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HomeMy WebLinkAboutEstoesta, Samantha Marie Oliverirar� }r'Ontario Ministry of Municipal Affairs Financial Statement - Auditor's Report Candidate - Form 4 Municipal Elections Act, 1996 (Section 88.25) Instructions Ali 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. YYYY MM DD YYAMM DD For the campaign period from (day candidate filed nomination) to Initial filing reflecting finances to December 31 (or 45 days after voting day in a by-election) E] Supplementary 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 sougnt election Municipality Spending Limit - General 1 t q N,., ..if . 2z Given Name(s) i. Ward name or no. (if any) t: Spending Limit - PartiesandC I did not accept any contributions or incur any expenses. (Complete Boxes A and B only) Box B: Declaration I declare that to the best of my knowledge and belief that these financial statements and attached supporting schedules are true and correct. ate Filed ( /mm/dd) Time Filed a0 t 973125 1 331 or n perso Date (yyyy/mm/dd) 9503P (2018/04) © Queen's Printer for Ontario, 2018 Disponible an frangais Page 1 of 8 Box C: Statement of Campaign Income and Expenses ,,m„ Name of bank or recognized lending institution Amount borrowed INCOME Total amount of all contributions (from line 1A in Schedule 1) N $ 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 + $� Other (provide full details) I r$ + $ , w „ _ ...... . ......................... —. 4. + $ 5 $ Total Campaign Income (Do not include loan) $ ✓ _`= t� Expenses not subject to spending limits Accounting and audit + $ Cost of fundraising events/activities (list details in Part IV of Schedule 2) ,........ � + $ . ....................... m ........ Office expenses incurred after voting day + Phone and/or internet expenses incurred after voting day + T 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 a,$...,� Expenses related to compliance audit + $ Expenses related to candidate's disability (provide full details) 1, — + $ +$ 3 $ $ 5, + $ Other (provide full details) 1. $ 2,. + $ 1$ 3 . ,,, ---, „r,: $ 5. +$ Total Expenses not subject to spending limits $ C4 Total Campaign Expenses (C2 + C3 + C4) 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) $ D Total (D1 — D2) .m If there is a surplus, deduct any refund of candidate's or spouse's contributions to the campaign _ $ Surplus (or deficit) for the campaign = I D $ C's 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 ............mm Part I — 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) + $ rr . 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 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) = $ 1A Part II — Contributions exceeding $10Q per contributor — individuals other than candidate or spouse Table 1: Monetary contributions from individuals other than candidate or spouse Amount $ Name Full Address Date Received Amount Received $ Returned to Contributor .... ................... ....,.� or Paid to Clerk i ................ Q Additional information is listed on separate .�— supplementary p pp mentary attachment Total � 9503P (2018104) 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 II - Contributions exceeding $100 per contributor (Add totals from Table 1 and Table 2 and record the total in Part 1 - Summary of Contributions) 1B Part III — Contributions from candidate or spouse Table 3: Contributions in goods or services 9503P (2018/04) 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 (2098104) Page 6 of 8 Schedule 2 - Fundralsing 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 sales) $ 2A Number of tickets sold X 2B 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. + $ . $ � on� ,rvrvrvrv,, aam� � �������� ����.�auuu.uuutiuuwti. „ .