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HomeMy WebLinkAboutGary Hugh Strangek`"Ontario 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 Auditors Report. All surplus funds (after any refund to the candidate or their spouse) shall be paid immediately over to the clerk who is responsible for the conduct of the election.. g E C. v E U Ministry otAICAigiCaIDA frrRING FEB 2 7 ?OW IERK'S. OFFICE Financial Statement - Auditor's Report Candidate - Form 4 Municipal Elections Act, 1996 (Section 88.25) For th5campaign period from (day candidate filed nomination) I .z /2 I ©7I .; 1 Initial filing reflecting finances to December 31 (or 45 days after voting day in a by-election) Supplementary filing including finances after December 31 (or 45 days after voting day in a by-election) YYYY I ? ".12I.i1 Box A Name of Candidate and :Office Candidate's name as shown on the ballot Last Name or Single Name S-777/4'47, 9 C� Given Name(s) -e7/e / /7/u Office for which the candidate sought election C'0ct,-zJC L/J <7 Municipal Spending Limit - eneral /9, .‘/r 2o Ward name or no. (if any) Spending Limit - Parties and Other Expressions of Appreciation El I did not accept any contributions or incur any expenses. (Complete Boxes A and B only) Box B: Declaration 1, h .eyxv ,' `ice �%�'�9 z.2& , declare that to the best of my knowledge and belief that these financial statements and attache g su•porting schedules are true and correct. acid (o2J.Signa re of Candidate Date (yyyyimd) Date Filed (yyyylmr fldd)• me Filed initial of Candid t (if filed in person) Signature ■ lerk or D ignat 9503P (2018/04) ® Queen's Printer for Ontario, 2018 Disponible en franca's Page 1 of 8 Box C: Statement of Campaign Income and Expenses a.a LOAN Name of bank or recognized lending institution Amount borrowed $ INCOME Total amount of all contributions (from line 1A in Schedule 1) 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. Total Campaign Income (Do not include loan) EXPENSES (Note: include the value of contributions of goods and services) Expenses subject to general spending limit Inventory from previous campaign used in this campaign (list details in Table 4 of Schedule 1) Advertising Brochures/flyers Signs (including 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. 4. 5. Total Expenses subject to general spending limit + $ + $ + $ 0 + $ + $ .------ + $ = $ -72 17 (9 c1 + $ + $ / 9 7 5)0 + $ -23 • $ + $ + $ ,,(, ' + $ + $ + $ + $ + $ + $ _ $ 33c2 EXPENSES Expenses subject to spending limit for parties and other expressions of appreciation 1. +$ 2. 3. 4. 5. Total Expenses subject to spending limit for parties and other expressions of appreciation + $ ,--------- + $ - --�—_— + $ + $ $ c3 9503P (2018/04) Page 2 of 8 Expenses not subject to spending limits Accounting and audit + $ �cSt of fundraising events/activities (list details in Part IV of Schedule 2) + $ .ce expenses incurred after voting day + $ ---- Phone and/or Internet expenses incurred after voting day + $ Salaries, benefits, honoraria, professional fees incurred after voting day + .$ Bank charges incurred after voting day + $ 1, 6 [� 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 Total Campaign Expenses (C2 + C3 + C4) + $ + $ + $ $ C4 =$ Box D: Calculation of Surplus or Deficit Excess (deficiency) of income over expenses (Income. minus Total Expenses) (C1-05) + $ Eligible deficit carried forward by the candidate from the last election (applies to 2018 regular election only) 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 — $ 01 D2 - $ 3,/, 07 =$ Q 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 is responsible for the conduct of the election. 9503P (2018/04) Page 3 of 8 Schedule 1 - Contributions Part 1— Summary of Contributions Contributions in money from candidate and spouse Contributions in goods and services from candidate and spouse (include value listed in Table 3 and Table 4) 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 Tess (do not include contributions from candidate or spouse). Total value of contributions exceeding $100 per contributor (from line 1B on page 5; list details in Table 1 and Table 2) • 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). Less: Contributions returned or payable to the contributor Contributions paid or payable to the clerk, including contributions from anonymous sources exceeding $25 Total Amount of Contributions (record under Income in Box C) +$ 9r pc + $ + $ /ro ccs + $ ,' 5-0 e . c o — $ — $ = $ Part II — Contributions exceeding $100 per contributor — individuals other