The URL can be used to link to this page

Home My WebLink AboutMichaud, Christine�r Ontario 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 S. Candidates who receive contributions or incur expenses must complete Boxes C, Dm 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. Y" 'YY MM DD YYYY MM Do 1 For the campaign period from (day candidate filed nomination) 2 0 1 9 0 5 0 2 to 2 0 1 9 0 3 2 5 F✓ 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 .,. „ mm .._.o �._......._ _ _ .._. .r.__.��.r. Candidate's nae, as shown.._..n on the ballot Last Name or Single Name Given Name(s) Michaud Christine e candidate sought election Councilor Municipality City of Kitchener Spending Limit - Ger $ 17,126.00 Ward name or no. (it any) Four Spending Limit - Parties and Other Expressions of Appreciation $ 1,712,61 0 I did not accept any contributions or incur any expenses. (Complete Boxes A and B only) Box B: Declaration I, Christine Michaud statements and attached supporting schedules are true and correct; re i lme rued in 2019/03/25 , declare that to the best of my knowledge and belief that these financial n pe 2019/03/25 Date (yyyy/mm/ddd) Designate j 9503P (2018/04) 0 Queen's Printer for Ontario, 2918 Disponible ea 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 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 . 3. 4. ............... 5 Total Campaign Income (Do not include loan) $ 6,017.18 6,017.18 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) +„$ Advertising + $ 610.04 Brochures/flyers + $ 1,697.66 Signs (including sign deposit) + $ 1,845.86 Meetings hosted + $ 26 11 Office expenses incurred until voting day + $ 5.20 Phone and/or internet expenses incurred until voting day + $ 29.90 Salaries, benefits, honoraria, professional fees incurred until voting day + $ Bank charges incurred until voting day + $ ._............ 21.05 Interest charged on loan until voting day + $ Other (provide full details) 1. Website design and managed + $ 500.00 2. Graphic Design for print materials + $ 500.00 3. . + $ __ __— _____ _________ _ __ ----__ 4, + $ . ....,. Via: + $ �� eral s endin limit Total Expenses subjectto gen ....sp�,, di�.�g.li �...............�� ...a...........,��. mm�.�, .�.� '$ 5,2 .„...w .. ,235.82 C2 EXPENSES Expenses subject to spending limit for parties and other expressions of appreciation 1. Campaign Day Blitz + $ 178.90 2. Campaign Da Blitz + $ 78.43 3. Blection Day Celebration + $ ................ — 524.03 5. ject to spending limit for parties and other expr Total Expenses subessions of appreciation $ 781.36 C3 9503P (2018/04) Page 2 of 8 Expenses, not subject to spending limits A'counting and audit + $ Cost of fundraising events/activities (list details in Park 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 dayw..,,,, 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. ...... ...... +$ Other (provide full details) 11. .1. $ ------_____._._________ __ ...... 2. + $ 3, + $ 4. +-$ :�.............. �u�,:: ��_.. ��.... Total Expenses not subject to spending limits = $ C 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) + $ 0.00 D1 Eligible deficit carried forward by the candidate from the last election (applies to 2018 regular election only) - $ D2 Total (D1 - D2) $ If there is a surplus, deduct any refund of candidate's or spouse's contributions to the campaign Surplus (or deficit) for the campaign - '$ D 6,017.18 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 + $ 917.18 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 1,000.00 where the total contribution from a contributor is $100 or less (do not 2018/06/12 include contributions from candidate or spouse). + $ Total value of contributions exceeding $100 per contributor (from line 1B on page 5; 500.00 list details in Table 1 and Table 2) 2018/08/29 Include ticket revenue, contributions in money, goods and services where the total contribution from a contributor exceeds $100 (do not include 100,00 contributions from candidate or spouse). + $ 5,100.00 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) $ .........G..07.18 � 1A Part II - Contributions exceeding $100 per contributor - individuals other than candidate or spouse Table 1: Monetary contributions from individuals other than candidate or spouse Name Maxine Lindsay Anne MacDougall n Anderson Robert Wilkie aures Vaughn Bender Brad Full. Address 22-30 Green Valley Drive Kitchener ON N2P1G8 .;entre Street Holstein UN. 105-30 Green Valley Drive Kitchener ON N2P1G8 109-30 Green Valley Drive Kitchener ON N2P1G8 J2b Max beCKer Urlve Suite 201 Kitchener N2E4H5 30 Weberlyn Cres. Conestoga NOB 2M6 /2 t-rey tares Kitchener ON N2E 41_6 35 Frey Cres, Kitchener ON N2E 41_6 Ron Schlegel 1325 Max Becker Drive Unit 201 Kitchener ON N2E4H5 ..... .............................. .._ ___ ...... Additional information is listed on separate supplementary attachment 9503P (2018/04) Amount $ Date Received Amount Received $ Returned to Contributor or Paid to Clerk 2108/05/18 1,000.00 2018/06/12 1,000.00 2018/06/12 100.00 2018/09/04 500.00 2018/08/29 100.00 2018/08/29 100,00 2018/08/29 100.00 2018/08/29 100.00 2018/08/29 100,00 Total 3,100.00 Page 4 of 8 Schedule 1 - Contributions __—----- _____------------------____------------------- _____________a..____ --- .._-------------------- 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 w 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) w 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) – _____ 1iA Part ll – Contributions exceeding $100 per contributor – individuals other than candidate or spouse Table 1: Monetary contributions from individuals other than candidate or spouse mount $ Name Full Address Date Received Amount Received $ Returned to Contributor or Paid to Clerk Owen Lackenbaur K4GhG Green Brook Dr 1 2018/10/12 100.00 ny Giovinazzo 55 Columbia St E Suite 1 Waterloo On N2J 4N7 2018/10/12 500.00 Aldo Dibattista 105 King St W Unit 201 Kitchener ON N2G 1 B1 2018/08/17 200.00 Peter Benninger 508 Riverbend Drive Kitchener ON N2K3S2 2018/10/11 100.00 Tim Ingold 508 Riverbend Drive Kitchener ON N2K3S2 2018/10/11 100.00 E]Additional information is listed on separate supplementary attachment Total I 1,000.0 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) -- ......... µ ... ................................................... Name Full Address Description of Goods or Services l3ri ��an Banks404Hearthwood Drive Website design Kitchener Dave Dunford' 111-30 Green Valle DriveGraphic Desiig� Y � P n Kitchener N2P1G8 )ate Received Value $ (yyyy/mm/dd) ........ ......... 2018/10/22 500.00 2018/10/.,,,_rc� 22 500.00 Additional information is listed on separate supplementary attachment Total I� 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) Part III — Contributions from candidate or spouse 1,000.00 4,100.001 B Lj Additional information is listed on separate supplementary attachment 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 Supplier Quantity (YYYY/mm/dd) 0 Additional information is listed on separate supplementary attachment Total Current Market Value $ 9503P (2018/04) Page 6 of 8 Schedule 2 - Fundraising Events and Activities Fundraising Event/Activity Complete a separate schedule for each event or activity held Additional schedule(s) attached Description of fundraising eventlactivity 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. $ ........._ ........ 3, * $ 4. $ $ .._. Total Pa, .................... Part II (include in Part 1 of Schedule 1) M Part IV — Expenses related to fundraising event or activity Provide details 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 un Contact Information Last Name or Single Name Address Suite/Unit No. r Street No. Street Name Telephone No. (including area code) I Email Address The report must be done in accordance with generally accepted auditing standards and must; Date (yyyy/mm/dd) umber I Code 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