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HomeMy WebLinkAboutDavid Currie - Supplementary StatementOntario Ministry of Municipal Affairs Financial Statement - 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 paid immediately over to the clerk who is responsible for the conduct of the election. For the campaign period from (day candidate filed nomination) YYYY MM DD YYYY MM DD H2dir 1t7 �Z 1to1 X0/9 1 13-6 1 El Initial filing reflecting finances to December 31 (or 45 days after voting day in a by-election) P•SCpplementary filing including finances after December 31 (or 45 days after voting day in a by-election) Box A: Name of Candidate and Office Candidate's name as shown on the ballot Last Name or Single Name C ci jL72, z cc - Given Name(s) Office for which the candidate sought election Coce un/ ///L r Ward name or no. (if any) Municipality �l c k-ee—/ r. Spending Limit - Gene Spending Limit - Parties and Other Expressions of Appreciation [j1 -did not accept any contributions or incur any expenses. (Complete Boxes A and B only) Box B: Declaration CL.—C-4J 6 , declare that to the best of my knowledge and belief that these financial statements and attached supporting schedules are true and correct. A 4 Signature of Candidate 0(2/7/ &7/ 2 3 Date (yyyy/mm/dd) Date Filed (yyyy/mm/dd) Time Filed Initial of Candidate gent (if filed in person) Signature of Clerk or Designate 1/4.5t/.75 :36 /7, or /, .t•G�, 9503P (2018/04) © Queen's Printer for Ontario, 2018 Disponible en frangais Page 1 of 8 Box C: Statement 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) 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 = $ 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 C1 C2 C3 9503P (2018/04) Page 2 of 8 Box C: Statement 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) + $ 00, 60 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) $ 1-11 la J r ui; C1 + $ + $ + $ 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. + $ + $2 3 7/ 6'1 + $ / Pius , 7d + $ + $ + $ + $ + $ + $ +$ + $ Total Expenses subject to general spending limit + $ $ 9 Z`i 7, 37 C2 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 (2018104) Page 2 of Expenses not subject to spending limits Accounting and audit + $ Cost of fundraising events/activities (fist details in Part IV of Schedule 2) + $ Office 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 + $ 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 2,9 7, 39 C5 Box D: Calculation of Surplus or Deficit Excess (deficiency) of income over expenses (Income minus Total Expenses) (C1 C5) Eligible deficit carried forward by the candidate from the last election (applies to 2018 regular election only) Total (Di — D2) If there is a surplus, deduct any refund of candidate's or spouse's contributions to the campaign — $ $-/g77,39 DI — $ D2 _$ /g 77, 37 Surplus (or deficit) for the campaign = $ f K77, 3 , D3 If line 03 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 (2010/01) Page 3 of 0 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) + $ 2' / UO (j(� + $ 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 1 B on page 5; list details in Table 1 and Table 2) Include ticket revenue, contributions in money, goads 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) = $ '1 `/ 6 U A Part 11— 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) Name Full Address Description of Goods or Services Date Received (yyyytmm/dd) Value $ (� Additional information is listed on separate supplementary attachment Total for Part ll - Contributions exceeding $100 per contributor (Add 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 Total 1B Description of Goods or Services Date Received (yyyyhnm/dd) Value $ Additional information is listed on separate supplementary attachment Total 9803P (2018104) Page 6 al 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/m m/dd) Supplier Quantity Current Market Value $ Additional information is listed an separate supplementary attachment Total 9503P (2018104) Page 6 of 0 Schedule 2— Fundraising Events and Activities Fundraising Event/Activity 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 sates) Number of tickets sold Total Part 1 (2A X 28) (Include In Part 1 of Schedule 1) X Part It — Other revenue deemed a contribution (e,g. revenue from goods sold in excess of fair market value) Provide details 1, + $ 2, + $ 3. + $ d, + $ Total Part 11 (include in Part 1 of Schedule 1) Part ill — Other revenue not deemed a contribution (e.gcontribution of $25 or less; goods or services sold for $25 or less) Provide details 1, + $ 2. + $ 3. + $ 4, + $ 5, + $ 2A 28 $ Total Part Itt (Include under Income in Box C) _ $ Part IV — Expenses related to fundraising event or activity Provide details 1. + $• 2. + $ 3, + $ 4. + $ 5. + $ 8. + $ 7. + $ 8. + $ Total Part IV Expenses (Include under Expenses In Box C) 9503P (2018!04) Page 7 of 6 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 auditors report, Professional Designation of Auditor Municipal ty 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 Province Postal Code Telephone No. (including area code) } Email Address 