> By-law No. 10/2010 Form 4 - Audited

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1 THE CITY OF WINNIPEG FORM 4 AUDITED FINANCIAL STATEMENT REFERENCE: SECTION 21(1) CAMPAIGN EXPENSES AND CONTRIBUTIONS BY-LAW NO of 14 Campaign Period Surplus (Deficit) ((A) - (B)) $ Total Period Expenses $ 30, (B) Total Campaign Income $ 29, Campaign Expenses Subject to Limitation (as per Statement of Income and Expenses) $ Campaign Expense Limitation (as per form 3) $ 34, SUMMARY OF CAMPAIGN INCOME AND EXPENSES COUNCILLOR OLD KILDONAN OFFICE WARD NAME (IF COUNCILLOR CANDIDATE) ADDRESS FAX NUMBER PHONE ALTERNATE CITy, PROVINCE WINNIPEG, MANITOBA POSTAL CODE R2V 2W5 ADDRESS NAME OF REGISTERED CANDIDATE DEVI SHARMA NAME OF CANDIDATE AND OFFICE L 30-Jun Mar-15 For the campaign period From To > Audited Financial Statement -

2 Name of Candidate Devi Sharma hereby declare that DECLARATION OF CANDIDATE as if made under oath. and correct and I make this declaration conscientiously believing it to be true and knowing that it is of the same force and effect declare that to the best of my knowledge and belief this Financial Statement and supporting schedules as set out herein are true Name of Candidate and supporting schedules as set out herein for Devi Sharma and hereby Name of Official Agent Shaun Rocan have prepared this Campaign Period Return DECLARATION OF OFFICIAL AGENT Signature of Campaign Expenses and Contributions Officer Signature of Candidate &J 20th day of May-15 Declared before me at the City of Winnipeg in the Province of Manitoba this I make this declaration conscientiously believing i to be true and knowing that it is of the same force and effect as if made under oath. to the best of my knowledge and belief this financial statement and supporting schedules as set out herein are true and correct and Audited Financial Statement - 2 of 14

3 Released by the Senior Election Official Candidates Surplus from immediately preceding Election $ INCOME FROM 30-Jun-14 TO 31-Mar-15 STATEMENT OF INCOME AND EXPENSES SUB-TOTAL CAMPAIGN EXPENSES SUBJECT TO LIMITATION $ 28, Campaign photos EXPENSES Stationery $ 0.00 Other (Please Specify): $ Bank Charges $ Travel $ $ 5, $ 2, Insurance and Utilities $ Telephone Brochures Candidate s Personal Expenses $ 0.00 Signs Salaries and Benefits $ 0.00 Postage $ 0.00 Furniture $ 0.00 Meetings, Social Functions, Rallies $ 1, $ 9, Advertising $ 4, CAMPAIGN EXPENSES SUBJECT TO LIMITATION Office Rent $ 3, Office Supplies $ 6.77 (ATTACH SCHEDULE 4; IF ANY DISPUTED CLAIMS, ATTACH SCHEDULE 5) TOTAL INCOME $ 29, v Other (Please Specify): $ 000 Interest Income $ 0,00 Fund-Raising Event (attached Schedule 2) $ 12, Contributions (attached Schedule 1) $ 15, Statement of Income and Expenses - 3 of 14

4 CAMPAIGN EXPENSES EXCLUDED FROM LIMITATION Sub-total Campaign Expenses Subject to Limitation $ Total Income (reported from previous page) $ STATEMENT OF INCOME AND EXPENSES (continued) 4 of 14 CAMPAIGN PERIOD SURPLUS (DEFICIT) TOTAL PERIOD EXPENSES SUB-TOTAL CAMPAIGN EXPENSES EXCLUDED FROM LIMITATION Recount Interest on Loans Expense in holding a Fund-Raising Function The Municipal Councils and School Boards Elections Act Court action commenced under Part 9, Accounting and Audit $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ Statement $ 1, $ (530.77) $ 30, of Income and Expenses -

