CAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 BY- ELECTION (COUNCILLOR) SUMMARY OF CAMPAIGN CONTRIBUTIONS SUMMARY OF ELECTION EXPENSES
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1 Local Government Act Section 90 CITY OF NANAIMO Form 3-9b CAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 BY- ELECTION (COUNCILLOR) This disclosure statement is to be filed with the Manager of Legislative Services of the City of Nanaimo within 120 days after by-election voting day (July 25, 2011). Disclosure statements may be filed from July 26, 2011 until August 26, 2011 on payment of a 500 late filing penalty to the City of Nanaimo. NAMEOFCANDIDATE: ~~~~~\L~L~~M_c_ ~_A_Y~~~~~~~~~ NAME OF OFFICE for which the candidate sought election: -----=C-=Oc..::U:..:..N..:...:C=I=L=LO=..:...:R' NAME OF ENDORSING ELECTOR ORGANIZATION (if applicable): SUMMARY OF CAMPAIGN CONTRIBUTIONS Total amount of campaign contributions Total of (A, B & C) from Schedule A: Part 1 (page 4) List of contributors who made contributions totalling 100 or more Complete Schedule A: Part 2 (page 5) Total amount of anonymous campaign contributions remitted to the City of Nanaimo Total from Schedule A: Part 3 (page 6) -e- SUMMARY OF ELECTION EXPENSES Total amount of election expenses COMPLETE SCHEDULE B (page 7) SURPLUS FUNDS Transfer from local government (surplus funds from previous election) Balance (positive or negative) remaining in candidate's campaign account ~_-G=- 6o 39 COMPLETE SCHEDULE C (page 8) J CAMPAIGN ACCOUNT INFORMATION I All monetary contributions.were deposite~ in, and all election expenses paid from an account opened for this purpose at ec(.\~t c~.ta\ Sqo; ntts located at &o - hs"si Avids R.d.. J N ~q.~o,bt;.. (name of financial institution) (Branch address) NOTE: This is not a balance sheet. For example, contributions may not equal expenses. COMPLETE THE APPROPRIATE DECLARATIONS ON PAGES 2 AND 3 Page 1 of 13
2 DECLARATION OF CANDIDATE Form 3-9b I, B \ LL f;\c:. '1-6-';j_, a candidate for COUNCILLOR in the City of Nanaimo election, solemnly affirm that to the best of my knowledge, mformat1on and belief: (a) (b) this campaig n financing disclosure statement and supporting schedules completely and accurately discloses the information required by Section 90 of the Local Government Act in relation to my election campaign for the office of COUNCILLOR in the 2011 By-Election for the City of Nanaimo; and the requirements of Division 8- Campaign Financing of the Local Government Act have been met in relation to my election campaign for the office of COUNCILLOR in the By-Election for the City of Nanaimo. Declared before me at ~ cu.ro o this "&~ day of A-u..t)"c:z-\, British Columbia I Des na d Local Government Officer or Co mis ioner for taking affidavits for British Columbia DECLARATION OF ELECTOR ORGANIZATION OFFICIAL (itapplicabte) I, ~~ ' being the ,----,---,---,--=-:--:---- (title of authorized official) for the------~.----:--:--:-----:----:--: ' solemnly affirm that to the me of elector organization) best of my knowledge, infor tion and belief: (a) this campaign financing disclosure statement and supporting schedules completely and accurately discloses the 1 ormation required by Section 90 of the Local Government Act for the election campaign of...,.,... for the office of COUNCILLOR in the (name of candidate) 1 1 By-Election for the City of Nanaimo; and (b) the requirements of Division 8 - Campaign ancing of the Local Government Act have been met in relation to the election campaign of--~ for the office of COUNCILLOR in the 2011 By-Eie on for the City of Nanaimo. Declared before me at, British Columbia this day of, Designated Local Government Officer or Commissioner for taking affidavits for British Columbia Signature of Elector Organization Official Page 2 of 13