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 0 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 Acf, 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 (2018104) Page a or a Signarama Pickering 1952940 Ontario Inc. 1815 Ironstone Manor U #15A Pickering Ontario L1W 3W9 Canada Phone: (905) 492-0907 Fax : 905-492-0594 richard@signarama-pickering.com http://www.signarama-pickering.com 1Signarama The way to grow your business. Confirmation For Order : 1194 - Outdoor Signage Sold To Contact Shipping/install Dave Currie Dave Currie Phone : (905) 626-9092 Email : currie9092@gmail.com Quote # ; Quote Date Sales Rep 1150 110/10/2018 1 Richard Saliba richard@signarama-pickering.com Items # Item • Vehicle Text White vinyl applied to driver and passenger side of the vehicle including the tailgate, Customer will approve mock before installation Total Sub Total $400.00 Total Tax(%) $52.00 (13.0%) Payment Terms PO 50/50 Unit Price $400.00 PO Date Total T $400.00 $52.00 Final Price Paid Net Due • $452.00 1 $226.001 $226.00 Terms And Conditions Invoices & Cancellation of Orders:Sign-A-Rama (Vendor) prepares your order according to your specifications. Therefore, prior to it's commencement, your order is only cancelable with the Vendors prior written consent. After commencement of your order (the point at which materials are assembled and work has begun), your order is non -cancelable. The Customer is Solely Responsible for Proofreading Vendor does not assume any responsibility for the correctness of copy. Therefore, you must review and sign a proof prior to our commencement of your order. By signing your proof, you approve of its content and release the Vendor to commence our work. You are solely responsible for the content of the proof once it has been signed. However, if we should make an error in producing the work as proofed, please be assured that we will redo the work as quickly as possible and without charge to you.Vendors Liability Vendors total liability is hereby expressly limited to the services indicated on the invoice and Vendor will not be liable for any subsequent damages, consequential damages, or otherwise. All dates promised on this invoice are approximations unless the word "firm' is written and acknowledged by the Vendor. Terms of Payment: Upon ordering, you must give Vendor a 50% deposit. Your balance will be due upon delivery and/or installation. Vendor may, at its sole discretion, extend credit terms to you upon approval.0 ollection Procedures: Invoices are considered delinquent thirty (30) days from the date that your order is completed. After the thirtieth day, a late charge of $25.00, together with interest accruing at the rate of 1.5% per annum, or the maximum rate allowable by law is assessed. You shall be liable for all costs related to collection of delinquent invoices, including court costs and attorney's fees. Customer's Acceptance of Work: Customers acceptance, either personal or through his/her agent(s) and/or employee(s) of the work ordered shall be deemed as full acceptance. This means that by accepting delivery of the work, customer affirms that the work substantially conforms to all expectations. Lost or Substantially Forgotten Work: If customer does not take possession of completed work within thirty (30) days from notification of completion, then the work will be considered lost or forgotten, and vendor will not be responsible for further loss. Customer will be billed and responsible for payment for work that has been completed for Dave Currie Net Due : $226.00 Signature i Date Printed On 10/10/2018 01:57 EDT by RS. Page 1 of 1 4 THISTLE PR[N1�I NG SOLD TO: Dave Currie (Pickering Ward 2) ATTN: Dave Currie Pickering, ON 35 Mobile Drive, Toronto, ON M4A 2P6 Canada Toronto 416-288-1288 / Ottawa 819-360-1581 www.thistleprinting.com INVOICE #: 94901 DOCKET # : 109812-1 INVOICE DATE: Sep 28, 2018 SALES REP: Marisa CUSTOMER NO: 4427 DATE SHIPPED CUSTOMER P.O. # F.O.B. TERMS REGISTRATION # 09/28/2018 ORIGIN DUE UPON RECEIPT 10526 4527 QUANTITY DESCRIPTION 10,000 Dave Currie Door Hanger, 4x9, 4/4 SUBTOTAL H.S.T. 13% Shipping H.S.T. 13% TOTAL INVOICE $1,690.00: A 1,690.00 219.70 0.00 1,909.70 PLEASE INCLUDE INVOICE # WITH PAYMENT. THANK YOU 1.5% PER MONTH ON OVERDUE ACCOUNTS 591G 707 FSC Cert. No.: RA -COC -0003I9 .00 • metrolandmed a * • co.necto to your cornrnunity'' Dave Currie election - Pickering (last login 2 minutes ago) Invoices Payments Activities sarahrncurrie(agmail,com Balance Due: $0.00 Last Payment', $1,935.69 on 11-0.4-2018 Send a Comment Sion Up for AutoPay You can pay invoices and more when you add a password. Add your password now, n N + Payment of $1,935.69 on 11-04-2018 Status PAID Transaction Token: Source: ERP SUMMARY Of PAY ME NT Dave Currie election - '- • Amount S1,935,69 Customer: Pickering Payment Date: 11-04-201 . , TOTA L C HA R GE References: $1,935.69 Division: Ajax Note:, Invoices Paid Division invoice Aumber Reference Stal US Due Date Anlount Paid Balance Note Ajax AJDO040188 Attachments This payment has no attachments No recent activity Recent Activity PAID 12-04-2016 61 93569 6000 (CRAI - Internal Credit Application) Inkorn me nts Other