than candidate or spouse Table 1: Monetary contributions from individuals other than candidate or spouse Name Full Address Date Received Amount Received $ Amount $ Returned to Contributor or Paid to Clerk • • Additional information is listed on separate supplementary attachment Total 9503P (2018/04) Page 4 of 8 Table 2: Contributions in goods or services from individuals other than candidate or spouse (Note: must also be recorded as Expenses in Box C) JMyme Full Address Description of Goods or Services Date Received (yyyy/mm/dd) Value $ • Additional information is listed on separate supplementary attachment Total Total for Part 11- Contributions exceeding $100 per contributor �d totals from Table 1. and Table 2 and record the total in Part 1 - Summary of Contributions) Part III — Contributions from candidate or spouse Table 3: Contributions in goods or services 1B Description of Goods or Services Date Received (yyyy/mm/dd) Value $ L Additional information is listed on separate supplementary attachm 9503P (2018/04) ent Total Page 5 of 8 Table 4: 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) Description Date Acquired (yyyy/mm/dd) Supplier Quantity Current Market Value $ • • • [] Additional information is listed on separate supplementary attachment Total 9503P (2018/04) Page 6 of 8 Schedule 2 — Fundraising Events and Activities Fundraising Event/Activity --Thmplete a separate schedule for each event or activity held E] 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 Total Part I (2A X 2B) (include in Part 1 of Schedule 1) ' 'Part II -- Other revenue deemed a contribution (e.g. revenue from goods sold in excess of fair market value) Provide details 1 2. 3. 4.' 5. 'MI Part I1 (include in Part 1 of Schedule 1) = $ X 2A 2B $ Part III — Other revenue not deemed a contribution (e.g. contribution of $25 or less; goods or services sold for $25 or les Provide details 1. 2. 3. 4 5. Total Part ill (include under Income in Box C) Part IV — Expenses related to fundraisin'• event or activity Provide details + $ + $ + $ 1 + $ 2. + $ 3. + $ 4. + $ 5. + $ 6. + $ 7, + $ 1 Part IV Expenses (include under Expenses in Box C) 9503P (2018/04) Page 7 of 8 Auditor's Report Municipal Elections Act, 1996 (Section 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 Municipality Date (yyyy/mm/dd) Contact Information Last Name or Single Name Given Name(s) Licence Number Address Suite/Unit No. Street No. Street Name Municipality Telephone No. (including area code) Email Address Provi' e' 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 misstatement Postal Code uracy of the financial statement and whether it is free of material Report is attached Personal information, if any, collected on this form is obtained under the authority of sections 88.25 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. 9503P (2018/04) Page 8 of 8 • GARY STRANGE CANDIDATE DONATION SUMMARY - Contributions Exceeding $100.00 Name Address `Telephone/Cel Cheque # Cheque Date Deposit Date Amount, 1 Doug Dickerson 113 Wychwood Crescent, PO Box 84, Fenelon Falls, On. KOM-1 NO 476 August 6, 2018 August 27, 2018 300.00 2 Lois Strange 1000 The Esplanade North, Unit # 504, Pickering, On. L1V-6V4 463 August 17, 2018 August 27, 2018 100.00 3 David Hare 25 Trinity Crescent, Whitby, On. L1N-6L1 (905) 433-4200 375 August 22, 2018 August 27, 2018 150.00 4 Tracy MacCharles 1008 Lytton Court, Pickering, On. L1W-3Z2 (905) 509-6722 30 August 23, 2018 August 27, 2018 500.00 5 I. Petrovich 24 Beasley Drive, Richmond Hill, Ontario L4C-7Z2 27 September 6, 2018 September 26, 2018 650.00 6 R. Tyler Armstrong 611 Ball Road, Uxbridge, Ontario L9P-1 R2 104 September 13, 2018 September 26, 2018 600.00 7 Hayssam H. Abrach 13 Seggar Avenue, Ajax, Ontario L1T-4G6 94 September 20, 2018 September 26, 2018 1,200.00 8 Alexander Libfeld 82 Arjay Crescent, Toronto, Ontario M2L-1 C7 396 September 5, 2018 September 26, 2018 400.00 9 Varda Feiner 106 Bayview Ridge, Toronto, Ontario M2L-1E7 380 September 25, 2018 September 26, 2018 750.00 10 Mark A. Miller 304 Dundas Street West, Whitby, Ontario L1 N -2M5 339 September 27, 2018 October 1, 2018 500.00 11 Michael Capesky Unit 1103, 1600 Charles Street, Whitby, Ontario L1 N -0G4 14 October 10, 2018 October 20, 2018 500.00 12 Christopher R Gransaull 76 Coolspring Crescent, Bolton, Ontario L7E-2J5 (905) 951-1584 727 October 24, 2018 November 7, 2018 400.00 13 Ashmeed Khan 12 Seggar Avenue, Ajax, Ontario L1T-4C9 (905) 426-9295 122 November 23, 2018 November 27, 2018 450.00 TOTAL 6,500.00 Sunday, February 24, 2019