CAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL ELECTION SUMMARY OF CAMPAIGN CONTRIBUTIONS SUMMARY OF ELECTION EXPENSES SURPLUS FUNDS

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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

Disclosure statements may be filed from March 20th, 2012 until April 18th, 2012 on payment of a $500 late filing penalty to the City of Nanaimo. NAME OF CANDIDATE: -yj f'n /Z.

_ NAME OF ENDORSING ELECTOR ORGANIZATION (if applicable): SUMMARY OF CAMPAIGN CONTRIBUTIONS Total amount of campaign contributions Total of (A, 8 & C) from Schedule A: Part 1 (page 4) List of

1 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 of the City of Nanaimo within 120 days after the local general election voting day (March 19, 2012). Disclosure statements may be filed from March 20th, 2012 until April 18th, 2012 on payment of a $500 late filing penalty to the City of Nanaimo. NAME OF CANDIDATE: -yj f'n /Z.Du+ (e_ j j e_ NAME OF OFFICE for which the candidate sought election: ----~--=-.o.-'--"-'=-=--/v'l. --A_'7_0_R._ NAME OF ENDORSING ELECTOR ORGANIZATION (if applicable): SUMMARY OF CAMPAIGN CONTRIBUTIONS Total amount of campaign contributions Total of (A, 8 & 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) $ SUMMARY OF ELECTION EXPENSES Total amount of election expenses COMPLETE SCHEDULE B (page 7) $ I «2 s-6 t:)_ LJD SURPLUS FUNDS Transfer from local government (surplus funds from previous election) Balance (positive or negative) remaining in candidate's campaign account $ -- _ $ COMPLETE SCHEDULE C (page 8) CAMPAIGN ACCOUNT INFORMATION (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

$j e_, a candidat~ for C\)UNCILLO~ in the City of Nanaimo election, solemnly affirm that to the best of my knowledge, 1nformat1on and belief: (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 my election campaign for the office of MAYOR in the 2011

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 MAYOR in the 2011

MAYOR in the 2011 local general election for the City of Nanaimo. Declared before me at N LJ..._

2 DECLARATION OF CANDIDATE I, ~ f rn 1!-o u-f /.ej. j e_, a candidat~ for C\)UNCILLO~ in the City of Nanaimo election, solemnly affirm that to the best of my knowledge, 1nformat1on and belief: (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 my election campaign for the office of MAYOR in the 2011 local general 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 MAYOR in the 2011 local general election for the City of Nanaimo. Declared before me at N LJ..._ n c1_,j M 0 this /'5' -fh day of lj eco f'l bey, British Columbia '201 _!_. v rnment Officer or g affidavits for British Columbia DECLARATION OF ELECTOR ORGANIZATION OFFICIAL (it applicable) I,, being the----.,...,..., (title of authorized official) for the ,,---., ,-..., ' solemnly affirm that to the (name of elector organization) best of my knowledge, information and belief: (a) this campaign financing disclosure statement and supporting schedules completely and accurately discloses the information required by Section 90 of the Local Government Act for the election campaign of (name of candidate) for the office of MAYOR in the 2011 local general election for the City of Nanaimo; and (b) the requirements of Division 8- Campaign Financing of the Local Government Act have been met in relation to the election campaign of for the office of MAYOR in the 2011 local general election for the City of Nanaimo. Declared before me at, British Columbia this day of, 201_. Designated Local Government Officer or Commissioner for taking affidavits for British Columbia Signature of Elector Organization Official Page 2 of 13

----,-----,--:::-----,----- (title of authorized official) for the----------,------------------' solemnly affirm that to the (name of elector organization) best of my knowledge, information and

