'-'"""""'=.cc..= \\... \ \J. IZJ Primary filing reflecting finances to December 31 (or day after voting day in a by-election)

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1 ;"';.~ Ministry of Munfc:lp f Affairs :t?ontario and Hou11ing Form 4 Municipal Elections Act, 1996 (Section 78) Financial Statement - Auditor's Report nstructions: Alf candidates must complete Boxes A and 8. Candiclates who receive contributions or incur expenses beyond the nomination fee 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 Auditor's Report. All surplus funds (after any refund to the candidate or his or her spouse) shall be paid immediately over to the clerk who was responsible for the conduct of the election. YYYY MM DO yyyy MM DD For the campaign period from (day candidate filed nomination). 2_0_14 0_8. l 8, to 2014 O 27 ZJ Primary filing reflecting finances to December 31 (or day after voting day in a by-election) D Supplementary filing including finances after December 31 (or 45"' day after voting day in a by-election) Box A: Name of Candidate and Office Candidate's name as shown on the ballot Last Name Lockhart Name of office for which the candidate sought election City Councillor Given Name(s) Scan Ward name or no. (if any) Name of Municipality City ofoshawa Spending limit issued by clerk e.' ~~ $!P,?1,,l(J'""' '~ 7<l ~ ",/ ::...:;;;8--, D did not accept any contributions or incur any expenses other than the nomination fee. (Complete Box A and B only) Box B: Declaratlon, Sean Lockhart, a candidate in the municipality of City ofoshawa ~--'-~--~-~---~~----~----- financial statements and attached supporting schedules are true and correct.. hereby declare that to the best ofmy knowledge and belief that these Declared before (clerk or commissioner) in the C.A~ c Q:s ~ '-'"""""'=.cc..= \\... \ \J on (yyyy/mm/dd) l\occl Q? ~ (;)Ol'") ~~ Signature ofclerk or Commissioner "'orc..h a'i, ~o ).::;-. Date Filed in the Clerk's Office (yyyy/mm/dd) P ) CQu11en's Printer Of Onlario Disponible en lra~ia Page 1 of 9

2 Box C: Statement of Campaign ncome and Expenses LOAN Name of bank or recognized lending institution _.;.. _ Amount borrowed + $ NCOME Total amount of all contributions (From line 1A in Schedule 1) + s 5, Refund of nomination filing fee + s Sign deposit refund + $ Revenue from fund-raising events not deemed a contribution (From Part ll of Schedule 2) + $ nterest earned by campaign bank account + s Other (provide full details) s _2 _ s s ~ Total Campaign ncome (Do not nclude loan) = s 5,285.5~ C1 EXPENSES (Note: include the value of contributions ofgoods and services) Expanses subject to spending limit Nomination filing fee + S '~_;_: ;;- nventory from previous campaign used in this campaign (list details in Table 5 of Schedule 1) + $ Advertising + s 3,933_,lL Brochures/flyers + S Signs (induding sign deposit) + S Meetings hosted + s 11.!J.58 Office expenses fncurred until voting day + -=s Phone and/or nternet expenses incurred until voting day + -'- $ Salaries, benefits, honoraria, professional fees incurred until voting day + _!_ Bank charges incurred until voting day + S" '9""'2;..;...9"""'3" lnterest charged on loan until voling day + -= s Other (provide full details) 1. + _ ;:;.._ $ 2. + $ 3. + _ ;;... $ Total Expenses subject to spending limit = s 7, C2 Expenses not subject to spending limit Accounting and audit + s Cost of fund-raising events/activities (list details in Part V ofschedule 2) + _$"--~~~~-- Voting day party/appreciation notices + s Office expenses incurred after voting day + $ Phone andfor nternet expenses incurred after voting day + s Salaries, benefits, honoraria, professional fees incurred after voting day + $ Bank charges incurred after voting day + $ nterest charged on loan after voting day + $ Expenses related to recount + $ Expenses related to conlroverted election + $ Expenses related to compliance audit + $ Expenses related to candidate's disability (provide full details) 1. + $ 2. + $ 3. + $ Other (provide full details) 1. + s 2. + s 3. + s Total Expenses not subject to spending limit =...;..--~~---C3 $ Total Campaign Expenses (C2 + C3) = $ C4 'P 9503P ( ) Page2 ol9

3 Bott 'O: Calculation of Surplus or Deficit Excess (deficiency) of income over expenses (ncome - Total Expenses) (C1 - C4) + $ (2, )_ 01 Eligible deficil carried foiward by the candidale from the last election - $ Total (01 02) = $ (2,097.13) fthere s a surplus, deduct any refund of candidate's or spouse's contributions to the campaign.$ 0.00 Surplus (or deficit) for the campaign = $ (2,097.13) 03 f line 03 shows a surplus, the amount must be paid in trust, at the time the financial statements are filed, to the municipal clerk who was responsible for the conducl orthe election. Amount of _s paid lo municipal clerk in the municipality of P ( ) Page 3 of

