - - - - - - - - - - - - - - - - - - - - - - + $ 0.00
Inventory contributed to candidate's campaign (Schedule 3) - - - - - - + $ 677.50
Meetings hosted - - - - - - - - - - - - - - - - - - - - - - + $ 0.00
Nomination filing fee - - - - - - - - - - - - - - - - - - - - - + $ 100.00
Office expenses - - - - - - - - - - - - - - - - - - - - - - + $ 0.00
Phone and/or Internet - - - - - - - - - - - - - - - - - - - - + $ 0.00
Salaries and benefits/honoraria/professional fees - - - - - - - - - + $ 0.00
Signs - - - - - - - - - - - - - - - - - - - - - - - - - - + $ 0.00
Other (provide full details)
1. Postage for brochures + $ 2,502.77
2. + $
3. + $
Subtotal - - - - - - - - - - - - - - - - - - - - - - - - - - 5,644.79 C2
Expenses Not Subject to Spending Limit
Accounting and audit - - - - - - - - - - - - - - - - - - - - + $ 0.00
Costs of fund-raising function (from Schedule 2, Part IV) - - - - - - - - + $ 0.00
Expenses related to compliance audit - - - - - - - - - - - - - - + $ 0.00
Expenses related to controverted elections - - - - - - - - - - - - + $ 0.00
Expenses related to recounts - - - - - - - - - - - - - - - - - + $ 0.00
Voting day party / appreciation notices - - - - - - - - - - - - - - + $ 0.00
Expenses related to candidate's disability (provide details)
1. + $ 0.00
2. + $ 0.00
3. + $ 0.00
Other (provide full details)
1. + $ 0.00
2. + $ 0.00
3. + $ 0.00
Subtotal - - - - - - - - - - - - - - - - - - - - - - - - - - _ is C3
Total Campaign Period Expenses (C2) + (C3) - - - - - - - - - - - - - - - - - - - - - _ Is 5,644.79 C4
Excess (Deficiency) of Income over Expenses (Cl) - (C4) - - - - - - - - - - - - - - - - _ Is 677.50)
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Box D: Statement of Assets and Liabilities as at December 31st , 2010
Assets
Cash + $ 0.00
Accounts receivable - - - - - - - - - - - - - - - - - - - - - + $ 0.00
Value of inventory retained (from Schedule 4) - - - - - - - - - - - - + $ 524.50
Other (provide full details)
1. + $
2. + $
3. + $
Total Assets - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ Is 524.50
Liabilities and Excess (Deficiency) of Income over Expenses
Accounts payable - - - - - - - - - - - - - - - - - - - - - - - + $
Borrowings, overdraft - - - - - - - - - - - - - - - - - - - - - + $
Other (provide full details)
1. + $
2. + $
3. + $
Total Liabilities - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ Is
Box E: Statement of Determination of Surplus or Deficit and Disposition of Surplus
Part I - Determination of Surplus or Deficit
Amount of excess (deficiency) of income over expenses (from Box C) - - - - - - - - - - - - - + $ (677.50) E1
Deduct: Any deficit carried forward by the candidate from immediately preceding election
if the offices are with respect to the same jurisdiction - - - - - - - - - - - - - - - - - $ 0.00 E2
Surplus (or deficit) for the campaign period (E1) - (E2) - - - - - - - - - - - - - - - - - - - _ $ (677.50)
Deduct: Any refund of contributions to the candidate or spouse (only if there is a surplus) - - - - - - - $ 0.00
Total Determination - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ Is -677.50 E3
Part II - Disposition of Surplus
If line E3 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.
Surplus paid to the municipal clerk of the municipality of 0
Box F: Declaration
I, Chris Braney a candidate in the municipality of
Pickering 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 C l; p //f t CAL-ca-i -
on (yyyy/mm/dd) oZO I. L! d 3 i t
Signature of Clerk or Commissioner Signature of Can idate
9_0tk td~/ll
Date Filed in the Clerk's Office (yyyy/mm/dd) DEBBIE M. SHIELDS, CITY CLERK,
CITY OF PICKERING,
EX OFFICIO COMMISSIONER
PURSUANT TO SECTION 10
OF THE COMMISSIONERS FOR
TAKING AFFIDAVITS ACT.