3 DECLARATION OF CAMPAIGN ORGANIZER (itapplicable) I,, being the ,.----,-----,--:::-----,----- (title of authorized official) for the , ' solemnly affirm that to the (name of elector organization) best of my knowledge, information and belief: (a) this campaign financing disclosure statement and supporting schedules completely and accurately discloses the information required by Section 90 of the Local Government Act for the election campaign of ,---:-----::--:-:--: (name of candidate) for the office of MAYOR in the 2011 local general election for the City of Nanaimo; and (b) the requirements of Division 8- Campaign Financing of the Local Government Act have been met in relation to the election campaign of for the office of MAYOR in the 2011 local general election for the City of Nanaimo. Declared before me at, British Columbia this day of, 201. Designated Local Government Officer or Commissioner for taking affidavits for British Columbia Signature of Campaign Organizer JJ~L h n J~ DECLARATION OF FINANCIAL AGENT f12 i c [Ce r l-6h u re statement and s u ppo rti ng sched u I es for --::-:-=-:---'--~-; :.-7"'':7-----t---:-----:::----::--:-:-:- name of candidate (or elector or 1zation or camp-o gn organizer, if applicable) ffirm that to the best of my knowledge, informatio nd belief that: (a) ~ (b) this campaig nancing disclosure statement d supporting schedules completely and accurately disclose e information require y Section 90 of the Local Government Act in relation to the election ca (name of candidate) for MAYOR in the 2011 local ge election for the City of Nanaimo; and the requirements of Division - Campai Financing of the Local Government Act have been met in relation to the elec n campaign of--~ ,---:---::-:--:-: (name of candidate) for MAYOR in the 1 local general election for the t of Nanaimo. Declared before e at IV LL J\. LJ_,/f rn D ?''-- day of b ~ c e lh b ~, British Columbia '201!_. esignated Local Government Officer or Commissioner for taking affidavits for British Columbia Page 3 of 13

CAMPAIGN FINANCING DISCLOSURE STATEMENT CAMPAIGN CONTRIBUTIONS SCHEDULE 'A' PART 1: CONTRIBUTIONS Contributions from known

Part 2 (page 5). Total value of contributions totalling $99.

of anonymous contributions over $50 remitted to the City of Nanaimo (Total from Schedule A: Part 3- page 6) $ $ Total value

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 (A) $ /~ Sb D Unless nil, complete Schedule A: Part 2 (page 5). Total value of contributions totalling $99.99 or less from a single source (B) $ 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+ 8 +C)= $ ~~~bd Total number of contributors who made contributions totalling $99.99 or less Page 4 of 13

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

$j /{) e. '7 i!yx 5 L.J JDLJ mh ocj-2>'5 /; I C:. [)ffi. 6b!+ tlhrnoj f3u fl ~ I D I- 2Z~/6o..<;;.+iDYJ<:;;../. MD L.l I I b1 z.k't:j.w -; h om;vs.cvj * 3 * CLASS I 1-1 J. _ 111 J. I /)LL j/11 u i.$ J 9b TAorJ1uJdi:JJP/. At J::J u f "/ j II.2 &:~LL.UD s-95~ swe:lljfn fn NbJrq/11 /D3/8. JD I 11 JJ, /.,, J. I TOTAL I I 1 1~.

J 9b TAorJ1uJdi:JJP/. At J::J u f "/ j II.2 &:~LL.UD s-95~ swe:lljfn fn NbJrq/11 /D3/8. JD I 11 JJ, /.,, J. I TOTAL I I 1 1~.