5 Returned From a single source totalling more than $250 (complete Part lii) $ 0 PART I FOR USE BY MAYORALTY CANDIDATES ONLY (Section 8(2)(a)) CONTRIBUTIONS SCHEDULE I - FOR MAYORALTY CANDIDATES ONLY 5 of 14 TOTAL TO BE PAID TO THE SENIOR ELECTION OFFICIAL $ 0 Cash and/or Goods and Services in excess of limits $ From anonymous sources $ a CONTRIBUTIONS TO BE PAID TO THE SENIOR ELECTION OFFICIAL Excess cash over $ Excess over $1500 in the form of Goods and Services - Returned to the Contributor $ to the Contributor $ 0 CONTRIBUTIONS IN EXCESS OF LIMITS TOTAL CONTRIBUTIONS $ 0 From candidate $ Total of single source contributions of $250 or less $ a single source of more than $250 (complete Part II) Total of contributions in the Form of Goods and Services from $ Schedule 1 Mayor -

6 Itemized list: List of Contributions in the Form of Goods and Services PART II SCHEDULE I - FOR MAYORALTY CANDIDATES ONLY (continued) Total (sum to equal 0 above) $ o Sub-total from supplementary list if used $ Nature of Goods and Services Supplier Value Schedule 1 Mayor - 6 of 14

7 Name Address Value List of Contributors from Single Source totalling more than $250 PART Ill SCHEDULE I - FOR MAYORALTY CANDIDATES ONLY (continued) TOTAL $ 0 Schedule 1 Mayor - 7 of 14

8 Returned Returned From a single source totalling more than $250 (complete Part Ill) $ 1, FOR USE BY COUNCILLOR CANDIDATES ONLY (Section 8(2)(b)) PART I CONTRIBUTIONS SCHEDULE I - FOR COUNCILLOR CANDIDATES ONLY TOTAL TO BE PAID TO THE SENIOR ELECTION OFFICIAL $ 0 Cash and/or Goods and Services in excess of limits $ 0 From anonymous sources $ 0 CONTRIBUTIONS TO BE PAID TO THE SENIOR ELECTION OFFICIAL Excess cash over $750 - Excess over $750 in the form of Goods and Services - to the Contributor $ 0 to the Contributor $ 0 CONTRIBUTIONS IN EXCESS OF LIMITS TOTAL CONTRIBUTIONS $ V Total of single source contributions of $250 or less $ 14, From candidate $ 0 a single source of more than $250 (complete Part II) Total of contributions in the Form of Goods and Services from $ 0 By-Paw No. 10/2010 Form 4 - Schedule 1 Councillor - 8 of 14

9 Itemized list: List of Contributions in the Form of Goods and Services PART II SCHEDULE I - FOR COUNCILLOR CANDIDATES ONLY (continued) Total (sum to equal D above) $ 0 Sub-total from supplementary list if used $ Nature of Goods and Services Supplier Value Schedule 1 Councillor - 9 of 14

10 Name Address Value List of Contributors from Single Source totalling more than $250 PART III SCHEDULE I - FOR COUNCILLOR CANDIDATES ONLY (continued) TOTAL $ 1000 Ralemdra Pandey $ Dr. Daya Gupta $ By-law No. 10/2010 Form 4-Schedule 1 Councillor - 10 of 14

11 Date: 30-Mar-15 FUND RAISING EVENTS INCOME STATEMENT FUND RAISING FUNCTION (ATTACH A DIFFERENT SCHEDULE FOR EACH EVENT HELD) SCHEDULE 2 $ for $50.00 for 50 $ for $ * If admission charge per person is not consistent, please provide complete breakdown of all ticket sales. TOTAL GROSS REVENUE: $ Other Revenue (Please Specify): $ REVENUE FROM FUNCTION (AX B) $ Number of Tickets sold $ 120 B *Admission Charge (per person) $ 100 A Type of Function: Wine and Cheese Held at: McBeth House Centre By-law No. 10/2010 Form4-Schedule2-ll of 14