�ti ,,,,,,,,���,�, 4� 5..,. ...m ................... . . . . .wa. . . .. . . ..w . ... , , W �+ $ Total Part II (include In Part 1 of Schedule 1) Part ill — Other revenue not deemed a contribution (e.g. contribution of $25 or less; goods or services sold for $25 or less) Provide details + $ 2. $ 4, + $ 5.. + $ Total Part III (include under Income in Box C) Part IV - Expenses related to fundraising event or activity Provide details 1 + $ 2„ ,t, $ � on� ,rvrvrvrv,, aam� � �������� ����.�auuu.uuutiuuwti. „ .�ti ,,,,,,,,���,�, 4� $ 5. � + - $ 7, , _w $ Total Part IV Expenses (include under Expensessw,.���...................................����� In Box C) W M $ 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 Contact Information Last Name or Single Name Address Suite/Unit No. Street No. I Street Name Municipality No. (including area code) I 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 um 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 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received 12D:a, Month Year 1 8 I 8 20181 Monetary Amount I100 Name and Address of Contributor Ellen Menage 207 Hawkswood Kitchener N2K 4,13 Date Rece' t Issued Day MontW, Year 14 73'' T 2019 Goods and Services Value 1 0 1 Not valid for income tax purposes Samantha Estoesta Receipt Number 10001 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year 1 1 8 1 2018 Monetary Amount 1 100 1 Name and Address of Contributor Ellen Menage 207 Hawkswood Kitchener N2K 4,13 Date Receipt Issued Day I Month Year 14 -1 ............ .... . 3 _ ] 2019 Goods and Services Value 1 0 1 �Ax Not valid for income tax purposes Samantha Estoesta Receipt Number 10001 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day M—on thar 12 8 2Ye018 Monetary Amount 50 Name and Address of Contributor Carol n Kea s Date Recei t Issued Day MonthYear 14 3 F20.19 Goods and Services Value 0 182 Kent Avenue, Kitchener, ON N2G 3R3 pI �tit��.�.. ,� , a . Not valid for income tax purposes Samantha Estoesta Receipt Number 10002 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day I Month I Year 12 8 2018 Monetary Amount 50 Name and Address of Contributor Ca,rol�rn Kea. s ,� Date Receipt Issued Day Month I Year 1 4 2019 Goods and Services Value 0 182 Kent Avenue, Kitchener, ON N2G 3R3 ��. ...... ..�.�... Not valid for income tax purposes Samantha Estoesta Receipt Number 10002 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year 21m m 8 2018 Monetary Amount 100 Name and Address of Contributor Sandra He ditch Date Receipt Issued Day Month Year 14 3 2019 Goods and Services Value 0 140 Merner Aveue Kitchener ON N21-1 1X8 Not valid for income tax purposes Samantha Estoesta Receipt Number 10003 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year 21 2018 Monetary Amount 100 Name and Address of Contributor Sandra He ditch Date Receipt Issued Day Month I Year 14 3 ._2019 Goods and Services Value 0 140 Merner Aveue Kitchener ON N2H 1X8 Not valid for income tax purposes Samantha Estoesta Receipt Number 10003 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day I Month I Year 29 8 2018 Monetary Amount 100 Name and Address of Contributor Marie Williams Date Receipt Issued Day Month Year 1 14 3 2019 Goods and Services Value 0 99 Balsam Avenue South, Hamilton, ON L8M3132 Not valid for income tax purposes Samantha Estoesta Receipt Number 10004 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year 29 m 8 1 2018 Monetary Amount 100 Name and Address of Contributor Marie Williams Date Recei t Issued Day Month Year 14 3 1 2019 Goods and Services Value 0 99 Balsam Avenue South, Hamilton, ON L8M 3132 Not valid for income tax purposes Samantha Estoesta Receipt Number 10004 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year 30 2018 Monetary Amount 30 Name and Address of Contributor Tim Mollison Date Receipt Issued Day Month Year 14 3 2019 Goods and Services Value 0 307 Queen St S, Unit 315, Kitchener, ON N2G 4V3 u Not valid for income tax purposes Samantha Estoesta Receipt Number 10005 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year 30. . 