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Home My WebLink AboutStrohack, SteverN11,01— Ministry of Municipal Affairs Financial Statement - Auditor's Report �,,"�Ontario 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 Auditors 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 YYYY MM DD For the campaign period from (day candidate filed nomination) 1 2 0 1 8 ICJ 7 1 1 9 1 to 1 81 1 1 1 2 1 1 ® 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 Strohack Given Name(s) Steve Uttice for Which the candidate sought election Ward name or no. (if any) City Councillor I Nine Municipality Kitchener 5penaing Limit - (3eneralSpending Limit - Parties and Other Expressions of Appreciation $7,958.60 1 $ 175T41 n I did not accept any contributions or incur any expenses. (Complete Boxes A and B only) Box B: Declaration I, Steve Strohack statements and attached supporting schedules are true and correct, , declare that to the best of my knowledge and belief that these financial 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 2 018/11 /21 3 ; S �G�' ��`. AV Ranjeni Reddy, a Commissioner, etc,, Province of Ontario, for the Corporation of the City of Kitchener. Expires Auqusi , j 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 nfbank orrecognized lending institution Amount borrowed INCOME Total amount ofall contributions (from line 1AinSchedule i) Revenue from items $25orless Sign deposit refund Revenue from fundraising events not deemed mcontribution (from Part III of Schedule 2) Interest earned bycampaign bank account Other (provide full details) I. 2. 3. 4. 5. Total Campaign Income (Do not include loan) EXPENSES (Note: include the value cfcontributions ofgoods and services) Expenses subject hmgeneral 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 Office expenses incurred until voting day Phone and/or internetexpenses incurred until voting day Salaries, benefits, honoraria, professional fees incurred until voting day Bank charges incurred until voting day all + 59.30 + $ 403.84 1. + $ +� + $ +� + $ + $ 5U5 +� + $ + $ 25.00 Interest charged onloan until voting day + Other (provide full details) 1. + $ 2. + $ 3. + $ 4. + $ 5. + $ Total Expenses subject to general spending limit = $ 2,708.59 C2 EXPENSES Expenses subject to spending limit for parties and other expressions of appreciation 1. + $ 2. + $ 3. + $ 4. + $ — - Total Expenses subject tospending limit for parties and other expressions of appreciation = $ C3 9503P (2018/04) Page 2 of 8 Expenses not subject tospending limits Accounting and audit + $ Cost offundraising evantslactivdem(list details inPart K/ofSchedule 2) + $ Office expenses incurred after voting day + $ Phone and/or in<ern*!expenses incurred after voting day + $ Salaries, benefits, honoraria, professional fees incurred after voting day + $ Bank charges incurred after voting day + $ Interest charged onloan after voting day + $ Expenses related torecount + $ Expenses related tucontroverted election + $ Expenses related h»compliance audit + $ Expenses related tucandidate's disability (provide full details) 1. + $ 3. + $ 3. + $ 4. + $ 5. + $ Other (provide full details) 1. + $ 2. + $ 3. + $ 4. + $ 5. + $ Total Expenses not subject tospending limits = $ C4 Total Campaign Expenses (C2+C3+C4) = $ 2,708.59 C5 Box 0: Calculation of Surplus or Deficit Excess (deficiency) of income over expenses (Income minus Total Expenses) (Cl —05) + $ -2,708.59 D1 Eligible deficit carried forward bythe candidate from the last election (applies 1o2Oi8regular election only) — $ U2 Total (D1 —D2) = $ -2,708.59 |fthere ioasurplus, deduct any refund ofcandidate's or spouse's contributions hothe campaign — $ Surplus (or deficit) for the campaign = $ ~2'708M D3 If line D3 shows esurplus, the amount must be paid in trust, at the time the financial statements are filed, to the municipal clerk who ie 9503P (2018/04) Page 3 of 8 Schedule 1~ Contributions Part|—SmnmnryofConthbutunm Contributions inmoney from candidate and spouse + $ 2708.59 Contributions ingoods and services from candidate and spouse (include value listed inTable 3and Table 4) + $ Total value ufcontributions not exceeding *1OOper contributor ^ Include ticket revenue, contributions inmoney, goods and services where the total contribution from acontributor io$iDUorless (do not include contributions from candidate nrapouae). + $ Total value of contributions exceeding $100 per contributor (from line 1 B on page 5; list details inTable i and Table 2) ^ Include ticket revenue, contributions inmoney, goods and services where the total contribution from acontributor exceeds $10D(do not include contributions from candidate orepouom). + $ Less: Contributions returned orpayable bmthe contributor Contributions paid orpayable Vothe clerk, inoludingomnkbuhonohnm anonymous sources exceeding *25 Total Amount of Contributions (record under Income in Box C) 2,708.69 1A Part 11 — Contributions exceeding $100 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 [] Additional information ialisted onseparate supplementary attachment 9503P (2018/04) Page *ovn Table 2: Contributions in goods or services from individuals other than candidate or spouse (Note: must also be recorded as Expenses in Box C) NameFull Address Description of Goods Date Received Value $ 1 1 or Services I (yyyy/mm/dd) I [-I Additional information is listed on separate supplementary attachment Total for Part 11- Contributions exceeding $100 per contributor (Add totals from Table I and Table 2 and record the total in Part I - Summary of Contributions) Part III - Contributions from candidate or Table 3: Contributions in goods or services Total 1B 9503P (2018/04) Page 5 of 8 Description of Goods or Services Date Received Value $ 1 (yyyy/mm/dd) I n Additional information is listed on separate supplementary attachment Total 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 Current Market I (yyyy/mm/dd) I I I Value $ [] Additional information is listed on separate supplementary attachment Total 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 n 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) Number of tickets sold Total Part I (2A X 213) (include in Part 1 of Schedule 1) Part 11 — Other revenue deemed a contribution (e.g. revenue from goods sold in excess of fair market value) Provide details 1. 2. 3. 4. 5. Total Part 11 (include in Part I of Schedule 1) Part III — Other revenue not deemed a contribution (e.g. contribution of $25 or less; goods or services sold for $25 or less) Provide details 1. 2. 3. 4. 5. Total Part III (include under Income in Box C) Part IV — Expenses related to fundralsing event or activity Provide details 1. 2. 3. 4. 5. 6. 7. 8. Total Part IV Expenses (include under Expenses in Box C) 9503P (2018/04) M 2A 2B 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 auditors report. Professional Designation of Auditor Municipality im/dd) Contact Information Last Name or Single Name Given Name(s) Licence Number Address Suite/Unit No. Street No. Street Name Municipality Telephone No. (including area 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 R 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