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HomeMy WebLinkAboutCampaign Life Coalition - 3rd Partyl- inistry of Municipal Affairs Financial Statement - Auditor's Report Ontario M Third Party - Form 8 Municipal Elections Act, 1996 (Section 88.29) Instructions: All registrants must complete Boxes A, B, C and D and Schedule 1. All registrants must complete Schedule 2 as appropriate. Registrants 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 registrant or, if the registrant is an individual, their spouse) shall be paid immediately over to the clerk who was responsible for the conduct of the election. YYYY MM II DD YYYY MM DD IIIIII For the, carrMp ul w e od from `I 2; 0 I8 , ..1.. 1..._j to 2 0 1 8 _2 1 )I 0 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) Name of Registrant (individual, trade union or corpo Campaign Life Coalition Official Representative (name of person signing on behalf of trade union or corporation) Last Name or Single Name,IGiven Name(s) Gunnarson p Jeff Municipality Kitchener Spending Limit — Genera H g Limit — Parties and Other Expressions of Appreciation I Jeff Gunnarson a registrant (or official representative) declare that to the best of my knowledge and belief that these financial statements and attached supporting schedules are true and correct. 2019/02/08 ................ Signature of Registrant (or Official Representative) Date (yyyy/mm/dd) (yyyy/mm Initial of Registrant, Official Representative or Signature of Clerk or Designate Agent (if filed in person) 1,0552P (2018/04) 0 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 fund-raising 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„ Total Cam paign Income (Do not include loan) EXPENSES (Note: include the value of contributions of goods and services) Expenses subject to general spending limit 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 — wu 4. 5.. Total Expenses subject to generals spending g limit $ + $ ............................. --- 10552P (2018/04) Page 2 of 8 " $ ......... Ci 10552P (2018/04) Page 2 of 8 ................................................ .4. $ $ 10552P (2018/04) Page 2 of 8 Expenses not subject to spending limit Accounting and audit Cost of fundraising events/activities (list 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 a registrant's disability (provide full details) 1I 2 4. 5., Other (provide full details) 1. 2. ....,........ 3. 4 Total Expenses not subject to spending limits Total Campaign Expenses (C2 + C3 + C4) Excess (deficiency) of income over expenses (Income minus Total Expenses) (Cl — C5) If there is a surplus, deduct any refund of registrant's or spouse's contributions to the campaign Surplus (or deficit) for the campaign = '$ C5 IE 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 was responsible for the conduct of the election. 10552P (2018/04) Page 3 of 8 ......... = $ ........ .......... C4 = '$ C5 IE 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 was responsible for the conduct of the election. 10552P (2018/04) Page 3 of 8 Schedule 1 - Contributions Part ( — Summary of Contributions Contributions in money from registrant and (if individual) spouse + $ Contribution in goods and services from registrant and (if individual) 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 registrant or spouse). + $ Total value of contributions exceeding $100 per contributor (from line 1 B; list on page 6; 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 registrant 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) $ 1A Part 11— Contributions totalling more than $100 — individuals other than registrant or spouse Table 1: Monetary contributions from individuals other than registrant or spouse Name Full Address Date Received Amount $ Additional information is listed on separate supplementary attachment Total count $ turned to. Contributor Paid to Clerk 10552P (2018/04) Page 4 of 8 Table 2: Monetary contributions from corporations or trade unions ........ ......... ......... _ .........� Name (legal and President or Authorized Amount $ Amount $ carrying on Full Address Business Date Received Returned to Contributor business as) Manager Representative Received or Paid to Clerk E] Additional information is listed on separate supplementary attachment Total Table 3: Contributions in goods or services from individuals other than registrant or spouse (Note: must also be recorded as expenses in Box C) Description of Name Full Address Goods or Date Received Value $ Services 0 Additional information is listed on separate supplementary attachment Total Amount $ Returned to Contributor or Paid to Clerk 10552P (2018/04) Page 5 of 8 Table 4: Contributions in goods or services from corporations or trade unions (Note: must also be recorded as expenses in Box C) Name (legal President Description_ or and carrying on Pull B AuthorizedusinessRepresentative Address Bof Goods or Date Received Value $ business as) Manager I Services Additional information is listed on separate supplementary attachment Total Part 11 Contributions (Add Totals from Tables 1-4) (Record In Part I - Summary of Contributions) Part III - Contributions from registrant or spouse Table 1: Contributions in goods or services Total count $ turned to Contributor Paid to Clerk Lj Additional information is listed on separate supplementary attachment 10552P (2010/04) Page 6 of 8 Schedule 2 — Fundraising Events and Activities Fundraising Event/Activity Complete a separate schedule for each event or activity held 0 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) $ 2A Number of tickets sold X 2B Total Part 1 (2A X 26) (include in Part 1 of Schedule 1) = Part If — Other revenue deemed a contribution (e.g. revenue from goods sold in excess of fair market value) Provide details t, + $ 2. + $ .... ........................ _______.._ .... ......__ 3. + $ .,,, ....... _.... ....... ......_._........ 4,+ $ M .. .............. 5, + $ Total Part 11 (include in Part 1 of Schedule 1) Part III — Other revenue not deemed a contribution (e.g. contributions of $25 or less; market value of goods or services sold) Provide details tm + $ ..__ ....... ...------- ............... 2 + $ ............... 3. + $ 4. + $ 5. + $ Total Part III (include under Income ���,m, in Box C) mm Part IV — Expenses related to fundraising event or activity Provide details 10552P (2018/04) Page 7 of 8 A registrant who has received contributions or incurred expenses in excess of $10,000 mast attach an audftor's report. Professional Designation of Auditor Contact Information Last Name or Sinale I Address Suite/Unit No. Street No. Street Name Mun Telephone No. (including area code) The report must be done in accordance with generally accepted auditing standards and must: (yyyy/mm/dd) ce Number 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 88,29 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. 10552P (2018/04) Page 8 of 8 February 15, 2019 Dear Municipal Clerk/ Designated Official, Please accept our attached filing of the Form 8 on behalf of Campaign Life Coalition. Under the criterion of the Municipal Elections Act, Campaign Life Coalition did not act as a 3'd party advertiser and therefore has not collected any contributions or incurred any expenses. As the form did not have a check box to indicate that Campaign Life Coalition did not collect any contributions for third party advertising or incur any expenses related to third party advertising, we have been instructed to submit the entire form, filling out the first page with an original signature, but leaving the rest of the form blank, it is attached. If you have any questions or require anything further from us, please contact my assistant Shantel Jose at 416-204-9749 for immediate assistance. We thank you for your facilitation of this process. Regards, E C'11F W E ... � . ........ -- FEB 2 Z 2019 Jeff Gunnarson President Campaign Life Coalition CORPORATE SVCS DEPT LEGISLATED SVCS ightirtg )r 1ruth and Justice Campaign Life Coalition is a National Pro -Life Organization representing over 100,000 families across Canada. D N 8 I '� tl0. .s: 7 yry Y � I� � 9f r mmm._„� �,..., IN 9.,...