CANDIDATE CAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL LOCAL ELECTION
|
|
- Loren Morgan
- 5 years ago
- Views:
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 )'
CANDIDATE CAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL LOCAL ELECTION
Parksville CANDIDATE Form No. 3-9 Page 1 Local Government Act s. 90 CAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL LOCAL ELECTION This disclosure statement is to be filed with the Corporate
More information-~ob. Standard Record-Keeping and Campaign Financing Disclosure Forms. Record-Keeping Forms. Campaign Financing Summary Forms.
-~ob Standard Record-Keeping and Campaign Financing Disclosure Forms Record-Keeping Forms R.1: Record of Monetary Contributions Table R.1: Class of Contributors R.2: Record of n-kind {Discounted and Donated)
More informationCAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL ELECTION (COUNCILLOR)
Local Government Act Section 90 CITY OF NANAIMO CAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL ELECTION (COUNCILLOR) Form 3-9b This disclosure statement is to be filed with the Manager of
More informationCAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL ELECTION (COUNCILLOR)
Local Government Act Section 90 CITY OF NANAIMO CAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL ELECTION (COUNCILLOR) Form 3-9b This disclosure statement is to be filed with the Manager of
More informationCAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 BY- ELECTION (COUNCILLOR) SUMMARY OF CAMPAIGN CONTRIBUTIONS SUMMARY OF ELECTION EXPENSES
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
More informationCAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL ELECTION (COUNCILLOR) SUMMARY OF CAMPAIGN CONTRIBUTIONS SUMMARY OF ELECTION EXPENSES
Local Government Act Section 90 CITY OF NANAIMO CAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL ELECTION (COUNCILLOR) This disclosure statement is to be filed with the Manager of Legislative
More informationCAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL ELECTION SUMMARY OF CAMPAIGN CONTRIBUTIONS SUMMARY OF ELECTION EXPENSES SURPLUS FUNDS
Local Government Act Section 90 CITY OF NANAIMO CAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL ELECTION (MAYOR) This disclosure statement is to be filed with the Manager of Legislative Services
More informationCAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type)
CAMPAGN FNANCAL DSCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 12114 Section Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) reasurer
More informationFinancial Statement Auditor s Report
Coo r r"', nstructons Mnstry of Muncpal Affars Ontaro and Housng All canddates must complete Boxes A, B, C, D, E and F and Schedule Fnancal Statement Audtor s Report Form 4 Muncpal Electons Act, 1996(
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Date Received NICKNAME LAST SUFFIX r--:! (T,..all ~ 'r_i"';t TX - (J. N :t: ADDRESS.
CANDDATE / OFFCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 1 Filer D (Ethics Commission Filers) 2 Total pages filed: The e/oh nstruction Guide explains how to complete this form. - 3 CANDDATE/
More informationState of Georgia Campaign Contribution Disclosure Report
1. Report Type (Select One) jl Orgnal Report O Amended Report Amendment #. Flng s beng made on behalf of (Select One): [^Canddate or Publc Offcal.. A J s*>,,, /) jj Offce Sought or Held: ''^ W^^*/ /JfaZA^f
More informationAmount paid to Electoral Officer and date payment made (if an anonymous donation) Campaign to which donation designated (if an anonymous donation)
Section 112A, Local Electoral Act 2001 I,Stephen James Preston, was a candidate for the following elections held on 12 October 2013: [List all elections at which the candidate stood for election on the
More informationSection 112A, Local Electoral Act 2001 I, Tahere Paul Eagle was a candidate for the following elections held on 12 October 2013:
Section 112A, Local Electoral Act 2001 I, Tahere Paul Eagle was a candidate for the following elections held on 12 October 2013: Wellington City Council, Southern Ward Part A Return of electoral donations
More informationFINAL. Name of Public Accountant to Whom Inquiry May be Directed (if different than above)
922 Candidate's Financial Statements and Supporting Schedules FINAL (To be filed within 4 months after Election Day. Complete the form in ink.) For the Candidacy Period Date March 23, 2011 To Date December
More information> By-law No. 10/2010 Form 4 - Audited
THE CITY OF WINNIPEG FORM 4 AUDITED FINANCIAL STATEMENT REFERENCE: SECTION 21(1) CAMPAIGN EXPENSES AND CONTRIBUTIONS BY-LAW NO. 1012010 1 of 14 Campaign Period Surplus (Deficit) ((A) - (B)) $ -530.77 Total
More informationELECTION FINANCING REPORT 465 (16/08)
ELECTION FINANCING REPORT completion guide FOR candidates 465 (16/08) Table of Contents General............ 1 Privacy............ 1 Introduction........... 2 Audits............ 2 Submitting the report.........
