2006 Financial Statements - City of Pickering

FORM 4
FINANCIAL STATEMENT A1unicipal Election Act 1996 Section 78
INSTRUCTIONS
To be filed if the contributions received by a candidate do not exceed
the candidate do not exceed 10 000
10 000 and expenses incurred by
Any surplus greater than 500 after any refund to the candidate his or her spouse
or same-sex partner shall
be paid immediatelyover to the clerk who was responsible for the conduct of the election This
form may be electronically filed if your council has passed an enabling by-law For the
campaign period fromC q-- q-oCp
day
3J 4 -
f candidate n-
is nominated to0 -oa
-0 1 BOX A
NAME OF CANDI DATEAND OFFICE Nameof
Candidate SJu
rrMailing Address
/Qo02 Sfta
Plcf/JAt
bvvvk Dr Llv 3Tlp
- E-Mail
NOAt ChJ-fe
Cl
Address Home
Nob-q8
5 4 0/1 Fax No
Name
of Municipality
Phone No5 hen--/de
tLt Jq0 5
83 J Lf PJ
0 171
ctuD
-- Name of
Office for which the Candidate Sought Election Ward Name or Number if any WUj U--e
-DDS IS
fJ/ C0V BOX
B SUMMARY
Business Phone
OF CAMPAIGN
INCOME AND EXPENSES-11My
Spending Limit was 140I I8 0 2 Surplus
or Deficit from Previous Election0-IV
3 Total
Contributions ReceivedBoxC and Box Di/
p
fo 2 83 4
My Total Campaign Expenses that were Subject to the Spending Limit wereIf h h 23 5
My Total Campaign Expenses that were not Subject to the Spending Limitwere Q-CJO 6 Total
of All Campaign Expensesline4 line 5 riPGZ 37 Election
Campaign Surplus/Deficit from Current Election6-OC 8 Portion
of Campaign Surplus Returnedto Candidate or-onhis
her SDouse
or
Page1
of