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Schedule 9 - Contributions
Part I - Contribution
Contribution from candidate - - - - - - - - - - - - - - - - - - - - - - - - - - - - + $ 11956.18
Contribution from spouse - - - - - - - - - - - - - - - - - - - - - - - - - - - - - + $ 0.00
Total from each single contributor totalling more than $100
• include all ticket revenue where ticket price exceeds $100
• include all goods and services where value exceeds $100
• do not include contributions from candidate or spouse - - - - - - - - - - - - - - - + $ 3,01 1. I 1
Total from each single contributor totalling $100 or less
• include all ticket revenue where ticket price is $100 or less
• include all goods and services where value is $100 or less'
• do not include contributions from candidate or spouse - - - - - - - - - - - - - - - + $ 0.00
*Note: Goods and services must also be reported as expenses in Box C
Less: Contribution returned or payable to the contributor - - - - - - - - - - - - - - - - - - $ 0.00
Contribution paid or payable to the clerk - - - - - - - - - - - - - - - - - - - - - - $ 0.00 1A
Total Amount of Contribution - - - - - - - - - - - - - - - - - - - - - - - - - - - _ $ 4,967.29
Total contribution from anonymous sources - - - - - - - - - - - - - - - - - - - - - - $ 1 B
Amount of contributions paid or payable to the clerk (1A) + (1 B) - - - - - - - - - - - - - - - _ $
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 Address Amount
Georgia Braney 625 Brookside Drive, Oshawa, Ontario, L I G 4G9 $ 500.00
Paul Sheehy 90 Hillside Drive, Brampton, Ontario, L6S IA6 $ 400.00
Mary Jane Viejo 1273 Fawndale Road, Pickering, Ontario, L I V 5S2 $ 500.00
❑ Additional information is listed on separate supplementary attachment Total $ 1,400.00
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Table 2: Monetary contributions from unions or corporations
Name (Legal and Carrying on Address President or Cheque Signatory Amount
Business As) Business Manager
District 13 - OSST,F 601 Palace Street, Whitby, Alison Wallace Alison Wallace $ 500.00
Ontario, LIN 6S5
Durham Region Labour 115 Albert Street, Oshawa, Jim Freeman Jim Freeman $ 1 1 1.11
Council Ontario, L I H 4R3
Bradimar Corporation 34 Vale Cresent, Ajax, Ontario, Mary Neto Mary Neto $ 500.00
LIS 4Y8
I
Sngi Capital Corp 268 Friendship Ave, Jose Suguitan Jose Suguitan $ 500.00
Scarborough, Ontario, M I C 4I-14 b
I
❑ Additional information is listed on separate supplementary attachment Total $ 1,611.11
I
Table 3: Contributions in goods or services (Note: must also be reported as expenses in Box C)
Name Address Goods or Services Amount
❑ Additional information is listed on separate supplementary attachment Total $
Total Part II Contributions $
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Schedule 2 - Fund-Raising Functions
❑ Additional schedule for each event or activity held is/are listed on separate supplementary attachment(s)
Date Description of event or activity
YYYY MM DD
Admission charge (per person)* (may not exceed individual contribution limit) - - - - - - - - - - $ 2A
*If admission charge per person is not consistent, attach complete breakdown of all ticket sales.
Number of tickets sold - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 213
Part I - Ticket Revenue
Lines: (2A) x (26) (include in Schedule 1) - - - - - - - - - - - - - - - - - - - - - - - -
Part II - Other Revenue Deemed A Contribution
Provide full details (e.g., revenue from goods sold in excess of fair market value)
1. - - - + $
2. - - - + $
3. - - - + $
4. - - - + $
5. - - - + $
6. - - - + $
7. - - - $
8. - - - + $
Total Part II Revenue (include in Schedule 1) - - - - - - - - - - - - - - - - - - - - - - _ Is
Part III - Other Revenue Not Deemed A Contribution
Provide full details (e.g., contributions of $10 or less; revenue from refreshment sold at cost)
1. - - - + $
2. - - - + $
3. - - - + $
4. - - - + $
5. - - + $
6. - - - + $
7. - - - + $
8. - - - + $
Total Part III Revenue (include in Box C) - - - - - - - - - - - - - - - - - - - - - - - - _ Is
Part IV - Expenses Related to Fund-Raising Function
Venue - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - + $
Event advertising - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - + $
Food and drink - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - + $
Entertainment - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - + $
Other (provide full details)
1. - - - + $
2. - - - + $
3. - - - + $
4. - - - + $
5. - - - + $
6. - - - + $
7. - - - + $
8. - - - + $
Total Part IV Expenses (include in Box C) - - - - - - - - - - - - - - - - - - - - - - _ $
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Schedule 3 - Inventory of Campaign Goods and Materials (from Previous Campaign)
Used in Candidate's Campaign
Description Date Acquired Supplier Unit Value Quantity Total Value
( /mm/dd)
Election Signs 2006/09/12 $ 6.00 96 $ 576.00
Wood Stakes 2006/09/12 $ 0.50 203 $ 101.50
Total Value of Inventory from Previous Campaign Used in Candidate's Campaign $ 677.50
Schedule 4 - Inventory of Campaign Goods and Materials at The End of Campaign
Description Date Acquired Supplier Unit Value Quantity Total Value
( /mm/dd)
Election Signs 2006/09/12 $ 6.00 74 $ 444.00
Wood Stakes 2006/09/12 $ 0.50 161 $ 80.50
Total Value of Inventory of Campaign Goods and Materials $ 124.50
9503P (2010/01) 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. 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
Professional Designation of Auditor
Municipality Date (yyyy/mm/dd)
Contact Person Licence No.
