Candidate s Package Contents

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1 Candidate s Package Contents 1. Qualifications of Candidates Member of Council 2. Nomination Procedures 3. Candidate s Information 4. General Information 5. Township of Perry Vote By Mail Procedures with By-law 6. Acceptable documents for Voter Identification 7. Voterlookup.ca information 8. Campaign Finance Information for Municipal Council Candidates 9. Council Remuneration and Meeting Schedule Information 10. Notice of Third Party Advertising 11. Letter to Financial Institution 12. Notice of Penalties Related to Campaign Expenses 13. Forms a) Form 1 Nomination Paper b) Preliminary Maximum Campaign Expenses c) Preliminary Self-funding Spending Limits d) Form 4 Financial Statement Auditor s Report e) Form EL18(A) Declaration of Qualifications f) Freedom of Information (FOI) Release Please visit the Township s website for more information pertaining to the 2018 Election.

2 QUALIFICATIONS OF CANDIDATES MEMBER OF COUNCIL Municipal Elections Act, 1996 Qualifications for members of Council are set out in Section 256 of the Municipal Act, 2001 and Section 17 of the Municipal Elections Act, In order to run for office in the Township of Perry, a person must be: 1. A Canadian citizen; 2. At least 18 years old; 3. A resident of the Township of Perry or the owner or tenant of land here, or the spouse of such owner or tenant, and 4. Who is not disqualified by any legislation from holding office. Ineligibility The following are ineligible to be elected as Members of Council: a) An employee of the Township of Perry except during an authorized leave of absence (the leave of absence must begin upon filing the Nomination Form); b) A person who is not an employee of the municipality but who is the Clerk, Treasurer, Integrity Commissioner, Auditor General, Ombudsman or Registrar, or who holds any administrative position of the municipality. c) A judge of any court. d) A member of the Assembly as provided in the Legislative Assembly Act or of the Senate or House of Commons of Canada.

3 NOMINATION PROCEDURES Municipal Elections Act, 1996 Filing Nomination Papers Every person who proposes to be a candidate must file Nomination Papers prior to receiving any campaign contributions and/or expending any funds on a campaign. A candidate may file his or her Nomination Papers as of May 1, 2018 during regular business hours. Nomination Papers will be available at the Municipal Office and on the Township of Perry s website. Please note that Nomination Papers submitted by facsimile or mail will not be accepted. Forms must be completed in person at the Municipal Office, 1695 Emsdale Road, Emsdale, Ontario include a Declaration of Qualification, taken before a Commissioner of Oaths. Commissioners of Oaths at the Municipal Office can administer this declaration for you. Photo identification containing the candidate s signature is also required. The final day for filing for the 2018 Municipal Election is Nomination Day, Friday, July 27, am to 2 pm. The nomination must be accompanied by the prescribed nomination filing fee. The prescribed fee is $200 for the Head of Council and $100 for Councillor and can be paid by cash, debit, certified cheque or money order payable to the Township of Perry. Candidates are responsible for ensuring that they meet all the qualifications and have followed the procedures with respect to the filing of Nomination Papers. Exception for Additional Nominations If the numbers of nominations filed for an office is less than the number of persons to be elected to an office, additional nominations may be filed between 9 am to 2 pm on the Wednesday following Nomination Day August 1, Refund of Nomination Deposit A candidate is entitled to receive a refund of the nomination filing fee if he or she files their financial statements with the Clerk by the filing date. For the 2018 Municipal Election, the filing date is before 2 pm on March 29, 2019.

4 Examination and Certification of Nominations by Clerk The Clerk shall examine each nomination that has been filed before 4 pm on the Monday following Nomination Day July 30, Any additional nominations filed under MEA, s.33(5) shall be examined before 4 pm on the Thursday following Nomination Day August 2, If the Clerk rejects a nomination, she will provide notice as soon as possible to the individual seeking nomination and to all candidates. The Clerks decision to certify or reject a nomination is final. Withdrawal of Nominations A person may withdraw his or her nomination by filing a written withdrawal at/with the Municipal Clerk before 2 pm on July 27, Acclamations If, at 4 pm on July 30, 2018 the number of certified candidates for an office is the same as or less than the number to be elected, the Clerk shall immediately declare the candidate or candidates elected by acclamation.