12 Address: Name of financial institution: BORROWINGS, OVERDRAFT, ETC. SCHEDULE 3 Name Address GUARANTORS (attach supplementary list if space insufficient) Terms of repayment: Interest rate: Principal Amount of Loan: $ By-law No. 10/2010 Form 4- Schedule 3 - Guarantee Amount of 12 of 14

13 expenses amount Amount included in Disputed (ATTACH LIST IF MORE SPACE REQUIRED) STATEMENT OF DISPUTED CLAMS SCHEDULE 4 13 of 14 TOTAL DISPUTED CLAIMS $ 0 $ 0 TOTAL FROM SUPPLEMENTARY LIST ATTACHED $ $ Reason for Dispute Nature of Expense Name & Address of Claimant $ $ Reason for Dispute Nature of Expense Name & Address of Claimant $ $ Reason for Dispute Nature of Expense Name & Address of Claimant $ $ By-law No. 10/2010 Form 4- Schedule 4 -

14 Official Agent SHAUNROCAN Name of Candidate DEVISHARMA REFERENCE: SECTION 21(1) AUDITORS REPORT Date Signature of Auditor 20-May-iS contained in the accounting records on which the statements are based in accordance with prescribed accounting treatment. myself/ourselves as to the completeness of the records as described in the preceding paragraph, these statements present fairly the information In my/our opinion, except for the effect of adjustments, if any, which I/we might have determined to be necessary had I/we been able to satisfy candidate, in accordance with established accounting procedures and I/we was/were not able to determine whether any adjustments might be necessary to receipts and disbursements. verification of these transactions was limited to ensuring that the financial statements reflect the amounts recorded in the accounting records of the accounting records include all donations of goods and services, receipts and disbursements for the campaign period. Accordingly, my/our Due to the nature of the types of transactions inherent in an election campaign, it is impracticable through auditing procedures to determine that the consider necessary in the circumstances except as explained in the following paragraph. basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes such test and other procedures as I/we audit to obtain responsible assurance whether the financial statements are free of material misstatement. An audit includes examining, on a test My/our examination was made in accordance with generally accepted auditing standards. Those standards require that I/we plan and perform an these financial statements based on my/our audit. These financial statements are the responsibility of the registered candidate and official agent. My/our responsibility is to express an opinion on specified users or for any other purposes. By-law No. 10/2010 ofthe City of Winnipeg Charter. The statements are not intended to be and should not be used by anyone other than the principles, are solely for the information and use of the Campaign Expenses and Contributions Officer for the City of Winnipeg for complying with These statements, which have not been, and were not intended to be, prepared in accordance with Canadian generally accepted accounting relating to the election held on 3/31/15 Date Campaign Period Ended Date of Election 10/22/14 Name of Candidate candidate, for the campaign period ending DEVI SHARMA I / we have examined the statements of assets and liabilities and income and expenses of Ward Name (if councillor candidate) OLD KILDONAN Office COUNCILLOR Auditors Report - 14 of 14

15 FINAL CERTIFICATE OF MAXIMUM CAMPAIGN EXPENSES REFERENCE : SECTION 17(1) CAMPAIGN EXPENSES AND CONTRIBUTIONS BY-LAW NO. 10/2010 THE CITY OF WINNIPEG FORM 3 SIGNATURE OF CAMPAIGN EXPENSES AND CONTRIBUTIONS OFFICER DATE September 5, 2014 $ I certify that the maximum amount of campaign expenses for the above mentioned office is: OLD KILDONAN COIJNCILLOR Office Ward Name (if councillor candidate) The City of Winnipeg Municipality June 30, 2014 March 31, 2015 For the campaign period: From To By-law No. 10/20 10 Form 3-1 of 1

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