More informationCAMPAIGN FINANCE REPORT COVER SHEET PG 1
CANDDATE / FCEHOLDER FORM C/ OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The C/ OH nstruction Guide explains how to complete this form. 1 Filer D ( Ethics Commission Filers) 2 Total pages filed: 7-3 CANDDATE/
More informationo Amendment (Explain below)
Recipient Committee Campaign Statement Cover Page (Govemment Code Sections 84200-84216.5) Type or print in ink. Statement covers period of election if applicable: (Month, Day, Year) Stamp COVER PAGE CALFORNA
More informationFINAL. Date. Name of Public Accountant to Whom Inquiry May be Directed (if different than above)
922 Candidate's Financial Statements and Supporting Schedules FINAL (To be filed within 4 months after Election Day. Complete the form in ink.) For the Candidacy Period Date November 09, 2014 To Date June
More informationCAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For County, Municipal and School Board Candidates
CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For County, Municipal and School Board Candidates Check if this report is an amendment This report should be filed with the County Clerk of the county in which
More informationo Check here if address has changed (3) ID Number:
CAMPAGN TREASURER'S REPORT SUMMARY (1) MGUEL ANGEL GABELA OFFCE USE ~Y Name () 1701 NW SOUTH RVER DR Address (number and street) MAM FL 3315 Cty, State, Zp Code (, ::::'1.,,' :0 rn ':) o Check here f address
More information12 DEC 2013 NIL RETURN NIL RETURN NIL NIL RETURN RETURN
-. Section 112A, Local Electoral Act 2001 l,_malcolm Thomas Fraser Aitken was a candidate for the following elections held on 12 October 2013: [List all elections at which the candidate stood for election
More informationFINAL. Date. Name of Public Accountant to Whom Inquiry May be Directed (if different than above)
922 Candidate's Financial Statements and Supporting Schedules FINAL (To be filed within 4 months after Election Day. Complete the form in ink.) For the Candidacy Period Date October 29, 2015 To Date June
More informationCAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL ELECTION {MAYOR)
Local Government Act Section 90 CITY OF NANAIMO CAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL ELECTION {MAYOR) Form 3-9b This disclosure statement is to be filed with the Manager of Legislative
More informationForm CR-1: CANDIDATE CAMPAIGN PERIOD FINANCIAL STATEMENTS
Election Finances Forms July 2011 Form CR-1: CANDIDATE CAMPAIGN PERIOD FINANCIAL STATEMENTS Completion Guide COMPLETING THE FINANCIAL STATEMENTS The campaign period financial statements have been designed
More informationFINAL. Date. Name of Public Accountant to Whom Inquiry May be Directed (if different than above)
922 Candidate's Financial Statements and Supporting Schedules FINAL (To be filed within 4 months after Election Day. Complete the form in ink.) For the Candidacy Period Date March 25, 2016 To Date June
More informationFINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only For assistance in completing
FINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only To be filed with: Mark Martin, Secretary of State For assistance in completing this form contact: Arkansas Ethics
More informationu. NICKNAME LAST SUFFIX
'' Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) CANDDATE FCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT CovER SHEET PG 1 The C/OH nstruction Guide explains
More informationFINAL. Date. Name of Public Accountant to Whom Inquiry May be Directed (if different than above)
