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HomeMy WebLinkAboutVrbanovic, Berry - SupplementaryOntarb M M ou in inistry of Municipal Affairs I d H Instructions: Financial Statement — Auditor's Report Form 4 Municipal 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 of 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 DID For the campaign period from (day candidate filed nomination) L2 1 J__T_j 20 to L� 3 1 L 8 O_ _j Primary filing reflecting finances to December 31 (or 451h day after voting day in a by-election) Supplementary filing including finances after December 31 (or 451h day after voting day in a by-election) Box A: Name of Candidate and Office Candidate's name as shown on the ballot Last Name Given Name(s) Vrbanovic Berry Name of office for which the candidate Mayor Name of Municipality Kitchener Spending limit issued by clerk $132,69&50 Ward name or no. (if any) [:] I did not accept any contributions or incur any expenses other than the nomination fee, (Complete Box A and B only) Box B: Declaration 1, Berry Vrbanovic , a candidate in the municipality of Kitchener 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) inthe A!if_1Y1_.,0r 41 17?1 H6 Ajek on (yyyy/mm/dd) '90i� 5 c� 7 -aA41 0, C Signet Zeof Clerk or orrimissjoner -3L;,)-7 Date Filed in the Clerk's Office (yyyy/mm/dd) nature of Candidate 9503P (2013/11) @ Queen's Printer for Ontario, 2013 Disponible en frangais Page 1 of 9 fox C #atert�ert of,Carr9paiget Income an'& Expenses LOAN Name of bank or recognized lending institution Amount borrowed $ INCOME Total amount of all contributions (From line 1A in Schedule 1) Refund of nomination filing fee Sign deposit refund Revenue from fund - raising events not deemed a contribution (From Part III of Schedule 2) Interest earned by campaign bank account Other (provide full details) 1. I + $ 91,106.15 + $ 200.00 + A + $ 3. + $ -- Total Campaign Income (Do not include loan) _ $ 91,306,15 C1 EXPENSES (Note: include the value of contributions of goods and services) Expenses subject to spending limit Nomination filing fee + $ 200,00 Inventory from previous campaign used in this campaign (list details in Table 5 of Schedule 1) + $ Advertising + $ 28,294.644 Brochures /flyers + $ 22,464.00 Signs (including sign deposit) + $ 13,127.11 Meetings hosted + $ Office expenses incurred until voting day + $ 3,342.81 Phone and /or Internet expenses incurred until voting day + $ 1,439.67 Salaries, benefits, honoraria, professional fees incurred until voting day + $ Bank charges incurred until voting day + $ 748.08 Interest charged on loan until voting day + $ Other (provide full details) 1. Telephone Research + $ 16,329.50 2. Rent + $ .1,469.00 3. Insurance + $ 810.00 Total Expenses subject to spending limit = _$ ___ 88,224.81_ C2 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 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. Other (provide full details) 2. 3. Total Expenses not subject to spending limit Total Campaign Expenses (C2 + C3) + $ 1,300.00 + $ 452.00 + $ 1,329.34 + $ $ 3,081.34 C3 $ 91,306.15 C4 9503P (2013/11) Page 2 of 9 Box D: Calculation of Surplus or Deficit Excess (deficiency) of income over expenses (Income — Total Expenses) (Cl — C4) + $ 0.00 131 Eligible deficit carried forward by the candidate from the last election — $ D2 Total (Di - D2) $ 0,00 If there is a surplus, deduct any refund of candidate's or spouse's contributions to the campaign — $ Surplus (or deficit) for the campaign = $ 