5 Candidate s Information Before beginning a campaign, candidates should familiarize themselves with the Municipal Elections Act, 1996 and its Regulations. Candidates are obliged to satisfy themselves either through their own determination or through the assistance of their own legal counsel as to the legal requirements relating to their candidacy. Further, candidates are required to comply with the provisions relating to election campaign finances as set out in the Municipal Elections Act. Candidates should ensure they are using the most current version of any legislation and its regulations. An updated Municipal Elections Act, 1996 can be found online at e-laws website at Key Dates There are many key dates that candidates should be aware of such as: Nomination begins Nomination day (last day to be nominated) Final day for withdrawal of candidacy Acclamations Voting Day Council term begins Campaign period ends Financial filing deadline May 1, 2018 July 27, 2018 by 2:00 pm July 27, 2018 by 2:00 pm July 30, 2018 after 4:00 pm October 22, 2018 December 1, 2018 December 31, 2018 March 29, 2019 Elected Positions The term of office for all elected positions is four years and starts December 1 st, MAYOR One Mayor candidate elected COUNCILLORS Four Councillors are elected

6 NOTICE OF MUNICIPAL ELECTION October 22, 2018 INFORMATION FOR VOTERS WHO MAY VOTE? Any person who on election day (October 22, 2018) meets the following qualifications is eligible to vote: 1. Is a Canadian citizen 2. Is at least 18 years old on election day 3. Resides in the municipality or is the owner or tenant of land in the local municipality, or the spouse of such a person. Non-residential commercial or industrial property electors are not entitled to vote for school board trustees, but are entitled to vote for other municipal offices or questions. 4. Any person not prohibited by law from voting. I HAVE JUST MOVED, WHERE DO I VOTE? Each person has only one residence. An individual who moves prior to election day is required to vote in the municipality of their new residence. WHAT SCHOOL BOARD DO I VOTE FOR? Electors are entitled to vote for school boards if their qualifying property is residential. Each eligible elector may vote for school representation once in a school board jurisdiction. The following is a list of the School Boards for which qualified electors will be entitled to vote unless there are acclamations. 1. Near North District School Board (anyone can support) 2. Nipissing/Parry Sound Catholic School Board English Separate (must be Roman Catholic) 3. Conseil Scolaire Catholique French Separate (must be Roman Catholic and have French Language Education Rights) 4. Conseil Scolaire Public French Public (must have French Language Education Rights) VOTER LIST INFORMATION From September 4, 2018 to October 22, 2018 voters may contact their local municipality to confirm, amend or be added to the Voter List. Contact your local municipality for more information. METHOD OF VOTING The Township of Perry are using the Vote By Mail method of voting for the 2018 Municipal Election. There will be no advance poll or proxy voting as Vote by Mail allows casting your vote anytime between the time you receive your package to 8:00 p.m. on Election Day. Voter Kits will be mailed to electors later in September 2018 and Be sure to mail the postage paid return envelope containing your ballot and declaration before the date provided. Ballots may also be dropped off at the municipal office up to 8:00 p.m. on Election Day, October 22, For more information, please visit the Township of Perry, at 1695 Emsdale Road, Emsdale, Ontario, visit the municipality s website or contact your local Clerk s Department. Township of Perry

28 Acceptable Documents for Voter Identification You must present 1 of the following documents showing your name and address: Ontario driver s licence Ontario Health Card (photo card) Ontario Photo Card Ontario motor vehicle permit (vehicle portion) cancelled personalized cheque mortgage statement, lease or rental agreement relating to property in Ontario insurance policy or insurance statement loan agreement or other financial agreement with a financial institution document issued or certified by a court in Ontario any other document from the government of Canada, Ontario or a municipality in Ontario or from an agency or such a government any document from a Band Council in Ontario established under the Indian Act (Canada) income tax assessment notice child tax benefit statement statement of employment insurance benefits paid T4E statement of old age security T4A (OAS) statement of Canada Pension Plan benefits T4A (P)

29 Canada Pension Plan statement of contributions statement of direct deposit for Ontario Works statement of direct deposit for Ontario Disability Support Program Workplace Safety and Insurance Board statement of benefits T5007 property tax assessment credit card statement, bank account statement, or RRSP, RRIF, RHOSP or T5 statement CNIB Card or a card from another registered charitable organization that provides services to persons with disabilities hospital card or record document showing campus residence, issued by the office or officials responsible for student residence at a post-secondary institution document showing residence at a long-term care home under the Long-Term Care Homes Act, 2007, issued by the Administrator for the home utility bill for hydro, water, gas, telephone or cable TV or a bill from a public utilities commission cheque stub, T4 statement or pay receipt issued by an employer transcript or report card from a post-secondary school

