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Home My WebLink AboutKuhn, Davidw��,,�� in��/of�unidpa|A�/im ��'��'�U ��'��nx� ��Ut �~ ��"K U��Un U�� Financial - ' ----- Auditor's - ''—^ Candidate - Form 4 Municipal Elections Act, Y0Q6(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 and Schedule 2 as appropriate. Candidates who receive contributions or incur expenses in excess of $10,000 must also attach anAuditor'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 ofthe election. vvYY Mm om Yvvv mm oo For the campaign period from (day candidate filed nomination) 1 2 0 1 8 1 0 7 1 0 to ��Initial filing reflecting finances toDecember 31 (or 45days after voting day inoby-e|ectiun) FlSupplementary filing including finances after December 31 (or 45days after voting day inaby-a|aotion) Box A:Name ofCandidate and Office � Candidate's name as shown on the ballot Last Name or Single Name Given Name(s) Kuhn David Office for which the candidate sought election Ward name or no. (if any) WRDSB Trustee N/A Municipality Kitchener Spending Limit - General Spending Limit - Parties and Other Expressions of Appreciation F7|did not accept any contributions cxincur any expenses. (Complete Boxes Aand Bonly) Box B: Declaration |. David Kuhn .declare tbotho8mbeeofmyknowledgeandbeliefd/at these financial statements and attached supportinq schedules are true and correct. 2018/10/29 Sigr�ature of Candidate Date (yyyy/mm/dd) Date Filed (yyyy/mm/dd) Time Filed Initial of Candidate or Agent (if filed in person) Signature of Clerk or Designate 40( /1 IV , Ranjeni Reddy, a Commissioner, etc., Province of Ontario, for the Corporation ofthe City of Kitchener. 9503P (2018/04) 0 Queen's Printer for Ontario, 2018 Disponible an franrais Page 1 of 8 Box C:Statement of Campaign Income and Expenses LOAN Expenses subject to spending limit for parties and other expressions of appreciation Name ofbank urrecognized lending institution + $ 2. Amount borrowed $ 3. +* INCOME + $ 5. Total amount ofall contributions (from line 1AinSchedule 1) + $ 809825 Revenue from items $25 or less + $ Sign deposit refund + $ Revenue from fundraising events not deemed aoontribution (from Part III of $ Schedule 2) + Interest earned bycampaign bank account + $ Other (provide full details) 1. Papal accountverification deposits + $ 028 2. + $ 8. +$ 4. +$ 5. +$ Total Campaign Income (Do not include loan) = $ 809853 c1 EXPENSES (Note: include the value of contributions of goods and oemioen) Expenses subject mogeneral spending limit Inventory from previous campaign used in this campaign (list details in Table 4 of * 8375 Schedule 1) + Advertising + 576092 Brochures/flyers + $ 875.74 Signs (including sign deposit) + $ 1,059.37 Meetings hosted + $ Office expenses incurred until voting day + $ Phone and/or in1emetexpenses incurred until voting day + $ Go|orieo, bonofito, honomho, professional haen incurred until voting day + $ 100.00 Bank charges incurred until voting day + $ 15.53 Interest charged unloan until voting day + n Other (provide full details) 1 . PaylPalAccount fees _ +$ 175 3, Car Mo �m��t +$ 13G06 [orde - ' ' +� 125.51 4. Headshota/Pictunea + $ 50.00 5.VVabsUe/Donlain +$ 46.70 Total Expenses subject to general spending limit = $ 8,055.38 C2 EXPENSES Expenses subject to spending limit for parties and other expressions of appreciation 1. + $ 2. + $ 3. +* 4. + $ 5. + $ Total Expenses subject tospending limit for parties and other expressions of appreciation ~ $ C3 9503P (2018/04) Page 2 of 8 Expenses not subject vospending limits Accounting and audit Cost of fundraising events/activities (list details in Part IV of Schedule 2) Office expenses inournadoMermkingduy Phone and/or in0ematexpenses incurred after voting day Salaries, benefits, honoraria, professional fees incurred after voting day Bank charges incurred after voting day Interest charged unloan after voting day Expenses related \orecount Expenses related tucontroverted election Expenses related tocompliance audit Expenses related tucandidate's disability (provide full details) 1. _ — ' 5. Other (provide full details) ' _ 3. 4. 5. Total Expenses not subject tuspending limits Total Campaign Expenses (C%+C3+C4) +� +* C4 Box D: Calculation ofSurplus orDeficit Excess (deficianc0ofincome over expenses (income minus Total Expenses) (C1—05) + $ 43.15 D1 Eligible deficit carried forward bythe candidate from the last election (applies tu2O10regular election only) — $ D2 Total (O1—D2) = $ 43.15 |fthere ieasurplus, deduct any refund ofcandidate's or ._ sr mume'onon1rihutionoto the campaign _ ,— $ 43 Surplus (or deficit) for the campaign = $ n3 Ifline D3shows asurplus, the amount must b*paid in trust, at the time the financial statements are filed, to the municipal clerk who is responsible for the conduct ofthe election. 