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 (2013111) Page 3 of 9 Schedule i - Contributions Part I — Summary of Contributions Contribution from candidate (include the value of inventory listed in Table b) Contribution from spouse 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 (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 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 $10 Total Amount of Contributions (Record in Box C) + $ 6,154.65 + $ 1.1,356.10 + $ 73,595.40 = $ 91,106.15 1 A 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 I Full Address I Amount $ ® Additional information is listed on separate supplementary attachment Total 3414'7.70 9503P (2013111) Page 4 of 9 Table 2: Monetary contributions from corporations or unions Name (Legal and Carrying on Business As ) Full Address President or Business Manager Authorized Representative Amount $ ® Additional information is listed on separate supplementary attachment Total 37,400.00 Table 3: Contributions in goods or services from individuals other than candidate or spouse Note: must also be recorded as ex enses in Box G Name Full Address Description of Goods Value $ or Services ® Additional information is listed on separate supplementary attachment Total 9503P {2013/1 1) Page 5 of 9 Table 4: Contributions in goods or services from corporations or unions (Note: must also be recorded as expenses in Box 0) Name of Corporation Full Address President or Authorized Description of Value $ (Legal and Carrying on Business Manager Representative Goods or Services Business As Esteeniedia 619 Beechwood Discount on $200.00 Productions Drive, Waterloo ON Video N2T IZ3 Production Civilian Screen I Queen St N, Cory Blurry Discount on T- $3 t7.70 Printing Inc. Kitchener ON N2I-I shirts 2G7 Westmount Signs 347 Weber St N Discount on $660.00 Waterloo ON N27 Election Signs 3f-I8 Tim .Hortons - 1426 Weber St E Food Donation $225.00 Weber St E Kitchener ON to Office A to `L Mobile Ltd 43 Manor Drive Discount on $650.00 Kitchener ON N'-'A Mobile Election 2T9 Signs ❑ Additional information is listed on separate supplementary attachment Total Part II Contributions (Add Totals from Tables 1-4) (Record in Part I - Summary) Part III - Inventory Table 5: Inventory of 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) Total s $2,052.701 B Description Date Acquired Supplier Current Market Quantity Total Value $ (wVv /mmfdd) I I Value $ 9503P (2013111) Page 6 of 9 ❑ Additional information is listed on separate supplementary attachment Total 9503P (2013111) Page 7 ol9 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 Meet and Greet Cocktail Party Date of event/activity (yyyy /mm /dd) 2014/10/02 Part I — Ticket Revenue Admission charge (per person) (If there are a range of ticket prices, attach complete breakdown of all ticket sales) + $ 20.00 2A Dumber of tickets sold X 82.00 2B Total Ticket Revenue (2A x 2B) (Include in Schedule 1) _ $ 1,640.00 Part II — Other revenue deemed a contribution (provide details (e.g. revenue from goods sold in excess of fair market value)) 1. Food + $ 2. + $ 3. + $ 4. + $ 5. + $ Total Part II Revenue (include in Schedule 1) Part III — Other revenue not deemed a contribution (provide details (e.g. contributions of $10 or less; market value of goods or services sold)) 1. Raffle Tickets + $ 1,691.00 2. + $ 3. + $ 4. + $ 5. + $ Total Part III Revenue (include in Box C) Part IV — Expenses related to fundraising event or activity (provide details) 1. Food + $ 452.00 2. + $ 3. + $ 4. + $ 5. + $ 6. + $ 7. + $ a. + $ Total Part IV Expenses (include in Box C) _ $ 1,691.00 _ $ 452.00 9503P (2013111) Page 8 of 9 +�L 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 Chartered Professional Accountant municipality Date (yyyylmmldd) Waterloo 2015/03/20 Contact Information Name Licence Number Last Name First Name Betik Matthew 1 -20130 Address Suite /Unit No. Street No. Street Name 200 115 King street south City/Town Province Postal Code Waterloo ON N2J 5A3 Telephone No, (including area code) Fax No. Email Address 519- 747 -8245 ext. mbetik @kpmg.ca 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 ® 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 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 (2013/11) Page 9 of 9 BERRY VRBANOVIC FOR MAYOR CAMPIAGN FORM 4 SCHEDULE 1- CONTRIBUTIONS Part 11- List of Contributions from Each Single Contributor more than $100 Table 1 Name Name Address Amount Bernie Nimer 260 King Street W Suite 200 Kitchener, ON N1G 1B6 750.00 Bettina Cook 570 Manorwood Cr1 Waterloo, ON N2K 31-6 750.00 Chris Toushan 116 Deerfield Ave Kitchener, ON N2B 1C8 750.00 David Seton 260 King Street W Suite 200 Kitchener, ON N2G IB6 750.00 Dawn Allensen 494 Lexington Cres Waterloo, ON N2K 2J8 750.00 Don Bourgejos 94 Windrush Trail Kitchener, ON N2P 2B3 750.00 Don Zehr 607 King St, W., Suite 205A Kitchener N2G fC7 750,00 Erin Rothfischer 2259 Daffodil Crt Oakville, ON L6J 5Y2 750.00 Faisal Raja 62 Forest Edge Trial Kitchener, ON N2P 21-9 750.00 Frank Voisin 44 Juniper Cres Kitchener, ON N2M 4M4 750.00 Gary Howell 91 Gatewood Road Kitchener, ON N2M 4E3 750.00 Geoffrey or Margaret Moore Willowdale, ON M2K 2B1 750.00 George Dreer 70 Carriage Lane Guelph, ON N1H 6H9 750.00 Ghada AI- Shurafa 779 Columbia Forest Blvd Waterloo, ON N2V 2M6 750.00 Greg Voisin 3332 Bleams Rd New Hamburg, ON N3A 2,17 750.00 Ian Klugman 73 Tang lewood Ave Kitchener, ON N23 1S5 750,00 tram Abbasi 62 Forest Edge Trail Kitchener, ON N2P 21-9 750.00 Lianting Chen 547 Sandbrook Ct Waterloo, ON N2T 2H4 750,00 Michael Wekerle 287 Forest Hill Rd Toronto, ON M5P 2N3 750.00 Patrick & Christine George 205 Deer Ridge Road 750,00 Rabih Fawaz Alkhatih 779 Columbia Forest Blvd Waterloo, ON N2V 2M6 750.00 Ron Schlegel 1363 Cameron Road RR #1 Ayr, ON NOB 1EO 750.00 Thomas Rothfischer 2259 Daffodil Crt Oakville, ON L6J 5Y2 750,00 Amarjit Singh 96 Old Forest Lane Kitchener, ON 700,00 Bakhshinder Singh Old Forest Cr Kitchener, ON 700.00 Adolf Gubler 51 Notchwood Crt Kitchener, ON N2A 31-5 500.00 Charles MW Ormston 508 New Dundee Road Kitchener, ON N2P 2N7 500.00 Dr. Paul Salvini 459 Deer Ridge Dr Kitchener, ON N2P OA7 500.00 Gordon W Gee 242 Deer Ridge Dr Kitchener, ON N2P 2K5 540.00 James Phillips 27 Michael Myers Rd Baden, ON N3A 4S5 500.00 Jane Black 50 Bryan Court Kitchener, ON N2A 4N4 500.00 Manfred & Penny Conrad 3167 Weimar Line R.R. 3 Wellesley, ON NOB 2TO 500.00 Marie Durrer- Voisin 3332 Bleams Road New Hamburg, ON N3A 2J7 500.00 Martin Jones 397 Twinflower Cr 500,00 Mary N Bales 29 Ahrens St 500.00 Murray Gamble 270 Union Blvd Kitchener, ON N2M 2T1 500,00 Pat Grebe 547 Hallmark Dr Waterloo, ON N2K 3P3 500.40 Patrick Smola 49 Lower Mercer St Kitchener, ON N2A 4N3 500.00 Ronald Doyle 329 Crawford St Toronto, ON M6J 2V7 500.04 Ghufran Mahboob 697 Laurelwood Dr Waterloo, ON N2V 2T8 400.00 BERRY VRBANOVIC FOR MAYOR CAMPIAGN FORM 4 SCHEDULE 1- CONTRIBUTIONS Part II - List of Contributions from Each Single Contributor