61 2018 Moneta Amount 30 Name and Address of Contributor Tim Mollison Date Recei t Issued Day Month TYela,,- 03 Goods and Services Value 0 307 Queen St S, Unit 315, Kitchener, ON N2G 4V3 Not valid for income tax purposes Samantha Estoesta Receipt Number 10005 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received L6IDaynth Year Mo 8 2018 Monetary Amount 25 Name and Address of Contributor C. Deaun Moulton 353 West ri I a Dr Waterloo ON N21- 5Y1 Dake Receiptssued Day Month Year 14 3 1 2019 Goods and Services Value 0 Not valid for income tax purposes Samantha Estoesta Receipt Number 10006 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year 30 1, 8. _ 2018 Monetary Amount 25 Name and Address of Contributor C. Deaun Moulton 353 Westridge Dr Waterloo ON N2L 5Y1 Date Receipt Issued Day Month I Year 14 2019 Goods and Services Value 0 Not valid for income tax purposes Samantha Estoesta Receipt Number 10006 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day I Month I Year 9 2018 Monetary Amount 100 Name and Address of Contributor Susan Cadell 21 Schneider Ave, Kitchener ON Date Recei t Issued Day I Month I Year 1 14 8 201 Goods and Services Value 0 Not valid for income tax purposes Samantha Estoesta Receipt Number 10008 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year Day 9 2018; Monetary Amount 100 Name and Address of Contributor Susan Cadell 21 Schneider Ave, Kitchener, ON Date Receipt Issued Day I Month Year 14 31 1 2019 Goods and Services Value 0 ............ jor Not valid for income tax purposes Samantha Estoesta Receipt Number 10008 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received !Day Month I Year 2018 Monetary Amount 30 Name and Address of Contributor Mike Estoesta 633 Woodlawn Place, Waterloo, ON Date Rece!p t Issued Day Month ]' Year 14 1 3 2019 Goods and Services Value 0 Not valid for income tax purposes Samantha Estoesta Receipt Number 10009 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day I Month I Year 3 91 2018 _. Monetary Amount 30 Name and Address of Contributor Mike Estoesta 633 Woodlawn Place, Waterloo, ON Date Receipt Issued Day Month Year 14 . 3 2019 Goods and Services Value 0 Not valid for income tax purposes Samantha Estoesta Receipt Number 10009 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year F�w � 2018 Monetwy Amount 30 Name and Address of Contributor Cale Grouix Date Receipt Issued Day Month Year 14 1 3, ' 2019 Goods and Services Value 0 33 Julia drive Unit 4 Guelph, ON N1 H 5V9 Not valid for income tax purposes Samantha Estoesta Receipt Number 10011 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received � LDay Month Year 9 9 2018 Monetary Amount 100 Name and Address of Contributor Cole Groulx Date Recei t Issued Day Month Year 14 2019 Goods and Services Value 0 33 Julia drive, Unit 4 Guel h, ON N1 H 5V9 Not valid for income tax purposes Samantha Estoesta Receipt Number 10011 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day I Month Year 1 r1 9, 2018 Monetary Amount 50 Name and Address of Contributor Gwyneth Mitchell 63 C Schneider,4ve� Kitchener. N2G 1K9 Date Receipt Issued Day Month I Year 14 3 2019 Goods and Services Value 0 Receipt Number 10012 �..............m ........ Not valid for income tax purposes Samantha Estoesta Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received E10Dy=MonthYear 2018 Monetary Amount 50 Name and Address of Contributor G neth Mitchell 63 C Schneider Ave Kitchener. N2G 1 K9 Date Receipt Issued Day Month Year 14 3_ 2019 Goods and Services Value 0 Not valid for income tax purposes Samantha Estoesta Receipt Number 10012 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day I Month Year _?L_L. C 2018 Monetary Amount 25 Name and Address of Contributor Suzanna Taka Date Recei t Issued Day I Month I LYear 14 3 2019 20 Braun st,unit 2Kitchener ON Nth 3r4 Goods and Services Value 0 Not valid for income tax purposes Samantha Estoesta Receipt Number 10013 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year 