HomeMy WebLinkAboutSouliere, Robert����~�� 0Un��ofN�ni�p�AM�re �'����'�U ������������ �����~���� ����o�
�« ���KU���nU�� Financial ' -- Auditor's - ----~ Report
- Form 4
Municipal Elections Act, f0Q6(Section 8Q.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 tothocandidateortherspouua) shall bepaid immediately over 0othe clerk who is responsible for the
conduct of the election.
YYYY MM DD vvvv Ulm oo
For the campaign period from (day candidate filed nomination) to
13
r'7�lnitial filing reflecting finances to December 31 (or 45 days after voting day in a by-election)
[] Supplementary fi|ingincluding finances after December 31 (or 45days after voting day inoby-e|ecbon)
Candidate's name aashown unthe ballot
MunicipalityLast Name or Single Name Given Name(s)
Office for which the candidate sought election Ward name or no. (if any)
/
Spending Limit - General GpendingLimh-PartiesandOtherExpressiuns of Appreciation
�)� |/�r
� �� �
K|didnotacoeponynnntribudonaorinouranyexpenuea.(Conplete8oxeoAand8only)
|' .declare that tothe best cfmyknowledge and belief that these financial
statements and attached supporting schedules are true and correct.
0 lqll) /l/o
Date Filed (yyyy/mm/dd) Time Filed Initial of Candidate or Agent (if filed in person) SignatUre of Clerk
20w
9503P (2018/04) 0 Queen's Printer for Ontario, 2018 Disponible en frangais Page I of 8
LOAN
Name nfbank orrecognized lending institution
Amount borrowed $
INCOME
Total amount ofall contributions (from line 1AinSchedule 1)
+ $
Revenue from items $25urless
+ $
Sign deposit refund
+ $
Revenue from fundraising events not deemed acontribution (from Part III of
$
Schedule 2)
+
Interest earned bycampaign bank account
+ $
Other (provide full details)
1.
+ $
—
'
_
_
4.
+$
5.
+$
Total Campaign Income (Do not include loan)
= * C11
EXPENSES (Note:include the value ofcontributions ofgoods and services)
Expenses subject togeneral spending limit
Inventory from previous campaign used in this campaign (list details in Table 4 of
$
Schedule 1)
+
Advertising
+
Brochures/flyers
+ $
Signs (including sign deposit)
+ $
Meetings hosted
+ o
Office expenses incurred until voting day
+ $
Phone and/or inhame1expenses incurred until voting day
+ $
Ga|arieo, benefito, honoraria, professional fees incurred until voting day
+ $
Bank charges incurred until voting day
+ $
Interest charged onloan until voting day
+ $
Othor(pmvidehu||detai|s)
1.
+ $
2.
+$
3.
+ $
4.
+ $
5.
+$
Total Expenses subjectogeneral epcndinQ|imit
= $ C2
EXPENSES
Expenses subject to spending limit for parties and other expressions of appreciation
1.
+ $
_
—
_
$
5.
+$
Total Expenses subject tuspending limit for parties and other expressions
9503P (2018/04) Page 2 of 8