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) t:j; IYl!ZQu f lej; ~ all.lj~ <=shj i n Z)? E7 sss A ~D ~ /J1+h Oc_T!~Ii I f fyo 0. r::rt:, u Y' - z._) If) &_/)_ i JZ.j) '(J c.-rf r:r I'' ltrf:j.tn /'a_ +-ric...-i'lldwlrd.l.c... ~WStVLJouJ MJn oj212/11 2l:;D_o[) T; In IZou r/-e.j /{) e. '7 i!yx 5 L.J JDLJ mh ocj-2>'5 /; I C:. [)ffi. 6b!+ tlhrnoj f3u fl ~ I D I- 2Z~/6o..<;;.+iDYJ<:;;../. MD L.l I I b1 z.k't:j.w -; h om;vs.cvj * 3 * CLASS I 1-1 J. _ 111 J. I /)LL j/11 u i.s -, 0 11 /~.s.l:j-j f!jtjx Z 2 '-1 ~f2 ij/-e f'vdu r1f11 ~Db.DD 12--DILLA J 1 ~fy, G I lf) '-I F; tp J ;cl..&&:> AI DLltLI!) 'L Di:J_ DO cj LLV j C-e_ -r l~l e. " 'f/111 I<JJu-l-/-e.J4e.. I!Dc.J 9b TAorJ1uJdi:JJP/. At J::J u f "/ j II.2 &:~LL.UD s-95~ swe:lljfn fn NbJrq/11 /D3/8. JD I 11 JJ, /.,, J. I TOTAL I I 1 1~.160 ~ Attach supplementary hst 1f requ1red I *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 3- LIST OF ANONYMOUS CONTRIBUTIONS OVER $50 REMITTED TO CITY OF NANAIMO DATE VALUE DATE VALUE SUB-TOTAL SUB-TOTAL Page 6 of 13

Local Government Act Section 90(4)(f) BC. Reg. 380/93 CAMPAIGN FINANCING DISCLOSURE STATEMENT SCHEDULE 'B' ELECTION EXPENSE DETAILS A.

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 $ $ /2_.

7 Local Government Act Section 90(4)(f) BC. Reg. 380/93 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 $ 5~~3 $ 7-Y2 _ $ 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 $ $ /2_.{) $ -- $ $ 5::Jq 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 $ $ ~~~f:.{j Page 7 of 13

8 Local Government Act Section 90(4) 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

$CAMPAIGN FINANCING RECORD KEEPING FORM RECORD OF CASH CAMPAIGN CONTRIBUTIONS * 1 *FULL NAME *Z* ADDRESS DATE AMOUNT * 3 * CLASS (if a_p_qiicable) D LLJ {:_<;;;/f) ; f1, f DiLEJD /,1J T r M!Znuf I e.$

9 CAMPAIGN FINANCING RECORD KEEPING FORM RECORD OF CASH CAMPAIGN CONTRIBUTIONS * 1 *FULL NAME *Z* ADDRESS DATE AMOUNT * 3 * CLASS (if a_p_qiicable) D LLJ {:_<;;;/f) ; f1, f DiLEJD /,1J T r M!Znuf I e.jq e:_ 103/tJ.riJ //lrl J I TOTAL I I 1/[) 'I /Q _~ I *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

10 CAMPAIGN FINANCING RECORD KEEPING FORM RECORD OF IN-KIND CAMPAIGN CONTRIBUTIONS * 1 *NAME *Z* ADDRESS DATE GOOD or VALUE (if applicable) SERVICE TOTAL *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

$(RETAIL VALUE) {;,_o CJ c1 y N ; CJ s I - ~ DDt:J _ tjd J Doh!3 611/le r.$

11 CAMPAIGN FINANCING RECORD KEEPING FORM RECORD OF DISCOUNTED GOODS AND SERVICES GOOD OR SERVICE PRICE PAID FAIR MARKET VALUE (RETAIL VALUE) {;,_o CJ c1 y N ; CJ s I - ~ DDt:J _ tjd J Doh!3 611/le r.:---- t:r6 [)0- DD TOTAL --- I{) 6u0- tjd Page 11 of 13

12 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 I I TOTAL I I I Page12of13

13 CAMPAIGN FINANCING RECORD KEEPING FORM RECORD OF ELECTION EXPENSES GOODS, PROPERTY OR SERVICES DATE DATE AMOUNT RECEIVED INCURRED PAID 5'-.cL LL -ff-llc.hj TOTAL Page 13 of 13

JIM ROUTLEDGE CAMPAIGN EXPENSES RECORD OF ELECTION EXPENSES GOODS, PROPERTY OR SERVICES RECEIVED DATE INCURRED DATE PAID AMOUNT Heydemann Art of Photography 11-0ct-11 11-0ct-11 $ 263.

