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HomeMy WebLinkAboutGuo, XiaomingOntario 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 2 0 1 8j 0 7 1 1 1 I to 2 0 1 8 11 0 12 2 [� 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 Box A: Name of Candidate and Office Candidate's name as shown on the ballot Last Name or Single Name Given Name(s) Guo Xiaoming Office for which the candidate sought election Ward name or no. (if any) Waterloo Regional District School Board Trustee —...... polity Kitchener Spending Limit - General Spending Limit - Parties and [:11 did not accept any contributions or incur any expenses. (Complete Boxes A and B only) of Box B: Declaration I, Xioming Guo declare that to the best of my knowledge and belief that these financial statements and attached supporting schedules are true and correct. S gnatur 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 zol�/ 0130 3- o4-P� X' �. Ranjeni Reddy, a Commissioner, etc., Province of Ontario, for the Corporation of the City of Kitchener. Expires August 27, 2021. 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) + $ 82.50 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) _ $ 82.50 cl 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) + + $ 270.00 Advertising Brochures/flyers + $ 280.24 Signs (including sign deposit) + $ 1.13 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 + $ 42.02 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 = $ 593.39 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 = $ G3 Page 2 of 8 9503P (2018/04) Expenses not subject to spending limits 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 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 = $ C4 Total Campaign Expenses (C2 + C3 + C4) Box D: Calculation of Surplus or Deficit Excess (deficiency) of income over expenses (Income minus Total Expenses) (Cl — C5) + $ -510.89 D1 Eligible deficit carried forward by the candidate from the last election (applies to 2018 regular election only) — $ D2 Total (D1 — D2) _ $ -510.89 If there is a surplus, deduct any refund of candidate's or spouse's contributions to the campaign _ $ Surplus (or deficit) for the campaign = $ -510.89 D3 _ $ 593.39 C5 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 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) 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) + $ 82.50 _ $ 82.50 1A Part II — Contributions exceeding $100 per contributor — individuals other than candidate or spouse 9503P (2018/04) Page 4 of 8