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CAMPAIGN FINANCE STATEMENT - John Gallo - 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 Schedule 2 as appropriate. Candidates who receive contributions 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 election. YYYY MM DD YYYY MM DD For the campaign period from (day clerk received nomination) I 2 0 2 210 si 1 ol,ol2 o 2 310 313 ol ~---~--~-" [Z] Initial filing reflecting finances from start of campaign to December 31 (or 45 days after voting day in a by-election) D Supplementaiy filing reflecting finances from start of campaign to end of extended campaign period Box A: Name of Candidate and Office Candidate's name as shown on the ballot Last Name or Single Name Gallo Office for Which the Candidate Sought Election Councillor Municipality Aurora Given Name(s) John Ward Name or Number (if any) 5 Spending Limit Contribution Limit General Parties and ther Expressions of Appreciation Contributions from Candidate and Spouse $6,215.32 $11,820.40 $ <( J.c) 'fJY" D I did not accept any contributions or incur any expenses, (Complete Boxes A and B only) Box B: Declaration I, John Gallo , declare that to the best of my knowledge and belief that these financial statements and attached supporting schedules are true and correct. 2023/03/30 Signature of Candidate Date (yyyy/mm/dd) Time Filed Initial of Ca idate or Agent (if filed in person) •. 06 9503P (2022/04) © King's Printer for Ontario, 2022. Dlsponlble en frangals Page 1 of7 ----------------------------- -------- -------- -------- -------- -------- -------- -------- -------- -------- -------- -------- -------- -------- -------- ------------------------- Box C: Statement of Campaig.n Income and· Expells~s LOAN Name of bank or recognized lending institution Amount borrowed $ INCOME Total amount of all contributions (from line 1A in Schedule 1) + $ 7,215.32 Revenue from items $25 or less + $ Sign deposit refund + $ Revenue from fundraising 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. + $ Tot a I Campaign Income (Do not include loan) 7,215.32 C1 EXPENSES (Note: Include the value of contributions of goods and services) 1. Expenses subject to general spending limit Inventory from previous campaign used in this campaign (list details in Table 2 of Schedule 1) + $ Advertising + $ 1,977.50 Brochures/flyers + $ 1,697.90 Signs (including sign deposit) + $ 2,376.02 Meetings hosted + $ Office expenses incurred until voting day + $ Phone and/or internet expenses incurred until voting day + $ Salaries, benefits, honoraria, professional fees incurred until voting day + $ Bank charges incurred until voting day + $ Interest charged on loan until voting day + $ Other (provide full details) 1. Design work + $ 1,163.90 ----~---2. + $ 3. ______________________ +_$ _____ _ 4. + $ 5. + $ 6. + $ Tot a I Expenses subject to general spending limit = $ 7,215.32 C2 2. Expenses subject to spending limit for parties and other expressions of appreciation 1. + $ 9503P (2022104) Page2of7 ---------------------------------- ---------------------------------- ---------------------------------- -------- -------- -------- -------- -------- -------- -------- -------- -------- -------- -------- -------- -------- -------- -------- -------- -------- -------- ---------------------------------- 2. + $ 3. + $ 4. + $ 5. + $ --~~~----~-----Total Expenses subject to spending limit for parties and other expressions of appreciation = $ C3 --'------- 3. Expenses not subject to spending limits Accounting and audit + $ Cost of fund raising events/activit'1es (list details in Part IV of Schedule 2) + $ Office expenses incurred after voling day + $ Phone and/or internet expenses incurred after voling day + $ Salaries, benefits, honoraria, professional fees incurred after voting day + $ Bank charges incurred after voting day + $ Interest charged on loan after voting day + $ Expenses related to recount + $ Expenses related to controverted election + $ Expenses related to compliance audit + $ Expenses related to candidate's disability (provide full details) 1. + $ 2. + $ 3. + $ 4. + $ 5. + $ Other (provide full details) 1. + $ 2. + $ 3. + $ 4. + $ 5. + $ Total Expenses not subject to spending limits = $ C4 Total Campaign Expenses (C2 + C3 + C4) = $ 7,215.32 C5 Box D: Calculation of Su.rP1µS.:or Defit:it Excess (deficiency) of income over expenses (Income minus Total Expenses) (C1 -CS) + $ D1 If there is a surplus, deduct any refund of candidate's or spouse's contributions to the campaign Surplus (or deficit) for the campaign - $ = $ D2 If line D2 shows a surplus, the amount must be paid in trust, at the time the financial statements are filed, to the municipal clerk who is responsible for the conduct of the election. 9503P {2022104) Page3of7 ------ -------- Schedule 1 -Contributions Part I -Summary of Contributions Contributions ·1n money from candidate and spouse + $ 6,215.32 Contributions in goods and services from candidate and spouse (include value listed in Table 1 and Table 2) + $ Total value of contributions not exceed'ing $100 per contributor Include ticket revenue, contributions in money, goods and services where the total contribution from a contributor is $100 or less (do not include contributions from candidate or spouse). + $ Total value of contributions 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). + $ 1,000.00 Less: Ineligible contributions paid or payable to the contributor -_$~------ Contributions paid or payable to the clerk, including contributions from anonymous sources exceeding $25 -$ ~----- Total Amount of Contributions (record under Income in Box C) a $ 7,215.32 1A Part 11-Contributions from candidate or spouse Table 1: Contributions in goods or services Des.cription of Goods or Servic.es Date Received Value($) (yyyy/mm/dd) Total D Additional information is listed on separate supplementary attachment, if completed manually. Table 2: Inventory of campaign goods and materials from previous municipal campaign used in this campaign (Note: Value must be recorded as a contribution from the candidate and as an expense.) Description Date A.CCu,1irecl .Supplier Quantity Current Market (yyyyiin'm/dd) Value($) Total D Additional information is listed on separate supplementary attachment, if completed manually. Part Ill -Contributions exceeding $100 per contributor-individuals other than candidate or spouse 9503P (2022/04) Paga4of7 Table 3: Monetary contributions from Individuals other than candidate or spouse Name . Full Address Date Received Amount (yyyy/mm/dd) Received ($) 2532734 Ontario Limited 12 Steeplechase Ave. Aurora 2022/09/30 1,000.00 On L4G6W5 Total 1,000.00 Amount Returned to Contributor or Paid to Clerk ($) D Additional information ·1s listed on separate supplementary attachment, if completed manually. Table 4: Contributions in goods or setvices from individuals other than candidate or spouse (Note: Must also be recorded as Expenses in Box C.) Name Full Address I Description of Goods Date Received orSetvices (yyyy/mm/dd) Total D Additional information is listed on separate supplementary attachment. if completed manually. Total for Part Ill -Contributions exceeding $100 per contributor (Add totals from Table 3 and Table 4 and record the total in Part 1 -Summary of Contributions) 9503P (2022104) Value($) $ 1,000.00 1B Pago 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 offundraising event/activity 0 ate of event/activity (yyyy/mm/dd) Part 1-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 28 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 111-Other revenue not deemed a contribution Provide details (e.g., contribution of $25 or less; goods or seNices sold for $25 or less) 1. + $ 2. + $ 3. + $ 4. +$ 5. + $ Total Part Ill (include under Income In Box C) = $ Part IV -Expenses related to fundraising event or activity Provide details 1. + $ 2. + $ 3. + $ 4. +$ 5. + $ 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 Street Number Street Name Municipality Province Postal Code Telephone Number Email Address 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 1.mder 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 lime 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) Page7of7