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CAMPAIGN FINANCE STATEMENT - Steve Fleck - 20221024Ministry of Municipal Affairs Financial Statement -Ontario\rl and Housing Auditor's Report Candidate -Form 4 Municipal Ele ctions Act, 1996 (Section 88.25) Instructions All candidates must complete Boxes A and B. Candidates who recei ve contributions or incur expenses must comp lete Boxes C , D , Schedule 1 and Schedule 2 as appropriate. Candidates who receive contribu tions or in cur expenses in excess of $10 ,0 00 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-D ;2 Z I C ~ I / 'z? I to I 2.6_2."S=----__._I O t ...... o__.__..... _--=_..:....l_;,.S.L..11 D Initia l filing reflecting finances from start of campaign to December 31 (or 45 days after voti ng da y in a by-election ) D Supplementary filing reflecting finances from start of campaign to end of extended campa ign period Box A: Name of Candidate and Office Candidate's name as shown on the ballot Last Name or Single Name /-I ..12-C (--<.._ Office for Whic h the Candidate Sought Election ou \I'... c_ '; JI O v"' Municipality ,\ µ.u/t/t:A.. Spending Limit Given Name(s) Ward Name or Numbe r (if <3f1Y) ~&._/ ~ Contribution Lim it General Parties and Other Expressions of Appreciation Contribution; from Candidate and Spou se $ I I ~ 7-0 ,, $ ~2.0 , 'ff) $ £ oo t./, ~o D I did not accept any contributions or incur any expenses. (Complete Boxes A and B on ly) Box B: Declaration f-/...o C' , declare that to the best of my know ledge and belief that these financial statements and attached supporting schedules are true and correct. I, 2 08 I D 3 / 3 [) Da te (yyyy/mmfdd ) Date Filed (yyyy/mm/dd) Time Filed I ' ~. I ' (', ::'.i .... l,11 9503P (2022/04) © King's Printer for Ontario, 2022. Disponible en francais Page 1 of 7 --------------------------------- ------- ------- ------- ------- ------- ------------------------ ------------------------ ------------------------ Box C: Statement of Campaign Income and Expenses LOAN Name of bank or recognized lending institution Amoun t borrowed $ INCOME Total amount of a ll contributions (from line 1A in Schedule 1) Revenue from items $25 or less Sign deposit refund + $ Revenue from fundraising events not deemed a contribution (from Part Ill of Schedu le 2) + $ I nterest earned by campaign bank account + $ Other (provide fu ll details) 1. + $ 2. + $ 3. + $ 4. + $ 5. + $ 6. + $ Total Campaign Income (Do not include loan) EXPENSES (Note: Include the va lu e of contributions of goods and services) 1. Expenses subject to generaJ spending limit I nventory from previous campaign used in this campaign (list details in Table 2 of Schedule 1) + $ Advertising + $ Brochures/flyers + $ ')...o Lf~ JD L{ Signs (including s ign deposit) + $ 2_ Db ,,Q Meetings hosted + $ Office expenses incurred unti l voting day + $ Phone and/or internet expenses in curred until voting day + $ Salaries, benefits, honoraria, professional fees i ncurred until voting day + $ Bank charges incurr ed until voting day + $ 7, 90 I nterest charged on loan until voting day + $ Other (provide full details) 1. £_ /.oc f: ;cY\ > :4:11'\. ~ d :S..f,,.JJ .f~t1\/'\. + $ 2. JO . ()0 1 + $ 2 . 'K 1. c_-e...._ IL.c? ~).. Fv1"-~ Jl't.r. :s ~-""' FPe.. .S. 1-1 3 .. o 0 3. h ~c.. S -c lo'>(? 1 Doo ./' + $ ~ elsO oe ( Do""d +cl \ + $ '?,DD, DD J 4. 5. + $ 6. + $ Total Expenses subject to general spending limit = $ 't) 9 o 3 ~ $ ~ C 2 2. Expenses subject to spending limit for parties and other expressions of apprecia tion 1. + $ 9503P (2022/04) Page 2 of 7 ------------------------- ------------------------- ------------------------- ------------------------- ·2. + $ 3. + $ 4. + $ 5. + $ Tot a I 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 fundraising events/activities (list details in Part IV of Schedule 2) + $ Office expenses incurred after voting day + $ Phone and/or internet expenses incurred after voting day + $ Salaries, benefits, honoraria, professional fees incurred after voting day + $ Bank cha rges incurred after voting day + $ 15 . ~o Interest charged on loan after voting day + $ Expenses related to recount + $ Expenses related to controverted election + $ Expenses related to compliance audit + $ Expenses re lated 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 = $ /5 . ~D C4 Total Campaign Expenses (C2 + C3 + C4) = $ t.