922 Candidate's Financial Statements and Supporting Schedules FINAL (To be filed within 4 months after Election Day. Complete the form in ink.) For the Candidacy Period Date February 17, 2015 To Date June
More informationTexas Ethics Commission P.O. Box Austin, Texas (512) (TOO ) FORMC/OH FINANCE REPORT CovER SHEET PG 1
' {-~,, CAMPAGN TREASURER Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) CANDDATE FCEHOLDER FORMC/OH FNANCE REPORT CovER SHEET PG 1 1 ACCOUNT# 2 Total
More informationIWS/MRS/MR. PHONE NUIUIBER Date Processed STREETADDRESS (NO PO BOX PLEASE) APT/SUITE#; CITY; STATE; ELECTION TYPE
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) C A N D D A T E / O F F C E H O L D E R C A M P A G N F N A N C E R E P O R T FORM C/OH COVER SHEET PG
More informationForm CR-3: CONSTITUENCY ASSOCIATION CAMPAIGN PERIOD FINANCIAL STATEMENT
July 2011 Form CR-3: CONSTITUENCY ASSOCIATION CAMPAIGN PERIOD FINANCIAL STATEMENT Completion Guide COMPLETING THE FINANCIAL STATEMENT The campaign period financial statement has been designed to gather
More informationElection Campaign Financing By-law
Re: Item No. 4 Election Campaign Financing By-law Regional Council 02-Oct-18 Legislative Context Municipal Elections Act Sections 49 A and B are still in effect and support the base of Campaign Finance
More informationDONATIONS Complete Parts A to E
DONATIONS Complete Parts A to E Information on Candidate Donations Candidates are required to include in the candidate return every candidate donation or contribution to a candidate donation of more than
More informationFINAL. Date. Name of Public Accountant to Whom Inquiry May be Directed (if different than above)
922 Candidate's Financial Statements and Supporting Schedules FINAL (To be filed within 4 months after Election Day. Complete the form in ink.) For the Candidacy Period Date August 17, 2015 To Date June
More informationCAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) ~J ts,()11. TYPE OF REPORT STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES
Section 1 ame of candidate or Political Committee and Chairperson L P/JAR.l::J EC. Mailing Address.Z7 i taj :ioo CAMPAGN FNANCAL DSCLOSURE REPORT SUMMARY PAGE (Please Print or Type) Office Sought (if candidate)
More informationForm CPF M 102: Campaign Finai Municipal Form. Office or Campaign and Political Finance SUMMARY BALANCE INFORMATION:
Commonwealth of Massachusetts Form CPF M 102: Campaign Finai Municipal Form Office or Campaign and Political Finance Fileu W~S~Y7L~fl LMAY ~1LflJ TOWN OF COHASSET th: City or T Cl&ld & ~i thn Fnntn,, b
More informationCAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) 3i8 TYPE OF REPORT. 0~ I :ZS l /L. Doctober 10 Pre-General Report
Rt;CEVEO C-2 Rev11/17 Section CAMPAGN FNANCAL DSCLOSURE REPORT SUMMARY PAGE (Please Print or Type) istrict (if any) JUN O 6 2017 : OZ-"
More informationFINAL. Date. Name of Public Accountant to Whom Inquiry May be Directed (if different than above)
922 Candidate's Financial Statements and Supporting Schedules FINAL (To be filed within 4 months after Election Day. Complete the form in ink.) For the Candidacy Period Date October 29, 2015 To Date June
More informationType or print in ink. Jan 1, March 17,2008. IZI Preelection Statement. Treasurer(s) OF TREASURER (831)
Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE NSTRUCTONS ON REVERSE from Type or print in ink. Jan 1, 2008 March 17,2008 1. Type of Recipient Committee:
More informationn I did not accept any contributions or incur any expenses other than the nomination fee. ( Complete Box A and B only)
