2006 Financial Statements - City of Pickering

oN
FORM 4
FINANCIAL STATEMENT
MUNICIPAL ELECTIONS ACT 1996 SECTION 78
INSTRUCTIONS
To be filed if the contributions received by a candidate do not exceed
by the candidate do not exceed 10 000
10 000 and expenses incurred
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 conductof the election This
form may be
electronicallyfiled if your council has passed
an enabling by-law For the
campaign period from day candidate nominated-01to No 4
NAME OF
CANDIDATE AND OFFICE-J-J fl7
r D cn
101
Name
l I12 BOX A
of
Candidate EILl
t H It r 0 J
g 5 FAdlv W P CKgKIJJ
Mailing Address
Fax
NoeI- e
le
viti
Business Phone
l lII h Name
Office forwhich the Candidate Sought ElectioC l
of
0Uv nt/J 01 J4ei
Name of
Municipality p i
/If JrJ cJ BOX B
SUMMARY OF CAMPAIGN INCOMEAND EXPENSESIMy
Spending
Limit was 2 Surplus
tjRf
or Deficit
from Previous Election50
Y
Contributions Received BoxC
and Box D4 My
3fJbf
t
Total Campaign Expenses that were Subjectto
the Spending Limit were 5My
Total Campaign Expenses that were not Subject
to the Spending Limit were 6Total
of All Campaign Expensesline4
Campaign
Campaign
line 5
7 Election
Surplus/Deficit from Current Election8 Portion
of
Surplus Returned to Candidate his orher
Spouse or Same-Sex Partner
9503P 2003/07 Page1
Y 3q
38
2
tJ tf
3
Total
If3Continued
fIor