CAMPAIGN EXPENSES AND CONTRIBUTIONS BY-LAW NO. 10/2010

Transcription

1 AUDITED FINANCIAL STATEMENT REFERENCE : SECTION 21(1) THE CITY OF WINNIPEG FORM 4 CAMPAIGN EXPENSES AND CONTRIBUTIONS BY-LAW NO. 10/2010 By-law No. 10/2010 Form 4 - Audited Financial Statement - 1 of 14 1: Campaign Period Surpius (Deficit) ((A) (0) I $ 6-- / Totai Penod Expenses $ 43 (B) / / ;-Ci Totat Campaign Income $ 0 (A) (as per Statement of Income and Expenses) Campaign Expenses Subject to Limitation $ 0 Campaign Expense Limitation (as per form 3) $ SUMMARY OF CAMPAIGN INCOME AND EXPENSES Councillor St Norbert Ward OFFICE WARD NAME (IF COUNCILLOR CANDIDATE) ADDRESS PHONE FAX NUMBER ALTERNATF CITY, PROVINCE Winnipeg, MB POSTAL CODE ADDRESS NAME OF REGISTERED CANDIDATE Dashi Zargani NAME OF CANDIDATE AND OFFICE 30-Jun Mar-15 For the campaign period From To

2 Name of Candidate Dashi Zargan hereby declare that DECLARATION OF CANDIDATE as if made under oath. and correct and I make this declaration conscientiously believing it to be true and knowing that it is of the same force and effect declare that to the best of my knowledge and belief this Financial Statement and supporting schedules as set out herein are true Name of Candidate and supporting schedules as set out herein for Dashi Zargani and hereby Name of Official Agent Ameer Msir have prepared this Campaign Period Return DECLARATION OF OFFICIAL AGENT cer I day of L e_1j? Declared before me at the City of Winnipeg in the Province of Manitoba this I make this declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath. to the best of my knowledge and belief this financial statement and supporting schedules as set out herein are true and correct and By-law No. 10/2010 Form 4 - Audited Financial Statement - 2 of 1 4

3 Candidates Surplus from immediately preceding Election S 0 Released by the Senior Election Official INCOME FROM 30-Jun-14 TO 31-Mar-15 STATEMENT OF INCOME AND EXPENSES 3 of 14 SUB-TOTAL CAMPAIGN EXPENSES SUBJECT TO LIMITATION S 0 Bank Charges $ 0 Other (Please Specdy): S 0 Office Supplies $ 0 Travel $ 0 Brochures $ 0 Telepnone $ 0 Meetings, Social Functions, Rallies $ 0 Stationery $ Candidate s Personal Expenses $ 0 Signs $ 0 Salaries and Benefits $ 0 Postage $ 0 Office Rent $ 0 Insurance and Utilities $ 0 Advertising $ 0 CAMPAIGN EXPENSES SUBJECT TO LIMITATION (ATTACH SCHEDULE 4; IF ANY DISPUTED CLAIMS, ATTACH SCHEDULE 5) EXPENSES Furniture $ 0 TOTAL INCOME $ 0 Other (Please Specify): $ o Interest Income $ 0 Fund-Raising Event (attached Schedule 2) $ 0 Contributions (attached Schedule 1) S 0 By-law No. 10/2010 Form 4 - Statement of Income and Expenses -

4 CAMPAIGN EXPENSES EXCLUDED FROM LIMITATION Total Income (reported from previous page> S 0 Sub-total Campaign Expenses Sub(ect to Limitation $ 0 STATEMENT OF INCOME AND EXPENSES (continued) 4 of 14 CAMPAIGN PERIOD SURPLUS (DEFICIT) $ -113 TOTALPERIOD EXPENSES $ 113 SUB-TOTAL CAMPAIGN EXPENSES EXCLUDED FROM LIMITATION $ 113 Recount $ 0 Interest on Loans $ 0 Expense in holding a Fund-Raising Function S 0 The MunIcipal Councils and School Boards Elections Act Court action commenced under Part 9, $ 0 Accounting and Audit S 113 By-law No. 10/2010 Form 4- Statement of Income and Expenses -

5 Returned SCHEDULE 1 - FOR Returned FOR USE BY COUNCILLOR CANDIDATES ONLY (Section 8(2)(b)) PART I From a single source totalling more than $250 (complete Part Ill) $ 0 CONTRIBUTIONS COUNCILLOR CANDIDATES ONLY Schedule 8 of 14 TOTAL TO BE PAID TO THE SENIOR ELECTION OFFICIAL $ 0 Cash and/or Goods and Services in excess of limits S 0 From anonymous sources S 0 CONTRIBUTIONS TO BE PAID TO THE SENIOR ELECTION OFFICIAL Excess over $750 in the form of Goods and Services - to the Contributor $ 0 Excess cash over $750 - to the Contributor $ 0 CONTRIBUTIONS IN EXCESS OF LIMITS TOTAL CONTRIBUTIONS $ 0 From candidate S 0 Total of single source contributions of $250 or less $ 0 a single source of more than $250 (complete Part II) Total of contributions in the Form of Goods and Services from $ 0 By-law No. 10/2010 Form 4-1 CounclIor -