ft Ontario. Ministry of Municipal Affairs and Housing Financial Statement Auditor' s Report Form 4 Municipal Elections Act, 1996( Section 78) Instructions: All candidates must complete Boxes A and B. Candidates
More informationS/1 / / J CANDIDATE / O F F I C E H O L D E R CAMPAIGN FINANCE R E P O R T FORM C/OH COVER SHEET PG 1 GO TO PAGE 2
CANDDATE / O F F C E H O L D E R CAMPAGN FNANCE R E P O R T FORM C/OH COVER SHEET PG 1 The C/OH nstructon Gude explans how to complete ths form. 1 Fler D (Ethcs Commsson Flers) 2 Total pages fled: 5" 3
More information11/10/2017 4:52:44 PM. Received by NSD/FARA Registration Unit. Received by NSD/FARA Registration Unit 11/10/2017 4:52:44 PM I--REGISTRANT
Received by NSD/FARA Registration Unit U.S. Department of Justice Washington, DC 20530 11/10/2017 4:52:44 PM OMB No. 1124-0001; Expires May 31, 2020 Registration Statement Pursuant to the Foreign Agents
More information-e- RECEIVED. eo BO'X 5'11. c2d/t ~0 b -0- C:::zCU1tulOj A Z- ~fo50s crz8-3(3 -~91( City Zip Code Phone. l35 \ SEP \35l
STATE OF ARZONA APACHE COUNTY POLTCAL COMMTTEE CAMPAGN FNANCE REPORT 1. J)Oy\ildson L, ~ u)jn Full of Committee eo BO'X 5'11 Address C:::zCU1tulOj A Z- ~fo50s rz8-3(3 -~91( City Zip Code Phone 2.! / k?8
More information2: tnhar23 aurr (Month, Day, Year) J u liff '+ For Official Use Only
... Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date Stamp COVER PAGE :. f~! -ti: r,, 1,.,,, ~ (._, l')~~o-~rvq '~ (~ ~ " ~ 1 11 L...;,. ;\,, ~----------~~~--fio~a;te~o;f~el~ec~ti~on~i;f~ap;p~uc~abibj;.je
More informationP ( )
Instructions for Completing the Annual Financial Return for Registered District Association (Political Process Financing Act, R.S.N.B. 1978, c. P-9.3, s. 60) P 04 913 (2019-01-16) Please read this document
More informationGiven Na~(s) (_DI.JA}//.; Ward name or no. (if any)
' l')h t ~ t»: Ontario Instructions: Ministry of Municipal Affairs and Housing Financial Statement - Auditor's Report Form 4 Municipal Elections Act, 1996 (Section 78) All candidates must complete Boxes
More informationInstructions - Form R-1
Instructions - Form R-1 Do not complete the front cover of the Form R-1 until all schedules are completed. Submit every schedule of the Form R-1 when filing the report. If there is no activity to report,
More informationFINAL. Date. Name of Public Accountant to Whom Inquiry May be Directed (if different than above)
922 Candidate's Financial Statements and Supporting Schedules FINAL (To be filed within 4 months after Election Day. Complete the form in ink.) For the Candidacy Period Date February 02, 2017 To Date August
More information7ffiliation or If Independent Candidate
REPORT OF RECEPTS AND EXPENDTURES OF A POLTCAL COMMTTEE 7 State Form 4606 (813/11-05) ndiana` lection Commission (C 3-9-5-14) NSTRUCTONS: Please type or print legibly N BLACK NK all information on thi
More informationX? ad Box B: Summary of Campaign Income and Expenses. t/x" Ontario. L o t_ ae, 0
t/x" Ontario Ministry of Municipal Affairs and Housing Financial Statement Auditor's Report Form 4 Municipal Elections Act, 1996 (Section 78) Instructions All candidates must complete Boxes A, B, C, D,
More informationC Ontario M ry of Municipal Affairs Financial Statement
C Ontario M ry of Municipal Affairs Financial Statement Auditor s Report Form 4 Municipal Elections Act, 1996 (Section 78) Instructions: All candidates must complete Boxes A and B. Candidates who receive
More information~ r~~ ~ J;-- Ministry of Municipal Affairs Financial Statement Auditor's Report. Form 4 Municipal Elections Act, 1996 (Section 78) Zo~~ o ~- 2~.
