CANDIDATE CAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL LOCAL ELECTION

Transcription

1 8 Parksville CANDDATE CAMPAGN FNANCNG DSCLOSURE STATEMENT FOR THE 2011 GENERAL LOCAL ELECTON Form No. 3 9 Page 1 Local Government Act s. 90 This disclosure statement is to be filed with the Corporate Officer of the City of Parksville within 120 days after general voting day (by 4:00 p.m. March 19, 2012). NAME OF CANDDATE: OFFCE for which candidate sought election: L 0 v,v C'.' J. L...:; 0L1-t,.}A1..f4M0 l{j{ki.."y - NAME OF ENDORSNG ELECTOR ORGANZATON (if applicable): 1 RECEEO NAME OF CAMPAGN ORGANZER (if applicable): Total amount of campaign contributions (Total from Part 1, Schedule A) SUMMARY OF CAMPAGN CONTRBUTONS OE.C ' 'l 1G'1 ADMrwrLLU l l'.'ty 0-9 List of contributors who made contributions tota ll ine'* re (See Part 2 of Schedule A) f>...- Total amount of anonymous campaign contributions remitted to the City of Parksville (Total from Part 3 of Schedule A) g SUMMARY OF ELECTON EXPENSES Total amount of election expenses PLEASE COMPLETE SCHEDULE B SURPLUS FUNDS Disbursement of surplus funds, please complete Schedule C CAMPAGN ACCOUNT NFORMATON NOTE: This s not a balance sheet. For example, contributions may not equal expenses. COMPLETE THE DECLARATON(S) ON THE REVERSE.

2 Page2, DECLARATON OF CANDDATE, u:.jtn-1<1±1..j.t.)fcta(i, a candidate in the City of Parksville 2011 general election, solemnly affirm that to the besot my knowledge, information and belief: (a) (b) this campaign financing disclosure statement and supporting schedules completely and accurately discloses the information required byction 90 of r e Local Government Act in relation to my election campaign for the office of C.o CA. N c.. ; Ofl_ in the 2011 General Local Election for the City of Parksville; and the requirements of Division 8- Campaign Fi-nancing of the Local Govprnment.Act have been met in relation to my election campaign for the office of C:ev a. u:... t 112'8.. in the 2011 General Local Election for the City of Parksville. Declared before me at Parksville, British Columbia ta day of ',._1,,;::_, o 1..,.,(?""> 1 J,i1:cf.(.._) Desinited Local Government Officer or a C'ommissioner for taking affidavits for British Columbia DECLARATON OF FNANCAL AGENT, tj f:.l- 1 4,-vr ].1l Gl1{- -L-=? have prepared this disclosure statement and supporting schedules for V,,...L, A=.f1.:T. A htf6fk;2 and solemnly affirm that to the best of my (name of candidate)' knowledge, information and belief that: (a) (b) this campaign financing disclosure statement and supporting schedules completely and accurately discloses the information required by sern 90 of the Local Government Act in relation to the election campaign of hj!-ll 4&7 => Ne:yrft?.?) for (name of candidate) L-t!?U NC-r o y<... in the 2011 General Local Election for the City of Parksville; and (office) the requirements of Division 8 - Camn Financing - he Local Government Act have been met in relation to the election campaign of '(L r4.f1 'J ttt::;faer!!fl ) for ;0 ' (name of candidate) LOlA tj t. foil in the 2011 General Local Election for the City of Parksville (office) Designate ocal Government Officer or a Comm ssioner for taking affidavits for British Columbia

3 Page3 SCHEDULE A TO CAMPAGN FNANCNG DSCLOSURE STATEMENT CAMPAGN CONTRBUTONS PART 1 - CONTRBUTONS Contributions from known sources Total value of contributions of 100 or more from a singe source (unless nil, complete Part 2) Total value of contributions totalling or less from a single source Contributions from anonymous sources Contributions from anonymous sources tb? ' LESS: amount of anonymous contributions over 50 remitted to the City of Parksville (Total from Part 3) )? 3.: Total amount of anonymous campaign contributions of 50 or less =C 7 2C Total amount of contributions A+B+C= 7 (;;J Total number of contributors who made contributions totalling or less 7

4 Page4 SCHEDULE A TO CAMPAGN FNANCNG DSCLOSURE STATEMENT CAMPAGN CONTRBUTONS PART 2- LST OF CONTRBUTORS TOTALLNG 100 OR MORE (A) (attach supplementary list if required) FULL NAME ' 1 ' ADDRESS '2' (f applicable) ) ( '!! L DATE } v AMOUNT Ri v 0 rvv r00v fkfv G fjv v c:; TOTAL ( '1' f numbered corporation or unincorporated organization, include full name of 2 t directors or principal officers or members.. CLASS 'l' v 1 viduals who are '2' Do not report addresses of individuals. '3' Classes: ndividual, corporation, unincorporated organization. trade union, non -profit organization. other.

