Name Tina Giesbrecht Title General Counsel Legal & Privacy Location Calgary Expenses submitted during the month of April 2017 MMM-YY Source Document Purpose Airfare Meals Accommodation Other Travel Total Travel Professional Development (2) Working Sessions Hosting and Hospitality (3) Other (4) Apr-17 Expense Claim Meetings 119 368 580 1,067 Apr-17 Direct Billing Meetings 1,955 1,955 Total 1,955 $ 119 $ 368 $ 580 $ 3,022 $ - $ - $ - $ Total for the Month $ 3,022 Maximum daily single meal expense claimed in the month 24 $ Maximum daily base hotel rate claimed in the month 164 $ Non economy air travel in the month - $ 1) Travel expenses Includes local and out of province/country travel expenses. Other travel includes items such as taxis, parking mileage, car rental and other expenses related to travel. 2) Professional Development Includes conference, seminar and course registration fees and material 3) Hosting and Hospitality expenses Hospitality and Hosting expenses may be incurred to advance AHS' mission, vision and values. For example, may include working lunches with staff and prospective employees meetings with government officials, dignitaries, public interest groups, donors other public or private organizations. 4) Other Other expenses include expenses incurred in the normal course of business that are required for work purposes. May include small item technology purchases, books, etc. 5) Remuneration, Allowances Reported in the Financial Statements Car allowance, honoraria, meeting fees, and any other employment benefits reported in the annual financial statements are excluded from this report. Travel (1) AHS Board and Executive Expense Report
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AHS Board and Executive Expense Report · Attended meeting with C. Amrhein and V. Yiu. 1 4/10/2017 $ 29.50 . Attended meeting with C. Amrhein and V. Yiu in Edmonton. Parking at airport.
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Name Tina GiesbrechtTitle General Counsel Legal & Privacy Location CalgaryExpenses submitted during the month of April 2017
Maximum daily single meal expense claimed in the month 24$ Maximum daily base hotel rate claimed in the month 164$ Non economy air travel in the month -$
1) Travel expenses Includes local and out of province/country travel expenses. Other travel includes items such as taxis, parking mileage, car rental and other expenses related to travel.
2) Professional DevelopmentIncludes conference, seminar and course registration fees and material
3) Hosting and Hospitality expensesHospitality and Hosting expenses may be incurred to advance AHS' mission, vision and values. For example, may include working lunches with staff and prospective employees meetings with government officials, dignitaries, public interest groups, donors other public or private organizations.
4) OtherOther expenses include expenses incurred in the normal course of business that are required for work purposes. May include small item technology purchases, books, etc.
5) Remuneration, Allowances Reported in the Financial Statements Car allowance, honoraria, meeting fees, and any other employment benefits reported in the annual financial statements are excluded from this report.
Travel (1)
AHS Board and Executive Expense Report
AHS Public Disclosure Expense Claims
Claimant Name
Claimant Title Claimant Location
Expense Claim Total
GIESBRECHT, TINA
General Counsel Legal & Privacy
Calgary $ 1,067.21
Expense Date
Amount From Location
To Location
Justification # of days
# of Attendees
Attendee Name(s)
Trip Distance
3/29/2017 $ 184.13 Attended the AHS Board Meeting as a presenter March 29
1
3/29/2017 $ 47.50 Attended AHS Board Meeting and Talking Development Session in EdmontonBfast $10.50Lunch $13.00Dinner $24.00
1
3/29/2017 $ 60.50 Attended the AHS Board Meeting as a presenter March 29
1
3/29/2017 $ 47.74 Attended the AHS Board Meeting as a presenter March 29
1
3/30/2017 $ 47.50 Attended AHS Board Meeting and Talking Development Session in EdmontonBfast $10.50Lunch $13.00Dinner $24.00
1
3/30/2017 $ 60.70 Attended Talking Development Session 1
3/30/2017 $ 10.00 Attended Talking Development Session 1
3/30/2017 $ 51.37 Attended Talking Development Session 1
4/4/2017 $ 14.36 Executive Education Residency #3 in Calgary
1
4/5/2017 $ 14.55 Executive Education Residency #3 in Calgary
1
4/6/2017 $ 15.40 Attended Residency #3 for Executive Education in Calgary.
1
Business reason Expense Location
Expense Type
Attended AHS Board Meeting and Talking Development Session in Edmonton
AB - Other Zones
Meals Per Diem
Attended the AHS Board Meeting as a presenter March 29
AB - Other Zones
Accommodations
Attended AHS Board Meeting and Talking Development Session in Edmonton
AB - Other Zones
Meals Per Diem
Attended the AHS Board Meeting as a presenter March 29
AB - Other Zones
Taxi
Attended the AHS Board Meeting as a presenter March 29
AB - Other Zones
Taxi
Attended Talking Development Session AB - Other Zones
Taxi
Attended Talking Development Session AB - Other Zones
Taxi
Attended Talking Development Session AB - Other Zones
Taxi
Executive Education Residency #3 in Calgary
AB - Other Zones
Taxi
Executive Education Residency #3 in Calgary
AB - Other Zones
Taxi
Attended Residency #3 for Executive Education in Calgary.
AB - Other Zones
Taxi
AHS Public Disclosure Expense Claims
Claimant Name
Claimant Title Claimant Location
Expense Claim Total
GIESBRECHT, TINA
General Counsel Legal & Privacy
Calgary $ 1,067.21
Expense Date
Amount From Location
To Location
Justification # of days
# of Attendees
Attendee Name(s)
Trip Distance
Business reason Expense Location
Expense Type
4/7/2017 $ 14.25 Executive Education Residency #3 in Calgary
1
4/10/2017 $ 60.50 Attended meeting with C. Amrhein and V. Yiu.