~ r~~ ~ J;-- Ministry of Municipal Affairs Financial Statement Auditor's Report Ontario and Housing Form 4 Municipal Elections Act, 1996 (Section 78) Instructions: All candidates must complete Boxes A
More informationV ( s. " ' 8th day before election. 6/tc{ 1--;< 11(/1. ( 56),t7 cg 3? 1_; MS/ MRS/ MR. oj If Al lf1r/ - L( l tlep o 1. Dy.
CANDIDATE/ FICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total 6 s filed: 3 CANDIDATE/
More information&ANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE
.......'\ &ANSAS GOVERNMENTAL ETHCS COMMSSON...-'/.c;.'O \ 'a,-.. '\ r'",y '. '1>" \ :\)\. '1 \ J,o..00-'V \ RECEPTS AND EXPENDTURES REPORT OF A CANDDATE FOR STATE OFFCE...,.\0'2--'\;,,- S\ f'-...-" JULY
More informationCAMPAIGN FINANCE REPORT COVER SHEET PG 1
Texas Ethcs Commsson RO. Box 12070 Austn, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989 CANDDATE FCEHOLDER FORM COH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The COH nstructon Gude explans how to complete
More information1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: Ccr //` /7574 Office of. TN f CE. C Date Processed. Lame.
CANDDATE/ OFFCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG The C/OH nstruction Guide explains how to complete this form. Filer D ( Ethics Commission Filers) 2 Total pages filed: 6 3 CANDDATE/
More informationCAMPAIGN TREASURER'S REPORT SUMMARY
CAMPAGN TREASURERS REPORT SUMMARY () Sandra K. Golding r Name () 0 8th Avenue North --. - -... - -- : 7?ECEVED Address (number and street) JAN 08 08 Jacksonville Beach, FL, City, State, Zip Code. ~sty
More informationCAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) City and Zip. City and Zip
CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 10/07 Section I Name Candidate or Political Committee and Chairperson Offi ce Sought (if candidate) Seat (if any) Mailing
More informationFinancial Statement - Auditor s Report. Form 4
All candidates must complete Boxes A and B. Candidates who receive contributions or incur expenses beyond the nomination fee All to surplus funds (after any refund the candidate or his or her spouse) shall
More informationE-412. Candidate s Return of Election Expenses. Form VV. The Election Act, 1996 Section 261 (Forms E-413 and E-414) (Mar 2017) Name of Candidate
Candidate s Return of Election Expenses E-412 Form VV The Election Act, 1996 Section 261 (Forms E-413 and E-414) (Mar 2017) Name of Candidate Political Affiliation Electoral Event/Date Constituency CHECKLIST
More informationFINAL. Name of Public Accountant to Whom Inquiry May be Directed (if different than above)
922 Candidate's Financial Statements and Supporting Schedules FINAL (To be filed within 4 months after Election Day. Complete the form in ink.) For the Candidacy Period Date July 26, 2011 To Date December
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: rlt~e~ OFACE USE ONLY OFFICEHOLDER
CANDIDATE I FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form 1 Filer ID (Ethics Commission Filers) 2 Total pages filed:... 3 CANDIDATE/
More informationP ( )
Instructions to Official Representative for Completing the Annual Financial Return for Registered District Association (Political Process Financing Act, R.S.N.B. 1978, c. P-9.3, s. 60) P 04 913 (2016-02-29)
More informationLOCAL FINANCIAL DISCLOSURE STATEMENT (For use by all Local Public Officers and Candidates in the State of Arizona)
RECEVED " LOCAL FNANCAL DSCLOSURE STATEMENT (For use by all Local Public Officers and Candidates in the State of Arizona) JAN 1 7 2017 APACHE COUNTY ELECTON TME: Name of Local Public Officer or Candidate:
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages f~~:
CANDDATE / FCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The e/oh nstruction Guide explains how 10 complete this form. J~.'! r:.~l.. 1 Filer D (Ethics Commission Filers) 2 Total pages f~~:
More informationo year-end report 0 dissolution
Commonwealth of Massachusetts Fill in Reporting Period dates: Form CPF M 102: Campaign Finance Report Municipal Form RECEVED Office of Campaign and Political Finance MAY - 8 2017 Beginning Date: 1/1/2017
More informationTitle Income and Expenses for Independent Agents. Page 1 of 6
Calendar Year 2017 Agency Name Underwriter CLUP(s) Contact(s) Income Section Zone 1 Zone 2 ALL ZONES Income Category Item Count Revenue Item Count Revenue Revenue 1 Policy Charges 2 Endorsements 3 Special
More informationCAMPAIGN TREASURER'S REPORT SUMMARY. D Check here if PTY has disbanded. (5) Report Identifiers. (7) Expenditures This Report. Monetary Expenditures
(1) Georgette E. Dumont Name (2) 507 16th Avenue South Address (number and street) Jacksonville Beach, FL 32250 CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code 0 Check here if address has changed
More informationNtciNAMe LAST SUFFIX CITY; STATE; ZIP CODE APT I SUITE#; D Runoff. 8th day before e.lection. limit THROUGH ELECTION TYPE. o Primary.