30 voterlookup.ca allows Ontario residents to confirm or update their voter eligibility to ensure they re included on the list to vote. MPAC is currently making enhancements to voterlookup.ca in support of the 2018 Municipal, District Social Services Administration Board and School Board elections, with an anticipated March 2018 launch. For questions regarding the 2018 Municipal, District Social Services Administration Board and School Board elections, please contact your local municipality, District Social Services Administration Board or school board. For questions regarding voterlookup.ca, please contact the Municipal Property Assessment Corporation: Toll Free MPAC (6722) MPAC (6722) TTY Monday to Friday 8 a.m. to 5 p.m.

31 Municipal Elections 2018 Campaign Finance Information for Municipal Council Candidates Voting Day: Monday, October 22, 2018 Campaign Period ends on December 31, 2018 (unless an extension has been filed) A Bank Account must be opened if you accept any contributions (including contributions of money from yourself) or incur any expenses. The nomination fee is considered to be a personal expense not a campaign expense. Campaign contributions are any money, goods or services that are given to you for use in your campaign including money and goods that you contribute yourself. You are only allowed to accept contributions or incur campaign expenses during your campaign period, after you file your nomination. There is a limit on the total amount that you and your spouse may contribute to your own campaign. The formula to calculate the limit is: for head of council candidates: $7,500 plus 20 cents per elector to a maximum of $25,000 for other council offices: $5,000 plus 20 cents per elector to a maximum of $25,000 The municipal clerk will tell you your self-funding limit. Contribution limits $1,200 limit that applies to each person who contributes to your campaign The maximum total amount that a contributor can give to candidates in the same jurisdiction (i.e. running for the same council or the same school board) is $5,000 Who can make contributions to municipal candidates? individuals who are normally resident in Ontario yourself and your spouse Contribution receipts must be issued for every contribution you receive. The receipt should show who made the contribution, the date and the value and can only come from one person (e.g. in the case of a joint account). You are required to list the names and addresses of every contributor who gives more than $100 in total to your campaign in your financial statement. You should keep a record of the names and addresses of every contributor, regardless of the value of their contribution, because the same contributor may make multiple contributions that end up totalling more than $100. Note: Contribution receipts are not tax receipts. Contributions to municipal and school board campaigns cannot be credited against provincial or federal income taxes. Ineligible contributors corporation trade union a federal political party, constituency association, or a registered candidate in a federal election a provincial political party, constituency association, or a registered candidate or leadership contestant a federal or provincial government, a municipality or a school board Ineligible contributions made outside your campaign period from an anonymous source (except for donations of $25 or less at a fundraising event) from an ineligible source (e.g. someone who doesn t live in Ontario, a corporation or trade union, etc) greater than the $1,200 limit or the $5,000 total limit a cash contribution greater than $25 from funds that do not belong to the contributor who gave them to you Ineligible contributions must be returned as soon as you learn that the contribution is ineligible. If you cannot return the contribution, you must turn it over to the clerk. REMEMBER: You are responsible for keeping records of the financial activities related to your campaign. The Municipal Elections Act, 1996 does not require you to use any specific accounting system. You may want to consult with an auditor or an accountant early in your campaign to make sure that you are using a bookkeeping and accounting system that will suit your needs.