5 SCHEDULE A TO CAMPAGN FNANCNG DSCLOSURE STATEMENT CAMPAGN CONTRBUTONS Page 5 Local Government Act Section 90(4)(b) PART 3 - LST OF ANONYMOUS CONTRBUTONS OVER 50 REMTTED TO CTY OF PARKSVLLE DATE VALUE DATE VALUE r,; 1 (.._ 'y {Uv ('- ( v v v (d)v P jlv ' r {{! ({ jj 'tlr j f SUB TOTAL SUB-TOTAL, GRAND TOTAL

6 Page6 SCHEDULE 8 TO CAMPAGN FNANCNG DSCLOSURE STATEMENT Local Government Act Section 90( 4 )(f) BC. Reg ELECTON EXPENSE DETALS A. Election campaign advertising or communication expenses for: (1) radio, television, newspaper, periodical or electronic advertising for the public (2) signs, pamphlets, flyers and brochures (3) advertising and promotion for the public not included in A (1) or (2) above ( 4) newsletters for members of the elector organization!1'-lf'y (.itpq l 'j_ <j4p. - -,- B. Election campaign office expenses for: ( 1) compensation paid to persons for campaign work, other than for services described in section 89(2) of the Local Government Act (2) rent, insurance and utilities (3) courier services and postage (4) furniture, telecommunication equipment and other equipment (5) office supplies and other office expenses not covered by B (1 ) to (4) above. ; t.,l ? :': C. Convention and similar meeting expenses ---,.- D. Expenses for campaign related functions not described in C above _;;._ E. Research and polling expenses --- F. Campaign related transportation -- J 7 J :=--;;;... ' _ _,. _ Tnfo unt of othe r expenses TOTAL AMOUNT OF ELECTON EXPENSES

7 Page 7 Local Government Act Section 90(4) SCHEDULE C TO CAMPAGN FNANCNG DSCLOSURE STATEMENT DETALS OF SURPLUS FUNDS DSBURSEMENT A. Balance remaining in account B. Amount reimbursed to candidate from campaign account for the candidate's contributions to hisher campaign C. Amount of remaining surplus funds (after any reimbursement under B.) CS?o 7 ( t30'f D. Details of the disbursement of remaining surplus funds under c.

8 CAMPAGN FNANCNG RECORD KEEPNG FORM PageS RECORD OF CASH CAMPAGN CONTRBUTONS NAME {J.. fn'gz,t l.. ADDRESS.+ e?cl1njl JN'JJ7 w;u_tf 7?t.-, DATE t4 d-u v L rn y () _.,.,...,. AMOUNT? v (t:yo... CLASS NO( J..U1"A.. F,""' "'

9 CAMPAGN FNANCNG RECORD KEEPNG FORM Page 9 RECORD OF N-KND CAMPAGN CONTRBUTONS NAME tv.i tjfc..- ADDRESS - DATE J 11 ) f)-j' ef2t1,nfsp.ra ) "'7{ GOOD OR SEVCE J ".> 5efZttc < VJ ::: - J v L v VALUE,(lcZ Lt. ><l;q... K..._)!

10 CAMPAGN FNANCNG RECORD K EEPNG FORM Form 39 Page 10 RECORD OF DSCOUNTED GOODS AND SERVCES GOOD OR SERVCE PRCE PAD FAR MARKET VALUE (RETAL VALUE) ===----- _: c.---- ), - L uv -

11 Page 11 Local Government Act Section 87 CAMPAGN FNANCNG RECORD KEEPNG FORM RECORD OF ANONYMOUS CAMPAGN CONTRBUTONS REMTED TO LOCAL GOVERNMENT CONTRBUTON (MONEY, GOODS) VALUEAMOUNT (if greater than 50) DATE REMTTED TO LOCAL GOVERNMENT 1

12 CAMPAGN FNANCNG RECORD KEEPNG FORM RECORD OF ELECTON EXPENSES Page 12 Local Government Act Section 88 GOODS, PROPERTY OR DATE DATE SERVC ES RECEVED NCURRED PAD _ (_ -- AMOUNT v 1-' 10 )'