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 CAN.ATE FCEHOLER CAMPAGN FNANCE REPORT FORMC/OH CoVER SHel:T PG 1 The C/OH nstruction Guide explains how to complete this form.
More informationt > Ontario -r ;t_ji~ Ward name or no. (if any) /,#A JL-I(J d_ fow A/ o ;; Spending limit issued by clerk ~;;r
f")h t > ~;;r Instructions: Ontario Ministry of Municipal Affairs and Housing Financial Statement - Auditor's Report Form4 Municipal Elections Act, 1996 (Section 78) All candidates must complete Boxes
More informationCANDIDATE NOMINATION PACKAGE. (2 - Nomination Documents PLEASE PRINT IN BLOC K LETTERS
CANDDATE NOMNATON PACKAGE (2 - Nomination Documents PLEASE PRNT N BLOC K LETTERS JURSDCTON (E.G. MUNCPALTY, REGONAL DSTRCT) City of Delta ELECTON AREA (E.G. MUNCPALTY, REGONAL DSTRCT ELECTORAL AREA) Delta
More informationOntario A) Financial Statement Auditor's Report Form 4 Municipal Elections Act, 1996 (Section 78) 2/0 10 Olda. Of. 0 ta.
Ontario Ministry of Municipal Affairs and Housing Financial Statement Auditor's Report Form 4 Municipal Elections Act, 1996 (Section 78) Instructions All candidates must complete Boxes A, B, C, D, E and
More informationCAMPAIGN TREASURER'S REPORT SUMMARY. D Check here if no other IE or EC reports will be filed. (5) Report Identifiers
CAMPAGN TREASURER'S REPORT SUMMARY ( 1 ) Gary Resnick Name (2) 2800 NW 10 Avenue Address (number and street) Wilton Manors, FL 33311 City, State, Zip Code 0 Check here if address has changed (4) Check
More informationDIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY O CHECK IF PC HAS DISBANDED O CHECK IF CCE HAS DISBANDED
FLORDA DEPARTMENT OF STATE DVSON OF ELECTONS CAMPAGN TREASURER'S REPORT SUMMARY (1) J OE CAROLLO CAMPAGN 4 '\... ( r.... OFFW E U$._;: 9N!.i Name (2) 3126 CORAL WAY Address (number and street) 2017 FEB
More information'º i. t > i,,r Ontario. Ch--a ~ ~(S /Q'3/ élj. ù~1llc:>r.
. I'):.:: t > i,,r Ontario Instructions: Ministry of Municipal Affairs and Housing Financial Statement - Auditor's Report Form 4 Municipal Elections Act, 1996 (Section 78) All candidates must complete
More informationir Ontario --~ --z_o re/t 7,;/-z_ o Financial Statement - Auditor's Report Candidate - Form 4 Municipal Elections Act, 1996 (Section 88.