3 DECLARATION OF CAMPAIGN ORGANIZER (itappticabte) I,, being the (title of authorized official) for the =~---.,----, , ' solemnly affirm that to the (name of elector organization) mation and belief: (a) this campaign financ1 disclosure statement and supporting schedules completely and accurately discloses tti information required by Section 90 of the Local Government Act for the election campaign of,,-- ---, :----::--:---: (name of candidate) for the office of COUNCILLOR in the 011 By-Election for the City of Nanaimo; and (b) the requirements of Division 8- Campaign inancing of the Local Government Act have been met in relation to the election campaign of----=~ for the office of COUNCILLOR in the 2011 By-Eie on for the City of Nanaimo. Declared before me at this day of, Designated Local Government Officer or Commissioner for taking affidavits for British Columbia Signature of Campaign Organizer DECLARATION OF FINANCIAL AGENT I, \<u(se~t FuLLt:R.., have prepared this disclosure statement and supporting schedules for ts \ L- L M '-'i. ~ '{ name of candidate (or elector organization or campaign organizer, if applicable) and solemnly affirm that to the best of my knowledge, information and belief that: (a) (b) this campaign financing disclosure statement and supporting schedules completely and accurately discloses the information required by Section 90 of the Local Government Act in relation to the election campaign of fs \ LL fv\c.. '?-l'lrj. (name of ca didate) for COUNCILLOR in the 2011 By-Election for the City of Nanaimo; and the requirements of Division 8- Campaign Financing of the Local Government Act have been met in relation to the election campaign of ~ ''-'- M.... V-H. (name of candidate) for COUNCILLOR in the 2011 By-Election for the City of Nanaimo. Declared before me at ).!)~~SJ, British Columbia this Ct..~ day of ~\ ' Desig ate Local Government Officer or Commis ner for taking affidavits for British Columbia Page 3 of 13
4 CAMPAIGN FINANCING DISCLOSURE STATEMENT CAMPAIGN CONTRIBUTIONS SCHEDULE 'A' PART 1: CONTRIBUTIONS Contributions from known sources Total value of contributions of 100 or more from a single source Unless nil, complete Schedule A: Part 2 (page 5). Total value of contributions totalling or less from a single source (A) (B) \ls o o Contributions from anonymous sources Contributions from anonymous sources LESS: value of anonymous contributions over 50. remitted to the City of Nanaimo (Total from Schedule A: Part 3- page 6) Total value of anonymous campaign contributions of 50. or less =(C) TOTAL VALUE OF CONTRIBUTIONS (A+ B +C)= Total number of contributors who made contributions totalling or less 3 Page 4 of 13
5 CAMPAIGN FINANCING DISCLOSURE STATEMENT CAMPAIGN CONTRIBUTIONS SCHEDULE 'A' PART 2: LIST OF CONTRIBUTORS TOTALLING 100 OR MORE from Item (A) (page 4) * 1 * FULL NAME z ADDRESS DATE AMOUNT (if applicable) Se-E A-rT A-c.\.\ e:-d -:;,, ~ M M i\11-'/ * 3 * CLASS TOTAL. Attach supplementary hst 1f requ1red *1* If numbered corporation or unincorporated organization, include full name of 2 individuals who are directors or principal officers or members. *2* Do not report addresses of individuals. *3* Classes: individual, corporation, unincorporated organization, trade union, non-profit organization, other. Page 5 of 13