-f 9 IC/ , 3~ cs 1 Box D: Calculation of Surplus or Deficit Excess (deficiency) of income over expenses (In come minus Total Expenses) (C1 -C5) If there is a surplus , deduct any refund of candidate's or spouse's ~ cont ribu tions to th e campaign -$ D .O~ Surp lu s (or deficit) for the campaign = $ )..'3 6 2 ~{Jb D2 If line 02 shows a surp lus , the amount must be paid in trust, at the t ime the financial statements are filed , to the municipal clerk wh o is responsible for the conduct of the election . 95 03P (2022/04) Page 3 of 7 S'chedule 1 -Contributions Part I -Summary of Contributions Contributions in money from candidate and spouse Contributions in goods and services from candidate and spouse (in clude value listed in T able 1 and Table 2) T otal va lue of contribu t ions not exceeding $100 per contributor • I nclude ticket revenue , contributions in money, goods and services where the total contribution from a contributor is $1 00 or less (do not incl ude contributions from candidate o r spouse). T otal value of contributions exceeding $100 per contributor (from line 1 B; list detai ls 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: I neligible contributions paid or payable to the contributor Contributions paid or payable to the c lerk, including contributions from anonymous sources exceeding $25 Total Amount of Contributions (record under I ncome in Box C) '1 Part II -Contributions from candidate or spouse ! 'Table 1: Contributions in goods or services + $ 2-3o 2., t, C + $ -$ -$ = $ 2 h i b ,. f, 9 ~A $~ 49 f 9'.. '.5~ Description of Goods or Services Date Received (yyyy/mm/dd) Value($) Total D Additional information is listed on separate supplementary attachment, if completed manually . ...._/ :able 2: Inventory of campaign goods and materials from previous municipal campaign used in th is campaign N 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 listed on separate supplementary attachment, if completed manually . ~ rt Ill -Contributions exceeding $100 per contributor -individuals other than candidate or spouse 9503P (20 22104 ) Page 4 of 7 ----- Table 3: Monetary contributions from individuals other than candidate or spouse Name Full Address Date Received (yyyy/mm/dd) Amount Rece ived ($) Amount Returned to Contributor or Paid to Clerk ($) , c.. k di .e I 3 ./'t)I.).) V\. 2. Q 7-3.,.A. ~ ~ v,.. \-'.\. Cr Is.+-. A-I be,,.. Ab :i._2-./10/03 1, 25D .oc 73>.,,:,t). V\. ~c {;ae_ 2.o/ 3;/' ;~1Q. /tJ.."' d. To ./'o "" +a ) o D 22.)!D/cy $ 25c). cc M ·\ k e.. LJ..j tt /\ ct c( e.. I '-/ A-/ D /AA.ct ./' µ-r , Lo ..A. 2-c~ IA.. , C) >J 2 2-/10 IC) r 11> 25C>. oO ?l'-l J\ I) A \A. I fa (IA ~'-'> t-~, 4 ( Yb»y Av /'~./'c::t • /")).) • 2 z. /Jo/ tJf..f if 256 .60 ov / ·t-J? v'-, -J 5 h ,,.. : , IA DJ-,1V'\ t: .4-6 i I b&t V\ /n:._ f\0 -e u_ .,r-C)/ P1 ' {) >J 2 z / 10/1)9 1J /$0,t)D 0 I &. \I\. 73.,,. ·,'> 'ha V\ 3 '-f A-"'-"-.? I; A 5f. 4A VV\ ; 1 ft.-,...,. , C> >.J zz. /10/15 i/ !_0. DD EI e p.,_ v--cJ r }J\ L J1 tt k cJ v\ I::, C.. I/' ; C l,v-,I Q'V'. S f . 6,i-f-p,_ uJtA O AJ · 2 7-/10 /2 2. if ZDD , ()c) Total ti I SDO .oQ C I D Additional information is listed on separate supplementary attachment, if completed manually. Table 4 : Contributions in goods or services from individuals other than candidate or spouse (Note: Must also be recorded as Expenses in Box C.) · Name Full Address Description of Goods Date Received ~ or Services (yyyy/mm/dd) 1.ev e_ L e>v.t( k \; II'.. 5 I I Lf u....., oo~ .roe+ { ...- ,4-u v"~ .,,..v{ 1 0 A) . G~l pi.._~ c__ S:-22./10 Jo 7--, Total Value($) '$ 3DD ,O() j'J500 6D 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) $ 18 9503P (2 0 22/04 ) Page 5 o f 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 fund raising 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 28 Total Part I (2A X 28) (include in Part I of Schedule 1) =$ Part II -Other revenue deemed a contribution Provide details (e.g., revenue from goods sold in excess affair 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. +$ 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 A'uditor'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 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) Page7of7