. f):--:;> ir Ontario Ministry of Municipal Affairs Financial Statement - Auditor's Report Candidate - Form 4 Municipal Elections Act, 1996 (Section 88.25) Instructions All candidates must complete Boxes
More informationCFO Handbook for Candidates
Election Finances CFO Handbook for Candidates 2018 Note: This handbook is effective from Jan 1, 2018 to Dec 31, 2018 January 2018 Disclaimer This handbook is for the calendar year 2018. It provides guidance
More informationt?ontario and Housing
('~ L Ministry of Municipal Affairs t?ontario and Housing Financial Statement - Auditor's Report (Question on the Ballot) Form 8 Municipal Elections Act, 1996 (Sections 78, 81 (1)) Instructions: All registrants
More informationo Check here if address has changed (3) 10 Number:
(1) Lorry Woods Campaign Name (2) PO Box 347921 Address (number and street) Miami, FL 33234 CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code o Check here if address has changed (3) 10 Number: (4)
More informationC2 - Nomination Documents
C2 - Nomination Documents PLEASE PRINT IN BLOCK LETTERS JURISDICTION (E.G. MUNICIPALITY, REGIONAL DISTRICT) VICTORIA ELECTION AREA (E.G. MUNICIPALITY, REGIONAL DISTRICT ELECTORAL AREA) We, the following
More information6 OFFICE USE ONLY. /It!{YJ /I 76'90/ W;/1Jt{ /l! SA/Y/J#~O.71. /!/ic./(y. S~ c/2 /d1/02c9/1
lexl:s t:ulcs \Jommlsslon t"'u. COX,",UU 1'\Usun, lexl:ls 11 -,",UU l:> '"'J ",)-:> UU 1--1 '):>-,",':O'l:lJ CANDDATE FCEHOLDER FORMC/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The etoh nstruction Guide
More informationD Change of Address Austin, TX 78704
CANDIDATE / FICEHOLDER " CAMPAIGN FINANCE REPORT The C/OH Instruction Guide explains how to complete this form. 1 Filer ID ~,.., s,_,..., ~: ;-;,: --:, FORM C/OH COVE'.R SHEET PG 1 2 Total pages filed:
More informationLX Ontario. Financial Statement Auditor's Report Form 4 Municipal Elections Act, 1996 (Section 78)
LX Ontario Ministry of Municipal Affairs and Housing Financial Statement Auditor's Report Form 4 Municipal Elections Act, 1996 (Section 78) Instructions All candidates must complete Boxes A, B, C, D, E
More informationForm R-3 Instructions
Form R-3 Instructions 1. The Form R-3 consists of 11 pages; file all pages whether or not a particular page applies to your committee. 2. File an original. 3. The filing dates are the 15th of April, July,
More informationFINAL. Name of Public Accountant to Whom Inquiry May be Directed (if different than above)
922 Candidate's Financial Statements and Supporting Schedules FINAL (To be filed within 4 months after Election Day. Complete the form in ink.) For the Candidacy Period Date April 23, 2010 To Date December
More informationFINANCIAL and STATISTICAL REPORT for JUNE 2015
FNANCAL and STATSTCAL REPORT for JUNE 215 lu. PUBLC UTLTY DSTRCT NO. 1 OF OKANOGAN COUNTY TELEPHONE: (59)422-331 POST OFFCE BOX 912 FAX: (59)422-42 OKANOGAN, WASHNGTON 9884 PUBLC UTLTY DSTRCT NO. 1 OF
More informationit>...~ vr Ontario t -:>
r'~ t :> vr Ontaro Mntry of Muncpal Affar and Houng Fnancal Statement Audtor' Report Form 4 Muncpal Electon Acf, 1996 (Secton 78) ntructon All canddate mut complete Boxe A, B, C, D, E and F and Schedule
More informationCAMPAIGN TREASURER'S REPORT SUMMARY. Monetary. Expenditures $ I. Office Account $ I 1. Total Monetary $
CAMPAGN TREASURER'S REPORT SUMMARY (1) Gary Resnick OFFCE USE ONLY Name (2) 2800 NW 10 Avenue Address (number and street) City, State, Zip Code 0 -w...- Check here if address has changed (3) 1&1' ~ECEV~