6 CAMPAIGN FINANCING DISCLOSURE STATEMENT CAMPAIGN CONTRIBUTIONS SCHEDULE "A" PART 2: LIST OF CONTRIBUTIONS TOTALING 100 OR MORE FULL NAME ADDRESS DATE AMOUNT CLASS Wingwalker Holdings Inc. 615 Kennedy Street, Nanaimo, BC 2/20/ Corp. Harry Beck 508 8th Street, Nanaimo, BC 3/3/ lndiv. Jae Valentine Box 742 Nanaimo, BC, 3/3/ lndiv. Fang Tea roe Ent. Ltd Selkirk Drive, Nanaimo, BC 3/3/ Corp. Joan & Rick Granger 1586 College Drive, Nanaimo, BC 3/3/ lndiv. Wilf Richard Mcleod Trail, Calgary 3/3/ lndiv. Island Terminals Ltd. 870 Jackson Road, Nanaimo, BC 3/4/ Corp. John Lucus 6021 Breonna Drive, Nanaimo, BC 3/4/ lndiv. Kate Hynes 5897 Redwing Cres, Nanaimo, BC 3/5/ lndiv. Quarterway Holdings Ltd Fillinger Cres, Nanaimo, BC 3/12/ Corp. Stan Osiel 5461 Hammond Bay Road, Nanaimo, I 3/14/ lndiv. Kim Pirie 124 Stacey Cres, Nanaimo, BC 3/17/ lndiv. James Goldsack 1659 Dufferinn Cres, Nanaimo, BC 03/29/ lndiv Alberta Inc. # Turner Road, Nanaimo, BC 6/6/ Corp. Jim Mercier (owner) Bill McKay 1844 Evergreen Way, Nanaimo, BC lndiv. The Sign Man Signs Ltd McCullough Rd, Nanaimo, BC 2, Corp. 5,951.60
7 CAMPAIGN FINANCING DISCLOSURE STATEMENT CAMPAIGN CONTRIBUTIONS SCHEDULE 'A' PART 3 - LIST OF ANONYMOUS CONTRIBUTIONS OVER 50 REMITTED TO CITY OF NANAIMO DATE VALUE DATE VALUE SUB-TOTAL -G- SUB-TOTAL ~ '-.-.T GRAND TOTAL Page 6 of 13
8 Local Government Act Section 90(4)(f) BC. Reg. 380/93 Form 3-9b CAMPAIGN FINANCING DISCLOSURE STATEMENT SCHEDULE 'B' ELECTION EXPENSE DETAILS A. Election campaign advertising or communication expenses for: (1) radio, television, newspaper, magazine 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 1142 '" 361to t:jo 68\ s-o 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 8(1) to (4) above "2:::::-.s- 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 G. Other expenses (provide description) TOTAL AMOUNT OF ELECTION EXPENSES Total amount of other expenses G Page 7 of 13
9 Local Government Act Section 90(4) Form 3-9b CAMPAIGN FINANCING DISCLOSURE STATEMENT SCHEDULE 'C' DETAILS OF SURPLUS FUNDS DISBURSEMENT A. B. C. Balance remaining in account Amount reimbursed to candidate from campaign account for the candidate's contributions to his/her campaign Amount of remaining surplus funds (after any reimbursement under B.) D. Details of the disbursement of remaining surplus funds under C. Page 8 of 13
10 CAMPAIGN FINANCING RECORD KEEPING FORM RECORD OF CASH CAMPAIGN CONTRIBUTIONS * 1 * FULL NAME *Z* ADDRESS DATE AMOUNT * 3 * CLASS (if applicable) WA-lLt-'1 ~EL~ 3\3 \"2-a 1\ fif''-d:v. TOTAL oo pi) *1* If numbered corporation or unincorporated organization, include full name of 2 individuals who are directors or principal officers or members. *2* Do not report addresses of individuals. *3* Classes: individual, corporation, unincorporated organization, trade union, non-profit organization, other. Page 9 of 13
11 CAMPAIGN FINANCING RECORD KEEPING FORM RECORD OF IN-KIND CAMPAIGN CONTRIBUTIONS * 1 * NAME *Z*ADDRESS DATE GOOD or VALUE (if applicable) SERVICE,La\\ TH- ' (;1\J IVII'---r _ M (. C.J L-DUG:!'lJ) -;;I " 1'-1 S L-(0. N A-rJA1~ (:S C:. :2-~ 0 Q 2-SoD TOTAL I 0,soo.,. *1* If numbered corporation or unincorporated organization, include full name of 2 individuals who are directors or principal officers or members. *2* Do not report addresses of individuals. Page 10 of 13
12 CAMPAIGN FINANCING RECORD KEEPING FORM RECORD OF DISCOUNTED GOODS AND SERVICES GOOD OR SERVICE PRICE PAID FAIR MARKET VALUE (RETAIL VALUE) TOTAL N\ Page 11 of 13
13 CAMPAIGN FINANCING RECORD KEEPING FORM CAMPAIGN CONTRIBUTIONS RECORD OF ANONYMOUS CAMPAIGN CONTRIBUTIONS 50 OR LESS CONTRIBUTION VALUE/AMOUNT DATE REMITTED TO LOCAL (MONEY, GOODS) (if greater than 50) GOVERNMENT... L,~. tj\ Page 12 of 13
14 CAMPAIGN FINANCING RECORD KEEPING FORM RECORD OF ELECTION EXPENSES GOODS, PROPERTY OR SERVICES DATE DATE AMOUNT RECEIVED INCURRED PAID See ATe IJ c.\~ ED S-IN ~. q{'ll'\~"'1 TOTAL Page 13 of 13
15 CAMPAIGN FINANCING RECORD KEEPING FORM RECORD OF ELECTION EXPENSES GOODS, PROPERTY OR SERVICES PROVIDED DATE INCURRED AMOUNT CLASS Signs Copy writing Website Signs Signs Signs Newspaper Newspaper Bank Charges 2/28/11 3/3/11 3/4/11 3/10/11 3/18/11 3/22/11 3/22/11 3/23/ , A2 A3 A3 A2 A2 A2 A1 A1 85 Total Expenses tc 6,066.21
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