21 1 8 2018 Monetary Amount 25 Name and Address of Contributor Suzanna Taka 20 Braun st,unit 2 Kitchener ON N2h 3r4 Date Recei t Issued Day Month Year 14 3 2019 Goods and Services Value 0 Not valid for income tax purposes Samantha Estoesta Receipt Number 10013 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year 10 1 2018 Monetary Amount 50 Name and Address of Contributor Byron Weber Becker 211 Simeon St. Kitchener Date Receipt Issued Day I Month I Year 14 2 2019 Goods and Services Value 0 Not valid for income tax purposes Samantha Estoesta Receipt Number 10014 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year 10 1 2018 Monetary Amount 50 Name and Address of Contributor B ron Weber Becker 211 Simeon St. Kitchener Date Recei t Issued Day Month Year 14 2019 Goods and Services Value 0 o Not valid for income tax purposes Samantha Estoesta Receipt Number 10014 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date_ Contribution Received Day Month Year I 1 10 1 2018 Monetary Amount 30 Name and Address of Contributor Derek Williamson 116 Devonshire Avenue London, ON Date Receipt Issued Day Month Year 14 3 2.019 Goods and Services Value 0 Not valid for income tax purposes Samantha Estoesta Receipt Number 10016 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month I Year mm 16� „10 2018 Monetary Amount 30 Name and Address of Contributor Derek Williamson 116 Devonshire AvenueLondon, ON Date Receipt Issued Day Month Year 14 2019 Goods and Services Value 0 Not valid for income tax purposes Samantha Estoesta Receipt Number 10016 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day I Month I Year f 16 10 2018 Monetary Amount 50 Name and Address of Contributor Brian Dorsa 411 Du lex Ave, Toronto, ON Date Receipt Issued Day I MonthYear 14 j019 Goods and Services Value 0 Not valid for income tax purposes Samantha Estoesta Receipt Number 10017 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year 16 ..__ 10 2018 Monetary Amount 50 Name and Address of Contributor Brian Dorsa 411 Duplex Ave, Toronto, ON Date Recei t Issued Day Month Year 14 3 1 2019 Goods and Services Value 0 Not valid for income tax purposes Samantha Estoesta Receipt Number 10017 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day I Month I Year 18 018 Monetary Amount 1 25 1 Name and Address of Contributor Matt Neil Date Receipt Issued Day I Month I Year 2019 Goods and Services Value 1 0 1 318-15 Prince Albert Blvd., Kitchener ON N21-1 OC2 Not valid for income tax purposes Samantha Estoesta Receipt Number 10018 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month I Year 18 1 10 2018 Monetary Amount 1 100 1 Name and Address of Contributor Matt Neil Date Recewt Issued 7Day 2019, —[ 3 1 " Month i Year 1 Goods and Services Value 1 0 1 318-15 Prince Albert Blvd., Kitchener ON N21-1 OC2 Not valid for income tax purposes Samantha Estoesta Receipt Number 10018 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year 23 1 10 1 2018 Monetary Amount 100 Name and Address of Contributor Susan Cadell Date Receipt Issued Day Month Year 14 3 2019 Goods and Services Value 0 Receipt Number 10019 21 SchneiderAve Kitchener ON� V Not valid for income tax purposes Samantha Estoesta Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received [—'Bi' 3 M 10th 2018 Year Monetary Amount 100 Name and Address of Contributor Susan Cadell 21 Schneider Ave Kitchener, ON Date Re t Issued Day Month Year 14 3 2019 Goods and Services Value 0 Not valid for income tax purposes Samantha Estoesta Receipt Number 10019 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year 1210 _� 2018 Monetary Amount 100 Name and Address of Contributor Jane Hardin 12 Michael St, Kitchener ON N2G 1 L8 Date Receipt Issued Day Month I Year 14 3 2019 Goods and Services Value 0 x Not valid for income tax purposes Samantha Estoesta Receipt Number 10021 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day I Month Year 1210 2018 Monetary Amount 100 Name and Address of Contributor Jane Hardin 12 Michael St, Kitchener, ON N2G 1 L8 Date Receipt Issued Day 1, Month I Year 14__L I. 2019 Goods and Services Value 0 Not valid for income tax purposes Samantha Estoesta Receipt Number 10021 '�1 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day I Month I Year L —3o ...