more than $100 Table 1 Name Name Address Amount Harold Seegmiller 7 Westgate Walk Kitchener ON N2M 2T7 350.00 Aaron Delsaut 206 Max Becker Dr Kitchener, ON N2E 4G2 250.00 Daniel Flanagan 45 Marquette Dr Kitchener, ON N2P 2H2 250.00 Henry Walser 35 Heather Ave Kitchener, ON N2B 1 M2 250.00 James Ball 28 Halliwell Dr Ktichener, ON N2B 2M3 250.00 Jim Wilgar 287 Glasgow St Kitchener, ON N2M 2M6 250.00 Marcus Shantz 15 Ellen Street West Kitchener ON N2H 4K1 250.00 Meenesh Gopat 245 Colton Circle Kitchener ON N2A 4K2 250.00 Mani Lagonia Kitchener, ON N2A 3W3 250.00 Murray Costello 31 Fladd Ct Elora, ON NOB 1S0 250.00 Robert Astley 574 Strathmere Crt Waterloo, ON N2T 2K2 250.00 Robert Crow 35 Alexandra Ave Waterloo, ON N21- 1L4 250.00 Ron Schwark 346 Golf Course Rd Conestogo, ON NOB 1N0 250.00 Sean Campbell 591 Thorndale Dr Waterloo, ON N2T 2R1 250.00 Terry Fylnn 103 Old Park Ln Kitchener, ON N2N 2K1 250.00 Timothy Wideman 2980 King St E Kitchener, ON N2A 1A9 250.00 Zeijko Rovic 825 Weber St E Suite #3 Kitchener, ON N2H 1 H5 250.00 Carl Zehr 14 Black Maple Cres Kitchener, ON N21? 2W7 200.00 Carol Spisic Kitchener, ON N2B 1 B7 200.00 Craig Robson RR 3 Ayr, ON NOB 1E0 200.00 Dan Carli Donor 71 Sherwood Ave Kitchener, ON N2B 1J8 200.00 Esther Gascho 16 -695 Block Line Rd Kitchener, ON N2E 3K1 200.00 James Beingessner 39 Inverness Dr Kitchener, ON N2M 2R6 200.00 John Milloy 50 Janet Ct Kitchener, ON N2A 4138 200.00 Larry Wolynetz 18 Maimonides Crt Thornhill, ON L4J 4X8 200.00 Laverne Brubacher 29 Water St Suite 16 St. Jacobs, ON NOB 2NO 200.00 Mac Voisin 2046 Old Mill Road Kitchener, ON N2P 1E2 200.00 Roy Cameron 22 Ahrens St W Kitchener, ON N2H 4B7 200.00 Terry Boutilier 8 Sugarmi0 Crt Kitchener, ON N2P 2S3 200.00 William Carter 244 Stanley Dr Waterloo, ON N21- 1H8 200.00 Greg Shoniker 162 Forest Grove Cres Dorchester, ON NOL 1G3 150.00 Mark Jackson 223 Erb St W Unit 1004 Waterloo, ON N21- O133 150.00 Ross Shantz 22 Anita Dr St. Clements, ON NOB 2MO 150.00 Ross Wells 38 Ahrens St W Kitchener, ON N2H 4B7 150.00 Warren & Martha Stauch 244 Simeon St Kitchener, ON N2H 1T3 150.00 Bob May 108 Glen Lake Ores 145.24 C Thomas Cobean 335 Blackhorne Drive Kitchener, ON N2E 2133 125.00 Paul Britton 540 Bingeman Centre Drive Kitchener, ON N28 3X9 122.46 34,142.70 0 Q r-1 id Qi A Z E Q aA+ 0. 3 a z O o O 4J a � �zv�N o� O w O oC u a �U W � C W A Z '+- Q L 0 LU m > L W � to A r L fO 0 E 4 a p U 0 Q a a V C: Q IL al ate+ N �I E I E m Z O Ca LS 0 C7 O O O O a O O 0 0 b 4 0 O O p p O C7 O O O O p O C) O O a a O O C3 O O C) C) C] O C7 4 CQ O C7 O C] Q O O 0 C7 C7 0 O C) O to i-- r`- n n r- n n n ti r- ti n M r- ti N � rl ti N 4 1 Z X Z 0 Q W U] �' W j m W c:> O Cl) N r e- () .- r7 LO N (0 IT M O r U U t0 W fn --A U Q OY � W J > Z T W m U N N N N N O N N (0 N N N N N cp — N 47 N Z Z Z Z ,Z Z Z Z Z Z Z }- Z Z Z J Z Z J Z Z Z Z z Z Z Z Z Z Z Z m Z Z Z Z Z Z Z •Z O O O O O O O O O O O ¢ O O O O O O O O c c o c o c c c c a o a c o c N CL C3 Y L 4) C O AN a w f t O .- e O •7 co Z; U tU = ca U 31 Y Y cf 3: X a O (7 Y T Y O C N N O .0 O — N Q N b G a E EL a v m cq O U m co 'a (7 N 03 Cd v O O O J Al .a Qy7 a W O C J LL tR O c0 r6 tti _ C d CL ...i C O dl O O E C > CL O O O ° `� � °- N o � a U 3 b O o U cl v > > b ❑ a> d) N T m c�� o w � N m E i t (:2 2 r) c m U :g : y N ° a} Q m m U U €� q W 0 (D � T � � � Z iL v 0 ar Q m Y U � m A N C U O O N X p� ca 1� Q N 3 lOO (1) N it N D C1i O N ❑ � W � j Z O (n O aJ � n! 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