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CAMPAIGN FINANCE STATEMENT - Daniel Lajeunesse - 20221024Ministry of Municipal Affairs Financial Statement -Ontario& and Housing Auditor's Report Candidate -Form 4 Municipal Elections Act, 1996 (Section 88.25) Instructions All candidates must complete Boxes A and B. Candidates who receive contributions or incur expenses must complete Boxes C, D, Schedule 1 and Schedu le 2 as appropriate. Candidates who receive contribut ions 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 their spouse) shall be immediately paid to the clerk who is responsible for the conduct of the e le ction . YYYY MM DD YYYY MM DD For the campaign period from (day clerk received nomination) 2 0 2 2 J O s J 1 1 J to I 2 0 2 2 J 1 2 I 3 1 I J [Z] Initial filing reflecting finances from start of campaign to December 31 (or 45 days after voting day in a by-election ) D Supplementary filing reflecting finances from start of campaign to end of extended campaign period Box A: Name of Candidate and Office General Parties and Other Expressions of Appreciation Contributions from Candidate and Spouse $ 11,429.30 $ 1,142.93 $6 ,52 7 .60 D I did not accept any contributions or incur any expenses. (Complete Boxes A and B only) Box B: Declaration I, Daniel Lajeunesse , declare that to the best of my knowledge and belief that these financial statements and attached supporting schedules are true and co r rect. 2023/03/15 Date (yyyy/mm/d d) Date Filed (yyyy/mm/dd) Time Filed idate or Agent (if filed in pe rso n) 2o2.5 0'3 2~ Candidate's name as shown on the ballot Last Name or Single Name Lajeunesse Office for Which the Candidate Sought Election Town Council Municipality Town of Aurora Spending Limit Given Name(s) Daniel Ward Name or N umber (i f any) Ward 2 Contribution Limit 9503P (2022/04) © King's Printer for Ontario. 2022. Disponible en fran,;:ais Page 1 of 7 ------------------------------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------------------------------- ------- ------- ------- Box C : Statement of Campaign Income and Expenses LOAN Name of bank or recognized lending institution Amo un t borro wed $ INCOME Total amount of all contributions (from line 1A in Schedule 1) + $ 3 ,800.00 Revenue from items $25 or less · + $ Sign deposit refund + $ Revenue from fund raising events not deemed a contribution (from Part Ill of Schedule 2) + $ Interest earned by campaign bank account + $ Other (provide full details) 1. + $ 2. + $ 3. + $ 4. + $ 5. + $ 6. + $ Total Campaign Income (Do not include loan) = $ 3 ,800.00 C1 EXPENSES (Note: Include the value of contributions of goods and services) 1. Expenses subject to general spending limit Inventory from prev ious campaign used in this campaign (list details in Table 2 of Schedule 1) + $ Advertising + $ 904.15 Brochures/flyers + $ 448.97 Signs (including sign deposit) + $ 2 ,142.48 Meetings hosted + $ 142.41 Office expenses incurred until voting day + $ Phone and /or internet expenses in c urred until voting day + $ 72.59 Salaries , benefits , honoraria, professional fees incurred until voting day + $ Bank charges incurred until voting day + $ 17.56 Interest charged on loan until voting day + $ Other (prov ide full details) 1. + $ 2 . + $ 3 . + $ 4. + $ 5. + $ 6. + $ Total Expenses subject to general spending limit = $ 3,728.16 C2 2. Expenses subject to spending limit fo r parties and other expressions of appreciation 1. + $ 9503P (2022/04) Page 2 of 7 ------- ------------------------- ------------------------- ------------------------- ------------------------- ------------------------- ------------------------- ------------------------- ------------------------- 2. + $ 3. + $ 4. + $ 5. + $ Total Expenses s ubject to spending lim it for parties and other expressions of appreciation = $ C3 3. Expenses not subject to spending limits Acco unting and audit + $ Cost of fu ndrais ing events/activities (li st detai ls in Part IV of Schedule 2) + $ Office expenses incurred after voting day + $ Phone and/or internet expenses incurred after vot ing day + $ 20 .00 Sa laries , benefits , honoraria, professional fees incurred after voting day + $ Bank charges incurred after voting day + $ 12 .00 I nterest charged on loan after voting day + $ Expenses rel ated to recount + $ Expenses re lated to controverted e lection + $ Expenses re lated to comp liance audit + $ Expenses related to ca ndidate's disability (provide fu ll details) 1. + $ 2. -------------------------+ $ 3 . + $ 4 . + $ 5. + $ Other (provide fu ll detai ls) 1. 2. 3. 4 . 5. Total Expenses not subject to spending limits Total Campaign Expenses (C2 + C3 + C4) + $ + $ + $ + $ + $ = $ 32.00 C4 = $ 3,760.16 cs Box D: Calculation of Surplus or Deficit Excess (deficiency) of income over expenses (Income minus Total Expenses) (C1 -C5) + $ 39 .84 D1 If there is a surp lus , deduct any refund of candidate's or spouse's contributions to the campaign -$ Surplus (or deficit) for the campaign = $ 39 .84 D2 If li ne D2 shows a surp lus, the amount must be paid in trust, at the time the finan cial statem en ts a re f iled , to the m un icipa l clerk who is respo nsi ble for the conduct of the e lection. 