9503P (2018/04) Page 3 of 8 Schedule 1 -Contributions Full Address Date Received Pmrt|—Summeryvf:vnthbuUons Amount $ Returned to Contributor or Paid to Clerk Daniel Graham Jr Contributions in money from candidate and spouse + $ 4,000.00 Contributions ingoods and services from candidate and spouse Susan Graham 25 WYANDOTTE Crt Kitchener (include value listed inTable 8and Table 4) + $ 8375 Total value nfcontributions not exceeding $1OUper contributor 406-163 THALER Ave Kitchener 2018/08/10 ^ Include ticket revenue, contributions inmoney, goods and services where the total contribution from acontributor iu$1O0orless (do not 2018/08/23 1,000.00 include contributions from candidate nrapouoo). + $ 575.00 Total value of contributions exceeding $100 per contributor (from line I B on page 5; 1,000.00 list details inTable 1and Table 2) 101 Largo Woods Ln West Montrose 2018/09/24 ^ Include ticket revenue, contributions inmoney, goods and services where Paul Stickney the total contribution from acontributor exceeds $1OO(do not include 2018/10/17 125.00 contributions from candidate orspouma). +$ 352500 Lome: Contributions returned urpayable tothe contributor — $ Contributions paid nrpayable tothe clerk, including contributions from anonymous sources exceeding $25 — $ F-1 Additional information is listed on separate supplementary attachment Total Total Amount ofContributions (record under Income inBox C) = $ 8183'751A Part 11 —Contributions exceeding $100 per contributor— individuals other than candidate or spouse Name Full Address Date Received Amount Received $ Amount $ Returned to Contributor or Paid to Clerk Daniel Graham Jr 25 WYANDOTTE Crt Kitchener 2018/08/10 300.00 Susan Graham 25 WYANDOTTE Crt Kitchener 2018/08/10 300.00 Daniel Graham Sr 406-163 THALER Ave Kitchener 2018/08/10 300.00 Waterloo 2018/08/23 1,000.00 Randall Kuhn 108 MARTINGLEN Cres Kitchener 2018/08/26 1,000.00 Donald Kilimnik 101 Largo Woods Ln West Montrose 2018/09/24 50000 Paul Stickney 180 MURDOCK Ave, Waterloo 2018/10/17 125.00 F-1 Additional information is listed on separate supplementary attachment Total 3,525.001 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) Total for Part U - Contributions exceeding $1U0per contributor (Add totals from Table I and Table 2 and record the total in Part I - Summary of Contributions) 3,525.00 1B PortN—CuntribuUonnfrnmcandidatavrspouoo Table 3: Contributions ingoods urservices 9503P (2018/04) Page 5 of 8 Description ofGoods nrSurviueo| Oa�eennw*u |Value $ | m�d) | [] Additional information islisted onseparate supplementary attachment Total | 83.75 Table 4:Inventory ufcampaign goods and materials fnmop,wiousmunioipa|oampaignuaedinthiscampaign Description Date Acquired Supplier Quantity Current Market 24 x 20 Bag signs + metal frames 2014/09/01 Sherwood Copy + Print, Kitchener 25 83.75 F-1 Additional information is listed on separate supplementary attachment Total 83.75 9503P (2018/04) Page 6 of 8 Schedule 2—Fundraising Events and Activities FundmlsinQEvmnt/uodvity Complete a separate schedule for each event or activity held FlAdditional uchmdule(s)attached Description offundraising event/activity Date ufevent/activity (yyyyAnm/dd) Part|—Tiche ,m/m,uo Admission charge (per person) (if there are arange ofticket prices, attach complete breakdown ofall ticket sales) � Number oftickets sold x Total Part |(2AX 2B)(include inPart 1ofSchedule 1) podU—OthnrrovanuudeemudaconmhbuUun (e.g.revenue from goods sold inexcess offair market value) Provide details 1. + o 2. + $ 3. + $ 4. + $ 5. + $ Total Part U(include inPart 1ofSchedule 1) PartU|—Ot errevvnu*n'udoonmodaunnmhbubun (e.g.contribution of$25urless; goods urservices sold for $25urless) Provide details 1. + $ 2. + $ 3. +$ 5. + * Total Part III (include under Income inBox C) Part IV—Expenoenrelotedto fundraising event o,activity Provide details 1. + $ 2. + $ 3. +$ 4. + $ 5. + $ 6. +$ T +$ & +$ Total Part [VExpenses (include under Expenses inBox C) uA 2B 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 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 ❑ 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