6 PART II Itemized list: List of Contributions in the Form of Goods and Services SCHEDULE 1 - FOR COUNCILLOR CANDIDATES ONLY (continued) Total tsum to equal D above) 0 Sub-total from supplementary list if used $ Nature of Goods and Services Supplier Value By- aw No. 10/2010 Form 4- Schedu e 1 Councdior - 9 of 14

7 PART III Name Address Value List of Contributors from Single Source totalling more than S250 SCHEDULE 1 - FOR COUNCILLOR CANDIDATES ONLY (continued> TOTAL $ 0 By-law No. 10/2010 Form 4-Schedule 1 Councillor - 10 of 14

8 Date: FUND RAISING EVENTS INCOME STATEMENT FUND RAISING FUNCTION (ATTACH A DIFFERENT SCHEDULE FOR EACH EVENT HELD) SCHEDULE 2 * If admission charge per person is not consistent, please provide complete breakdown of all ticket sales. TOTALGROSS REVENUE: $ 0 Other Revenue (Please Specify): $ REVENUE FROM FUNCTION (A X B) $ Number of Tickets sold $ B *Admission Charge (per person) $ A Type of Function: Held at: By-law No. 10/2010 Form 4-Schedule 2-11 of 14

9 Add ress: Name of financial iflshtution: BORROWINGS, OVERDRAFT, ETC. SCHEDULE 3 Name Address GUARANTORS (attach supplementary list if space insufficient) Terms of repayment: Interest rate: Principal Amount of Loan: S Bylaw No. 10/2010 Form 4-Schedule 3-12 of 14 Guarantee Amount of

10 expenses amount included in Disputed STATEMENT OF DISPUTED CLlMS Amount (ATTACH LIST IF MORE SPACE REQUIRED) SCHEDULE 4 Schedule 13 of 14 TOTAL DISPUTED CLAIMS $ 0 $ 0 TOTAL FROM SUPPLEMENTARY LIST ATTACHED S 0 $ 0 Reason for Dispute Nature of Expense Name & Address of Claimant $ 0 $ 0 Reason for Dispute Nature of Expense Name & Address of Claimant $ 0 $ 0 Reason for Dispute Nature of Expense Name & Address of Claimant $ 0 $ 0 By-law No. 10/2010 Form 4-4 -

11 Official Agent Ameer Msir Name of Candidate Dashi Zargani AUDITORS REPORT REFERENCE: SECTION 21(1) 1. ;] <v-; Date Signature of Auditor 1/ C4. LI information contained in the accounting records on which the statements are based in accordance with prescribed accounting treatment. satisfy myself/ourselves as to the completeness of the records as described in the preceding paragraph, these statements Present fairly the In my/our opinion, except for the effect of adjustments, if any, which I/we might have determined to be necessary had we been able to records of the candidate, in accordance with established accounting procedures and I/we was/were not able to determine whether any adjustments might be necessary to receipts and disbursements. my/our verification of these transactions was limited to ensuring that the financial statements reflect the amounts recorded in the accounting that the accounting records include all donations of goods and services, receipts and disbursements for the campaign period. Accordingly, Due to the nature of the types of transactions inherent in an election campaign, it is impracticable through auditing procedures to determine and other procedures as I/we consider necessary in the circumstances except as explained in the following paragraph. perform an audit to obtain responsible assurance whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes such test My/our examination was made in accordance with generally accepted auditing standards. Those standards require that I/we plan and on these financial statements based on my/our audit. These financial statements are the responsibility of the registered candidate and official agent. My/our responsibility is to express an opinion than the specified users or for any other purposes. with By-law No of The City of Winnipeg Chaffer. The statements are not intended to be and should not be used by anyone other principles, are solely for the information and use of the Campaign Expenses and Contributions Officer for the City of Winnipeg for complying These statements, which have not been, and were not intended to be, prepared in accordance with Canadian generally accepted accounting relating to the election held on Date Campaign Period Ended Date of Election 31-Mar Oct-14 Name of Candidate candidate, for the campaign period ending Dashi Zargani / we have examined the statements of assets and liabilities and income and expenses of Ward Name (if councillor candidate) St Norbert Ward Office Coucnitor By-law No. 10/2010 Form 4-Auditors Report - 14 of 14