32 Campaign Expenses are costs incurred for goods and services for use in your campaign. Your spending limit covers expenses that you incur between the beginning of your campaign and voting day. Expenses that you incur between the day after voting day and the end of your campaign are not subject to the spending limit. Expenses not subject to the spending limit: expenses related to holding a fundraising event or activity expenses relating to a recount expenses relating to a court action for a controverted election expenses relating to a compliance audit expenses incurred by a candidate with a disability that are directly related to the candidate s disability and would not have been incurred if not for the election audit and accounting fees The spending limit for your campaign is calculated based on the number of electors who are eligible to vote for the office that you are running for. The formula to calculate the limit is: for head of council: $7,500 plus $0.85 per eligible elector for council member or trustee: $5,000 plus $0.85 per eligible elector There is a separate spending limit for expenses related to the holding of parties and other expressions of appreciation after the close of voting. This spending limit is calculated as ten percent of the amount of your general spending limit. Financial Statement: It is the responsibility of a candidate to file a complete and accurate financial statement by the filing deadline which is 2:00 p.m. Friday March 29, If you filed a nomination form, you must file a financial statement. Note: If your campaign has a deficit, you may request to extend your campaign in order to do some additional fundraising. Please contact the clerk for more information. Penalties may apply if you are convicted of an offence: A fine of up to $25,000 Ineligibility to vote or run in the next regular election Up to six months imprisonment Forfeiture of your elected office, if the judge finds that you committed the offence knowingly If you are convicted of exceeding the spending limit, you may also be fined the amount by which you exceeded the limit. There are three contraventions of the Act where penalties apply automatically: If you fail to apply to the court for an extension by the filing deadline or file a financial statement by the end of the 30-day grace period If your financial statement shows that you exceeded a spending limit If you fail to turn over your surplus to the clerk when you file your financial statement The penalty is that you forfeit your office (if you won the election) and you become ineligible to run or to be appointed to fill a vacancy until after the 2022 election. Auditor s report: If your campaign expenses or contributions total more than $10,000 you must have an auditor review your financial statement and provide a report. A compliance audit committee is required to be established by each municipality and school board. An eligible elector who believes you have contravened the election finance rules may apply for a compliance audit of your campaign finances. Resources Municipal Elections Guides and Resources Municipal Elections Act, Ministry of Municipal Affairs Municipal Services Office Contact, London, ON or This document is provided for convenience only and should not be considered legal advice. For more specific information, please refer to the Municipal Elections Act, 1996 and the regulations.

33 Council Remuneration Effective January 1 st, 2018 Councillor - $882.79/month ($10, per year) Mayor - $1,261.25/month ($15, per year) Council Meeting Schedule Regular Council Meetings are held on the 1 st and 3 rd Wednesday of each month beginning at 7:00 pm in the Township of Perry Council Chambers located at 1695 Emsdale Road, Emsdale, Ontario.

34 NOTICE OF THIRD PARTY ADVERTISING This notice is for anyone proposing to be a third party advertiser or any candidate accepting third party advertising for the 2018 municipal election on October 22, 2018 within the Township of Perry. New this year are rules for third party advertising. A third party advertiser is any individual, corporation or trade union that causes an election campaign advertisement to appear. Third party advertisers are required to register with the Clerk in every municipality where they want to advertise. Registrations of third party advertisers will be accepted between Tuesday, May 1, 2018 and Friday, October 19, 2018 by appointment only. Third party advertisers are not entitled to a copy of the voter's list. Until the Clerk certifies the registration, a third party advertiser may not spend money on their campaign, accept contributions or begin advertising. The registration form will be available from the Clerk at 1695 Emsdale Road, Emsdale, Ontario or beth.morton@townshipofperry.ca to make an appointment.

35 Township of Perry PO Box 70, 1695 Emsdale Road, Emsdale, ON P0A 1J0 PHONE: (705) FAX: (705) MEMORANDUM TO: Financial Institution SUBJECT: Campaign Accounts The Municipal Elections Act, 1996 requires a municipal election candidate to ensure that: (1) (a) no contributions of money are accepted or expenses incurred unless one or more campaign accounts are first opened at a financial institution exclusively for the purposes of the election campaign; (1) (b) all contributions of money are deposited into the campaign accounts; (1) (c) all funds in the campaign accounts are used exclusively for the purposes of the election campaign; (1) (d) all payments for expenses are made from the campaign accounts. The Municipal Elections Act, 1996 does not contain any prohibition against a candidate being a signing officer on the campaign account, nor does it require a candidate to have a chief financial officer, as is the case with provincial and federal candidates. If you have any questions, please feel free to contact me. Yours truly, Beth Morton Clerk/Administrator Telephone Fax beth.morton@townshipofperry.ca

36 NOTICE OF PENALTIES RELATED TO CAMPAIGN EXPENSES Municipal Elections Act, 1996, S.O. 1996, c. 32, Sched. S. 33.1, as amended Notice is hereby given, in accordance with Section 33.1 of the Municipal Elections Act, 1996, of the penalties under subsections 88.23(2) and 92(3) related to election campaign finances. Filing Requirements: Section of the Municipal Elections Act, 1996, as amended, provides in part as follows: (1) On or before 2 p.m. on the filing date March 29, 2019, a candidate shall file with the clerk with whom the nomination was filed a financial statement and auditor s report, each in the prescribed form, reflecting the candidate s election campaign finances, (a) (b) in the case of a regular election, as of December 31 in the year of the election; and in the case of a by-election, as of the 45th day after voting day. (2) If the candidate s election campaign period continues during all or part of a supplementary reporting period, he or she shall, before 2 p.m. on the supplementary filing date, file a supplementary financial statement and auditor s report for the supplementary reporting period. (3) A supplementary financial statement or auditor s report shall include all information contained in the initial statement or report filed under subsection (1) and in any previous supplementary statement or report under subsection (2) as the case may be, updated to reflect the changes to the candidate s election campaign finances during the supplementary reporting period. (4) An auditor s report shall be prepared by an auditor licensed under the Public Accounting Act, (5) No auditor s report is required if the total contributions received and total expenses incurred in the election campaign up to the end of the relevant period are each equal to or less than $10,000. (6) At least 30 days before the filing date, the clerk shall give every candidate whose nomination was filed with him or her notice, by registered mail, (a) of all filing requirements of this section; and (b) of the penalties set out in subsections 88.23(2) and 92(3).