—i --8--L-2018 Monetary Amount 1 500 1 Name and Address of Contributor Samantha Estoesta Date Receipt Issued —1 Day I Month I Year 14 3 2019 Goods and Services Value 1 0 1 188 Breith2apR! Street, Kitchener ON N21-1 51-14 Not valid for income tax purposes Samantha Estoesta Receipt Number 10007 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month 'iRh Year Y 30 8 018 M� 7, -� �2018 Monetary Amount 1 500 1 Name and Address of Contributor Samantha Estoesta Date Recei t Issued LDay Month I Year -, 14 t "1 1-2019 j Goods and Services Value 1 0 1 188 Breithaupt Street, Kitchener, ON N2H 51-14 . . .....mm .......... Not valid for income tax purposes Samantha Estoesta Receipt Number 10007 t ' 715, Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received [--Da=,Montl Year1 2018 Monetary Amount 500 Name and Address of Contributor Justin Williams Date Recei t Issued D1" y Month Year 4 1 2019 Goods and Services Value 0 188 Breithaupt Street, Kitchener, ON N2H 51-14 Not valid for income tax purposes Samantha Estoesta Receipt Number 10010 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Da Mo y o nth Year 0 ..w ... 1. 2018 Monetary Amount 500 Name and Address of Contributor Justin Williams Date Receipt Issued Day Month Year 14 2019 Goods and Services Value 0 188 Breithau t Street, Kitchener ON N2H 5H4 Not valid for income tax purposes Samantha Estoesta Receipt Number 10010 Receipt for Contribution to Samantha Estoesta's 2010 Municipal Campaign Date Contribution Received Day I Month I Year 16 ry . 10 2018 Monetary Amount 250 Name and Address of Contributor Samantha Estoesta Date Receipt Issued Day Month I Year 14 L-12019 Goods and Services Value 0 188 Breithau t Street, Kitchener ON N21-1 51-14 Receipt Number 10015 --.._......... ,.m....,� f .......�. p y Not valid for income tax purposes Samantha Estoesta Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year 16 1 10 1 2018 Monetary Amount 250 Name and Address of Contributor Samantha Estoesta Date Receipt Issued Day Month I Year 14 2019 Goods and Services Value 0 188 Breithaupt Street, Kitchener, ON N21-1 51-14 Not valid for income tax purposes Samantha Estoesta Receipt Number 10015 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day I Month I Year 23 10 2018 Monetary Amount 50 Name and Address of Contributor Justin Williams Date Receipt Issued Day Month Year 14 3 2019 Goods and Services Value 0 188 Breithau Dt Street Kitchener ON N21-1 51-14 Not valid for income tax purposes Samantha Estoesta Receipt Number 10020 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day I Month I Year 23 10 1 2018____ Monetary Amount 50 Name and Address of Contributor Justin Williams Date Recei t Issued Day Month I Year 14 1 3 2019 Goods and Services Value 0 188 Breithau t Street Kitchener, ON N21-1 51-14 Not valid for income tax purposes Samantha Estoesta Receipt Number 10020 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day Month Year � 24 12 2018_ Moneta[Amount 238.31 Name and Address of Contributor Samantha Estoesta Date Receipt Issued_ Day Month Year 14 1 3 2019 Goods and Services Value 0 188 Breithau t Street, Kitchener, ON N2H 51-14 Not valid for income tax purposes Samantha Estoesta Receipt Number 10022 Receipt for Contribution to Samantha Estoesta's 2018 Municipal Campaign Date Contribution Received Day I Month Year 24 12 2018 Monetary Amount 238.31 Name and Address of Contributor Samantha Estoesta Date Recei t Issued Day I Month I Year 14 3 2019 Goods and Services Value 0 188 Breithau t Street, Kitchener, ON N2H 51-14 Not valid for income tax purposes Samantha Estoesta Receipt Number 10022 z