9503P (2022/04) Page 3 of 7 -------- Schedule 1 -Contributions Part I -Summary of Contributions Contributions in money from candidate and spouse Contributions in goods and services from candidate and spouse (include value listed in Table 1 and Table 2) Total va lu e of contributions not exceeding $100 per contributor • I nclude ticket revenue , contributions in money, goods and services where the total contribution from a contributor is $100 or less (do not inclu de contributions from candidate or spouse). Total value of co ntributions exceeding $100 per contributor (from line 1 B; list details in Table 3 and Table 4) • Include ticket revenue , contributions in money, goods and services where the total contribution from a contributor exceeds $100 (do not include contributions from candidate or spouse). Less: Ineligible contributions paid or payable to the contributor Contributions pa id or payable to the clerk, including contributions from anonymous sources exceeding $25 Total Amount of Contributions (record under Income in Box C) Part II -Contributions from candidate or spouse Table 1: Contributions in goods or services + $ 550 .00 + $ + $ 100.00 + $ 3 ,150.00 -$ - $ = $ 3,800.00 1A Description of Goods or Services Date Received (yyyy/mm/dd) Value($) Total D Additional information is listed on separate supplementary attachment, if complet ed manually. Table 2: Inventory of campaign goods and materials from previous municipal campaign used in this campaign (Note : Value must be recorded as a contribution from the candidate and as an expense.) Description Date Acquired (yyyy/mm/dd) Supplier Quantity Current Market Value ($) Total D Additional information is li sted on separate supplementary attachment, if completed m an ua ll y. Part Ill -Contributions exceeding $100 per con t ributor -individuals other than candidate or spouse 9503P (2022/04 ) Page 4 of 7 Table 3: Monetary contributions from individuals other than candidate or spouse Name Full Address Date Received Amount Amount Returned (yyyy/mm /dd) Received ($) to Contributor or Paid to Clerk ($) Frank Stonach 14875 Bayview Ave , Aurora , 2022/08/19 1,200.00 ON , L4G OK8 Cynthia Mitchel 14 Northern Dancer Lane 2022/08/19 500.00 Aurora ON L4G 7Y7 Frank Klees 119 Windham T rai l , Aurora 2022/09/15 1,200.00 ON , L4G5L6 Steve Hinder 9 Fielding Dr, Aurora , ON , 2022/10/06 150.00 L4G4Z7 Total 3,050.00 D Additiona l informati on is listed on separate supplementary attachment, if completed manua lly. Table 4 : Contributions in goods or services from individuals other than candidate or spouse (Note : Must also be recorded as Expenses in Box C.) Name Full Address Description of Goods Date Received or Services (yyyy/mm/dd) Mary Georgopuloous 14845 Yonge St, Aurora , ON Food platter 2022/10/17 L4G 1 N1 Total D Additional information is listed on separate supplementary attachment , if comp leted man uall y. Total for Part 111-Contributions exceeding $100 per contributor (Add totals from Table 3 and Table 4 and record the total in Part 1 -Summary of Contributions) 9 50 3P (2 022/04 ) Value($) 100.00 100.00 $ 3,150.00 18 Page 5 of 7 ------- ------------------------------- ------- ------- ------- ------- ------------------------------- ------- ------- ------------------------------- ------- ------- ------- Schedule 2 -Fundraising Events and Activities Complete a separate schedule for each event or activity held. D Additional schedule(s) attached, if completed manually. Fundraising Event/Activity 1 Description of fundraising event/activity ----------~------------------ Date of event/activity (yyyy/mm/dd) Part I -Ticket revenue Admission charge (per person) $ 2A -'--------- (If there are a range of ticket prices, attach complete breakdown of all ticket sales) Number of tickets sold X 2B Total Part I (2A X 2B) (include in Part I of Schedule 1) =$ Part II -Other revenue deemed a contribution Provide details (e.g., revenue from goods sold in excess of fair market value) 1. + $ 2. + $ 3. + $ 4. + $ 5. + $ Total Part II (include in Part I of Schedule 1) =$ Part Ill -Other revenue not deemed a contribution Provide details (e.g., contribution of $25 or less; goods or services sold for $25 or less) 1. + $ 2. + $ 3. + $ ~ +$ 5. + $ Total Part Ill (include under Income in Box CJ = $ Part IV -Expenses related to fund raising event or activity Provide details 1. + $ 2. +$ 3. + $ ------~ ~ +$ ~ +$ Total Part IV Expenses (include under Expenses in Box C) = $ 9503P (2022/04) Page6of7 , Auditor's Report-Municipal Elections Act, 1996 (Section 88.25) A candidate who has received contributions or incurred expenses in excess of $10,000 must attach an auditor's report. Professional Designation of Auditor Municipality I Date (yyyy/mm/dd) Contact Information Last Name or Single Name Given Name(s) Licence Number Address Suite/Unit Number I Street Number I Street Name Municipality Province Telephone Number Email Address I Postal Code The report must be done in accordance with generally accepted auditing standards and must: set out the scope of the examination provide an opinion as to the completeness and accuracy of the financial statement and whether it is free of material misstatement D Report is attached Personal information, if any, collected on this form is obtained under the authority of sections 88.25 and 95 of the Municipal Elections Act, 1996. Under section 88 of the Municipal Elections Act, 1996 (and despite anything in the Municipal Freedom of Information 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 statements shall also be made available by the clerk in an electronic format free of charge upon request. 9503P (2022/04) Page 7 of 7