37 I am not a member of the Executive Council of Ontario or a federal Minister of the Crown. I am not a public servant within the meaning of the Public Service of Ontario Act, 2006, or if I am a public servant, I have followed and will continue to follow all the relevant provisions of Part V of such Act. I am not a Federal employee within the meaning of the Public Service Employment Act, or if I am a Federal employee, I have followed and will continue to follow all the relevant provisions of Part 7 of such Act. 5. I am not prohibited from voting at the municipal election under subsection 17(3) of the Municipal Elections Act, Without limiting the generality of paragraph 5, I am not a person who is serving a sentence of imprisonment in a penal or correctional institution. 7. I am not prohibited because of conviction of a corrupt practice described in s. 90(1) of the Municipal Elections Act, 1996 from voting in a municipal election. 8. I am not a person who was convicted of a corrupt practice under the Municipal Elections Act, 1996 or of an offence under the Criminal Code (Canada), in connection with an act or omission with respect to a municipal election during the last two regular elections prior to Monday, October 22, I am not disqualified from being elected to or holding office by reason of any violations of the election campaign financial requirements or violations for not filing the financial statement pursuant to the Municipal Elections Act,1996. AND I make this solemn Declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath and by virtue of the Canada Evidence Act. Declared before me at the Township of Perry In the District of Parry Sound This day of, 2018 (Signature of candidate) (Signature of Clerk or designate) Personal information on this form is collected under the authority of the Municipal Elections Act, 1996 and will be used for the nomination process for office in the municipal election and will be available for public inspection in the office of the Clerk, Township of Perry until the next municipal election. Questions about this collection of personal information should be directed to Beth Morton, Clerk at the Township of Perry, 1695 Emsdale Road, Emsdale, Ontario P0A 1J0, , beth.morton@townshipofperry.ca.

39 Estimated Campaign Expenses Spending Limits 2018 Municipal Election PRELIMINARY MAXIMUM CAMPAIGN EXPENSES According to the Municipal Elections Act, 1996 s., as amended the following are the preliminary calculations of the estimated maximum campaign expenses based on the number of electors on the Voters List as of Nomination Day for the 2014 election: Mayor $7,500 + $0.85/elector 2,834 $9, Spending limit for expressions of appreciation 10% of general spending limit Councillor $5,000 + $0.85/elector 2,834 $7, Spending limit for expressions of appreciation 10% of general spending limit April 17, 2018 Date Beth Morton, Clerk/Administrator Final spending limits will be supplied on September 25, 2018

40 Estimated Campaign Expenses Spending Limits 2018 Municipal Election PRELIMINARY SELF-FUNDING SPENDING LIMITS According to the Municipal Elections Act, 1996 s., as amended the following are the preliminary calculations of the estimated self-funding spending limits based on the number of electors on the Voters List as of Nomination Day for the 2014 election: Mayor $7,500 + $0.20/elector 2,834 $8, Councillor $5,000 + $0.20/elector 2,834 $5,566,80 April 17, 2018 Date Beth Morton, Clerk/Administrator Final spending limits will be supplied on September 25, 2018