14 JIM ROUTLEDGE CAMPAIGN EXPENSES RECORD OF ELECTION EXPENSES GOODS, PROPERTY OR SERVICES RECEIVED DATE INCURRED DATE PAID AMOUNT Heydemann Art of Photography 11-0ct ct-11 $ Election Signage Deposit 17-0ct ct-11 $ Little Caesars Pizza 18-0ct ct-11 $ Westwood Tennis Club 18-0ct ct-11 $ BCF 19-0ct ct-11 $ BCF 19-0ct ct-11 $ 6.81 Oliver Woods Community 19-0ct ct-11 $ PayPal fee 20-0ct ct-11 $ 6.10 Six Cent Press 21-0ct ct-11 $ Signage 21-0ct ct-11 $ McDonalds 21-0ct ct-11 $ 5.92 Woodgrove Chevron 21-0ct ct-11 $ Serious Coffee 21-0ct ct-11 $ 2.75 R Parking 24-0ct ct-11 $ 0.50 Nanaimo Daily News 25-0ct ct-11 $ 2, Nanaimo News Bulletin 20-0ct ct-11 $ 3, Kevin White 23-0ct ct-11 $ Chevron 25-0ct ct-11 $ Print Three 25-0ct ct-11 $ Service Chg 31-0ct ct-11 $ City of Nanaimo 01-Nov Nov-11 $ Nisa.com 01-Nov Nov-11 $ Sign age 02-Nov Nov-11 $ Aladdin's Cafe 03-Nov Nov-11 $ Mid Island Co-Op 04-Nov Nov-11 $ Chevron 04-Nov Nov-11 $ Bocca Revisited 08-Nov Nov-11 $ 4.48 Howard Johnson 28-0ct ct-11 $ Gorge Pointe Pub 29-0ct ct-11 $ Chevron 02-Nov Nov-11 $ BCF 03-Nov Nov-11 $ R Parking 03-Nov Nov-11 $ 2.00 Orient Family Restaurant 05-Nov Nov-11 $ Serious Coffee 09-Nov Nov-11 $ 2.75 Windsor Plywood 12-Nov Nov-11 $ The Home Depot 13-Nov Nov-11 $ R Parking 14-Nov Nov-11 $ 1.00 Aladdin's Cafe 14-Nov Nov-11 $ Chevron 14-Nov Nov-11 $ Demeters Coffee 21-Nov Nov-11 $ Elephant Room Creative Inc. 29-Nov Nov-11 $ Signs Now 29-Nov Nov-11 $ 1, Wai-Mart 26-0ct ct-11 $ Safeway 26-0ct ct-11 $ Safeway 08-Nov Nov-11 $ Thrifty Foods 19-Nov Nov-11 $ Quality Foods 18-Nov Nov-11 $ All Candidates Meeting 18-Nov Nov-11 $ R Parking 12-Sep Sep-11 $ 2.00 R Parking 02-Nov Nov-11 $ 2.00 Nanaimo Daily News 07-Nov Nov-11 $ Nanaimo Daily News 07-Nov Nov-11 $ Windsor Plywood 19-0ct ct-11 $ 17.44

15 Chevron 09-Nov Nov-11 $ Chek Media Group 15-Nov Nov-11 $ 1, Nanaimo Daily News 15-Nov Nov-11 $ 2, Great Canadian Oil Change 15-Nov Nov-11 $ Chevron 16-Nov Nov-11 $ Rogers 23-Nov Nov-11 $ Nanaimo Daily News 23-Nov Nov-11 $ R Parking 23-Nov Nov-11 $ 2.00 Tony Devellano 09-Nov Nov-11 $ Invest Northwest Publishing Ltd. 18-Nov Dec-11 $ Election Signage Deposit Reimbursed 09-Dec Dec-11 -$ TOTAL $ 18,559.98

CANDIDATE CAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL LOCAL ELECTION

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