2006 Financial Statements - City of Pickering

FORM 4
FINANCIAL STATEMENT
MUNICIPAL ELECTIONS ACT 1996 SECTION 78
INSTRUCTIONS
To be filed if the contributions received by a candidate do notexceed
10 000 and expenses incurred
by the candidate do not exceed 10 000
Any surplus greater than 500 after any refund to the candidate his or her spouse or same-sex partner shall
be paid immediately over to the clerk who was responsiblefor the conductofthe election This
form may be
electronicallyfiled if your council
has passed an enabling by-law For the
campaign period from day candidate nominated IYl/I- Yf/ oiAo J i rJl If 7 BOX
A NAME OF CANDIDATEAND OFFICE Name
of Candidatei
C l5 Y rS 1 tJi Of -DP
I -1
it I JBusiness
PhoneNoO
E-mail Address
JiA-j L/OL tV Fax No
GqHome
Phone
No
901 Y3l
f vWard name or
number if anytl 7 J
jq l LJI OF
p
c K 12 J G BOX B SUMMARY
OF CAMPAIGN
INCOME AND EXPENSES1MySpending
Limit was4 5S J Iat 2 Surplus or
Deficit from
3SS
Previous Election 02
I
Received
BoxCand
II
5 f
Box D4My Total
Campaign Expenses that wcre Subjectto the
Spending Limit were 5My Total
is
l 2
i3
Campaign Expenses that werenot Subjectto
the Spending Limit
were 6Total of
All Campaign Expenses line 4line
5 r
t/ 3
Total
5 7 Election Campaign
Surplus/Deficit from Current Election 8 Portionof
Campaign
Contributions
Surplus Returned to Candidate his or her Spouse
or Same-Sex Partner 9503P 2003/07 Pagel 013 Continued