49 DECLARATION OF QUALIFICATIONS - COUNCIL Municipal Elections Act, 1996 Form EL18(A) DECLARATION OF QUALIFICATIONS FOR THE TOWNSHIP OF PERRY 2018 MUNICIPAL ELECTION MUNICIPAL CANDIDATES I,, a nominated candidate for the office of: Mayor Councillor Do Solemnly Declare That: 1. I am qualified pursuant to the Municipal Elections Act, 1996 and the Municipal Act, 2001 to be elected to and to hold the office of: Mayor Councillor 2. Without limiting the generality of paragraph 1, I am at least eighteen years of age, a Canadian citizen, a resident of the Township of Perry or the owner or tenant of land in the Township of Perry or the spouse of such owner or tenant. 3. I am not ineligible or disqualified under the Municipal Elections Act, 1996, the Municipal Act, 2001, the Municipal Conflict of Interest Act or any other Act to be elected to or hold the above-mentioned office. 4. Without limiting the generality of paragraph 3, I am not an employee of the Township of Perry, or if I am an employee of the Township of Perry, I am on an unpaid leave of absence as provided for by section 30(1) of the Municipal Elections Act, I am not a judge of any court. I am not a member of the Assembly as provided in the Legislative Assembly Act or of the Senate or House of Commons of Canada or, if I am such a person, I will provide proof of my resignation in a form satisfactory to the Clerk of the Township of Perry prior to 2:00 p.m. on Nomination Day, July 27, I understand that the Clerk of the Township of Perry will reject my nomination for the above-mentioned office if I fail to provide proof of resignation by this deadline.

50 I am not a member of the Executive Council of Ontario or a federal Minister of the Crown. I am not a public servant within the meaning of the Public Service of Ontario Act, 2006, or if I am a public servant, I have followed and will continue to follow all the relevant provisions of Part V of such Act. I am not a Federal employee within the meaning of the Public Service Employment Act, or if I am a Federal employee, I have followed and will continue to follow all the relevant provisions of Part 7 of such Act. 5. I am not prohibited from voting at the municipal election under subsection 17(3) of the Municipal Elections Act, Without limiting the generality of paragraph 5, I am not a person who is serving a sentence of imprisonment in a penal or correctional institution. 7. I am not prohibited because of conviction of a corrupt practice described in s. 90(1) of the Municipal Elections Act, 1996 from voting in a municipal election. 8. I am not a person who was convicted of a corrupt practice under the Municipal Elections Act, 1996 or of an offence under the Criminal Code (Canada), in connection with an act or omission with respect to a municipal election during the last two regular elections prior to Monday, October 22, I am not disqualified from being elected to or holding office by reason of any violations of the election campaign financial requirements or violations for not filing the financial statement pursuant to the Municipal Elections Act,1996. AND I make this solemn Declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath and by virtue of the Canada Evidence Act. Declared before me at the Township of Perry In the District of Parry Sound This day of, 2018 (Signature of candidate) (Signature of Clerk or designate) Personal information on this form is collected under the authority of the Municipal Elections Act, 1996 and will be used for the nomination process for office in the municipal election and will be available for public inspection in the office of the Clerk, Township of Perry until the next municipal election. Questions about this collection of personal information should be directed to Beth Morton, Clerk at the Township of Perry, 1695 Emsdale Road, Emsdale, Ontario P0A 1J0, , beth.morton@townshipofperry.ca.

51 FREEDOM OF INFORMATION (FOI) RELEASE FORM Municipal Elections Act, 1996 Name of Candidate: Candidate for the Office of: Mayor Councillor Trustee, School Board Background After a candidate files a Nomination Form, the news and the public frequently wish to make contact with him/her. In accordance with the Municipal Elections Act, the information contained in the Nomination Form is deemed to be a public record and may be inspected by any person at the Office of the Clerk during regular business hours, however, this is not always practical for non-resident voters. Accordingly, we are seeking your permission to publish your personal information in other manners. Consent to Release of Personal Information In accordance with the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), as amended, the Municipal Elections Act 1996, as amended, and any other applicable legislation, I, Candidate in the 2018 Municipal Election, in the Township of Perry, hereby authorize the Township of Perry, to publish and/or post on the Municipality's website, and/or make available to any person, the following personal information with respect to my candidacy for elected office: 1. Name as it is to appear on the ballot; 2. Qualifying Address within the Municipality; 3. Telephone Numbers; 4. Address; 5. If you have a campaign website (facebook page, etc.) and would like that listed, please provide full URL I acknowledge that the Municipality is publishing and/or posting this information as a public service and is in no way endorsing me, my candidacy or any position on any issue I may take. Dated this day of, 2018 (Candidate Signature) NOTICE OF COLLECTION Personal information, as defined by the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), is collected on this form under the authority of the Municipal Elections Act and in accordance with MFIPPA. The personal information will be used for the nomination process for office in the municipal election and will be available for public inspection in the office of the Clerk, Township of Perry until the next municipal election.