4 Schedule 1 - Contributions Part - Summary of Contributions Conlribulion from candidate (include the value ofinventory listed in Table 5) Conlribulion from spouse Total value ofcontributions not exceeding $100 per contributor nclude ticket revenue, contributions in money, goods and services where the total contribution from a contnbutor is $100 or less (do not include contributions from candidate or spouse). Total value of contributions exceeding $100 per contributor (from line 1B; list details in Tables 1-4) nclude ticket revenue, contributions n money, goods and services where the ota! cootribulion from a contributor exceeds $100 (do nol include contributlons from candidate or spouse). Less: Contributions returned or payable to the contributor Contnbulions paid or payable lo the derk. including contributions from anonymous sources exceeding $10 Total Amount of Contributions (Record in Box C) + $ $ + s $ $ _~ $ = s A Part ii - List of Contributions from Each Single Contributor Totalling more than $100 Table 1: Monetary contributions ~om ndividuals other than candidate or spouse Name Ethan Mount Full Address 1625 Pickering Parkway, Pickering, ON Amount$ Additional information is fisted on separate supplementary attachment - Total P ( ) Page 4 of9

5 Table 2: Monetary contributions from corporations or unions Name (Legal and Carrying on Business As) Full Address President or Business ManaQer Authorized Representative Amount$ 0 Additional information is listed on separate supplementary altachment Total Table 3: Contributions in goods or services from ndividuals other than candidate or spouse (Note: must also be recorded as expenses in Box C) Name Full Address Description of Goods or Services Value$ 0 Additional infonnation is listed on separate supplementary attachment Total 9503P ( ) Page 5ol9

6 Table 4: Contributions n goods or services from corporations or unions <Note: must also be r«h:orded as exnenses n Box Cl Name ofcorporation Full Address President or Authorized Description of Value$ (Legal and Carrying on Business Manager Representative Goods or Services " Business Asl Minuteman Press Whitby 1405 Hopkins St, Unit # 100 Whitby, ON Mike Vieria Mike Vieria 50 Signs Minuternan Press t 405 Hopkins St. Mike Vieria Mike Vieria Brouches and Whitby Unit# 100 Whitby, Cards ON - D Additional information is listed on separate supplementary auachment Total Total Part Contributions (Add Totals from Tables 1-4) (Record n Part 1-Summary) $ 1, Part ll - nventory Tabkt 5: nventory of Campaign Goods and Materials from Previous Campaign used n this Campaign (Note: value must be recorded as a contribution from the candidate and as an expense) Description Date Acquired Supplier Current Market Quantity Total Value$ {yyyy/mmldd) Value$ 9503P ( ) Page 8 ot9

7 o Additional infonnation is fisted on separate supplementary attachment Total 9503P ( ) Page

8 Schedule 2 - Fundraislng Events and Activities Fundraislng Event/Activity Complete a separate schedule for each event or activity held 0 Additional schedule(s) attached Description offundraising event/activity Date ofevent/actil1ity (yyyy/mmfdd) Part - Ticket Revenue Admission charge (per person) (fthere are a range of ticket prices, attach complele breakdown of all tickel sales) + s 2A Number of tickets sold x 28 Total Ticket Revenue (2A x 28) (nclude n Schedule 1) = _$;... Part - Other revenue deemed a contribution (provide details (e.g. revenue from goods sold in excess offair market value)) 1. + _s 2. + _s;;; s _s.; $ Total Part Revenue (nclude in Schedule 1) Part 111- Other revenue not deemed a contribution (provide details (e.g. contributions of $10 or less; market value of goods or services sold)) 1. + s 2. + s 3. + s 4. + s 5. + s Total Part ll Revenue (include in Box C) s = s...;;;... Part V- Expenses related to fundraising event or activity (provide details) 1. + $ 2. + $ 3. + $ 4. + s $ s 7. + $ 8. + $ Total Part V Expenses (include in Box C) = s 9503P{2013/11) Page B of 9

9 Auditor's Report Municipal Elections Act, 1996 (Section 78) A candidate who has received contributions or incurred expenses in excess of $10,000 must attach an auditor's report. Professional Designation ofauditor Municipality Contact lnfonnatlon Name Last Name Address Suite/Unit No. Street No. Street Name First Name Date (yyyy/mm/dd) Licence Number City/Town Province Postal Code Telephone No. {including area code) Fax No. ext. Address The report must be done in accordance with generally accepted auditing standards and must: set out the scope ofthe examination provide an opinion as lo the completeness and accuracy of the financial statement and whether it s free of material misstatement 0 Report is attached Personal information, if any, collecied on this form is obtained under the authority of sections 78 and 95 of the Municipal Elections Act Under section 88 of the Municipal Elections Act, 1996 (and despite anything in the Municipal Freedom ofnformation 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 slatements shall also be made available by the clerk in an electronic format free of charge upon request. 9503P ( ) Page 9of9