Last Name First Name
Address
Suite/Unit No. Street No. Street Name
City/Town Province Postal Code
Telephone No. (incl. area code) Fax No. Email Address
ext.
9503P (2010/01) Page 8 of 8
Table 2: Monetary contributions from unions or corporations
Name (Legal and Carrying on Address President or TCheque Signatory Amount
Business As) Business Manager
$
$
❑ Additional information is listed on separate supplementary attachment Total $
Table I Contributions in goods or services (Note: must also be reported as expenses in Box C)
Name Address Goods or Services Amount
❑ Additional information is listed on separate supplementary attachment Total $
Total Part 11 Contributions $
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Schedule 2 - Fund-Raising Function
❑ Additional schedule for each event or activity held is/are listed on separate supplementary attachment(s)
Date Description of event or activity
YYYY MM DD
Admission charge (per person)* (may not exceed individual contribution limit) - - - - - - - - - - I s 2A
*If admission charge per person is not consistent, attach complete breakdown of all ticket sales.
2B
Number of tickets sold - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
I
Part I - Ticket Revenue
Lines: (2A) x (2121) (include in Schedule 1) - - - - - - - - - - - - - - - - - - - - - -
Part 11 - Other Revenue Deemed A Contribution
Provide full details (e.g., revenue from goods sold in excess of fair market value)
1. - - + $
2. - - - + $
3. - - - + $
4. - - - + $
6. - - + $
7. - - - + $
8. - - + $
Total Part II Revenue (include in Schedule 1) - - - - - - - - - - - - - - - - - - - -
Part III - Other Revenue Not Deemed A Contribution
Provide full details (e.g., contributions of $10 or less; revenue from refreshment sold at cost)
1.. - - + $
2. - - - + $
3. - - + $
4. - - - + $
5. - - - + $
6. - - - + $
7. - - + $
8. - - + $
Total Part III Revenue (include in Box C) - - - - - - - - - - - - - - - - - - - - - -
Part IV - Expenses Related to Fund-Raising Function
Venue - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - + $
Event advertising - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - + $
Food and drink - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - + $
Entertainment - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - + $
Other (provide full details)
1. - - - + $
2. - - - + $
3. - - + $
4. - - - + $
5. - - - + $
6. - - - + $
7. - - - + $
8. - - - + $
Total Part IV Expenses (include in Box C) - - - - - - - - - - - - - - - - - - - - - - -
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Schedule 3 - Inventory of Campaign Goods and Materials (from Previous Campaign)
Used in Candidate's Campaign
Description Date Acquired Supplier Unit Value Quantity Total Value
(yyyy/mm/dd)
$ $
Total Value of Inventory from Previous Campaign Used in Candidate's Campaign $
Schedule 4 -Inventory of Campaign Goods and Materials at The End of Campaign
Description Date Acquired Supplier Unit Value Quantity Total Value
( /mrn/dd)
Total Value of Inventory of Campaign Goods and Materials $
9503P (2010101) 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. 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
Professional Designation of Auditor
.Municipality Date (yyyy/mm/dd)
Contact Person Licence No.
Last Name First Name
Address
Suite/Unit No. Street No. Street Name
City/Town Province Postal Code
Telephone No. (incl. area code) Fax No. Email Address
ext.
9503P (2010/01) Page 8 of8