More informationD Check here if PC or ECO has disbanded D Check here if PTY has disbanded D Check here if no other IE or EC reports will be filed
CAMPAGN TREASURER'S REPORT SUMMARY (1) Tres Holton OFFCE USE ONLY Name (2) 1729 La Maderia Dr SW Address (number and street) Palm Bay, FL 32908 City, State, Zip Code D Check here if address has changed
More informationCANDIDATE NOMINATION PACKAGE. C2 - Nomination Documents PLEASE PRINT IN BLOCK LETTERS FIRST NAME. Jo (/.D
C2 - Nomination Documents PLEASE PRINT IN BLOCK LETTERS JURISDICTION (E.G. MUNICIPALITY, REGIONAL DISTRICT) ELECTION AREA (E.G. MUNICIPALITY, REGIONAL DISTRICT ELECTORAL AREA) We, the following electors
More information/J.17// s:,i_o] D NONE (No reportable non-investment income.) (J./d-E. FINANCIAL DISCLOSURE REPORT Page 2of11
Britt_W_Earl FNANCAL DSCLOSURE REPORT Page 2of11 -e;eiff s:,i_o] ll. N 0 N-NVESTMENT N CO ME. (Reporting individual and spouse; see pp. 7-24 of filing instructions.) A. Filer's Non-nvestment ncome NONE
More informationI Amount. D January 15 ~ 30th day before election D Runoff D D July 15 D Bth day before election D Exceeded $500 D
Texas Ethics Commission PO Box 12070 Austin, Texas 78711-2070 (512} 463-5800 (TDD 1-800-735-2989) CANDDATE OFFCEHOLDER 04-09-14 P02:37 N FORM C/OH CAMPAGN FNANCE REPORT CovER SHEET PG 1 The C/OH nstruction
More informationCAMPAIGN TREASURER'S REPORT SUMMARY
(1) Thomas L. Gaume Jr. Name (2) 1700 Lantana Ct. NW (4) Address (number and street) Palm Bay, FL, 32907 CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code D Check here if address has changed Check
More informationFORMC/OH CAMPAIGN FINANCE REPORT CovER SHEET PG 1. Maca rio. Date Received :,;; : z!;--q NICKNAME LAST SUFFIX ;r-.,_. r':: -- -:.
Texas Ethics Commission PO Box127 Austin Texas 78711-27 (512) 463-58 (TDD 1-8-735-2989) CANDDATE OFFCEHOLDER FORMC/OH CAMPAGN FNANCE REPORT CovER SHEET PG 1 The C/OH nstruction Guide explains how to complete
More information2. Filing is being made on behalf of (Select One): Candidate or Public Official Chairman of Cobb County Commission
Page 1 of 8 CFC-CCDR 1/14 Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, 30334 404-463-1980 www.ethics.ga.gov 1. Report Type 2.
More information({ NONE (No reportable non-investment income.)
Duggan_Patrick_J FNANCAL DSCLOSURE REPORT Page 2of7 DUGGAN, PA TRCK J. ll. N 0 N-NVESTMENT N CO ME. (Reporting individual and spouse; see pp. 17-24 of filing instructions.) A. Filer's Non-nvestment ncome
More informationCAMPAIGN TREASURER'S REPORT SUMMARY
CAMPAGN TREASURER'S REPORT SUMMARY (1) Sandra K. Golding R&GEtYEQv -. Name () 103 18th Avenue North Address (number and street) Jacksonville Beach, FL, 30 OCT 1 018 City Clerk City, State, Zip Code D Check
More informationINSTRUCTIONS FOR COMPLETING THE CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT COUNTY, MUNICIPAL AND SCHOOL BOARD CANDIDATES
INSTRUCTIONS FOR COMPLETING THE CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT COUNTY, MUNICIPAL AND SCHOOL BOARD CANDIDATES SECTION 1 - Indicate general candidate information and title of office sought.
More informationI t9u tfl /0<..v /)( /V. L,kv'\ v1 J,c"'lp
CANDIDATE NOMINATIO N PACKAGE JURISDICTION (E.G. MUNICIPALITY, REGIONAL DISTRICT) D \ y\-v l L-t of N. V 0-.v,c.O 0V Q V C2 - Nomination Documents PLEASE PRINT IN BLOCK LETIERS We, the following electors
More information