1
4/10/2017 $ 29.50 Attended meeting with C. Amrhein and V. Yiu in Edmonton. Parking at airport.
1
4/10/2017 $ 13.00 Attended meeting with C. Amrhein and V. YiuLunch $13.00
1
4/12/2017 $ 14.25 Exec Education SPRINT event at FMC 1
4/13/2017 $ 14.25 Exec Education SPRINT event at FMC 1
4/18/2017 $ 14.25 Exec Education SPRINT debrief at FMC 1
4/20/2017 $ 184.13 To attend Lab Governance Planning Meeting with Deputy Minister and CEO at SSP and Legal & Privacy Quarterly meeting.
Attended Court re prosecution challenge update - application.
AB - Other Zones
Meals Per Diem
GILCHRIST, TODD Approve 7-May-17
Attended Court re prosecution challenge update - application.
AB - Other Zones
Taxi
Approver(s) for the claim Approval Status Approval Date
Purpose of This Form:
The information will be used for public disclosure reporting.
Expenses Paid Directly to Third Party Vendors:
Examples include but are not limited to hotels, travel agencies, car rental agencies, conferences, courses and expenses reimbursed from a petty cash fund.
Indicate whether you have expenses to report in this section for this reporting period:
Name : Reporting Period for the Month of :
Total Paid in the Month 1,053.56$
26-Apr-2017 Direct Billing Airline Ticket Change fee Marlin Travel 75.00
25-Apr-17 Direct Billing Airline Ticket Travel to Edmonton for Prosecution Challenge Update Application at Court House. Marlin Travel 436.21
26-Apr-17 Direct Billing Airline Ticket Flight difference Marlin Travel 35.15
20-Apr-17 Direct Billing Airline Ticket Change fee Marlin Travel 78.85
19-Apr-17 Direct Billing Airline Ticket Travel to Edmonton for Lab Governance Planning Meeting and Quarterly Department Meeting. Marlin Travel 428.35
A personal cheque must be attached to cover expenses deemed ineligible.Choose from Drop-down List
Tina Giesbrecht Apr-17
DD-MMM-YYYY Payment Method Category Description/Purpose of the Expense Name of Vendor Amount Paid
Enter all items related to expenses incurred while conducting AHS business and paid for via a third party vendor (i.e. accommodations, airline tickets, car rentals, hosting events and working sessions) Enter all expenses pertaining to professional development such as conferences and courses, etc. Enter all expenses paid by AHS not mentioned above. Copies of invoices and other relevant back up must be attached, approvals for hosting events/working sessions that exceeds $600 must be provided. Information will be used for reporting purposes only.
Expense Report Direct Bill Summary
The purpose of this form is to report expenses incurred on behalf of a designated Executive or an AHS Board Member and paid for by a third party vendor.
AHS may have established accounts with certain vendors used to book travel and other expenses that are billed directly to AHS.
It is mandatory to include in monthly reports these expenses that pertain to each member. AHS is required to disclose expenses for allapplicable receipts and back up must be attached.
Direct Bill Report
Purpose of This Form:
The information will be used for public disclosure reporting.
Expenses Paid Directly to Third Party Vendors:
Examples include but are not limited to hotels, travel agencies, car rental agencies, conferences, courses and expenses reimbursed from a petty cash fund.
Indicate whether you have expenses to report in this section for this reporting period:
Name : Reporting Period for the Month of :
Total Paid in the Month
Expense Report Direct Bill Summary
11-Apr-17
Copies of invoices and other relevant back up must be attached, approvals for hosting events/working sessions that exceeds $600 must be provided.
Direct Bill Report
29-Mar-17 Direct Billing Airline Ticket Travel to Edmonton for Lab Update Meeting, AHS Board Meeting and Succession Planning Session. Marlin Travel
Marlin Travel
483.66
Direct Billing Airline Ticket Travel to Edmonton for meeting with Dr. C. Amrhein re Opioid Response. 418.16
901.82$
(i.e. accommodations, airline tickets, car rentals, hosting events and working sessions) Enter all expenses pertaining to professional development such as conferences and courses, etc. Enter all expenses paid by AHS not mentioned above.
Information will be used for reporting purposes only. A personal cheque must be attached to cover expenses deemed ineligible.
The purpose of this form is to report expenses incurred on behalf of a designated Executive or an AHS Board Member and paid for by a third party vendor.
AHS may have established accounts with certain vendors used to book travel and other expenses that are billed directly to AHS.
It is mandatory to include in monthly reports these expenses that pertain to each member. AHS is required to disclose expenses for allapplicable receipts and back up must be attached.
Enter all items related to expenses incurred while conducting AHS business and paid for via a third party vendor
Apr-17
Choose from Drop-down List
Tina Giesbrecht
DD-MMM-YYYY Payment Method Category Description/Purpose of the Expense Name of Vendor Amount Paid
Invoice
Booking Date: Client: Agent:
ALBERTA HEALTH SERVICES ALBERTA HEALTH SERVICES 10030 - 107 STREET EDMONTON AB T5J 3E4
PAYMENTS Form of Payment Invoice # Payment Date Card Holder Amount CAD 04/20/2017 507.10
Total Payment: 507.10 CAD
Balance Due CAD Currency 0.00 CAD
Payment Due Date: 27 Jul 17
20.40 Total GST Total HST $0.00 CORPORATE UNIT 101 REASON FOR TRAVEL LEGAL AND PRIVACY QUATERLY MEETING
AIR FLIGHT ACCIDENT INSURANCE IS PROVIDED AT NO COST TO OUR CLIENTS FOR THE PRINCIPAL SUM $100000 UNDER GROUP POLICY GTRMM 11506 UNDERWRITTEN BY MANULIFE FINANCIAL *************************************************** AFTER HOURS EMERGENCY HELP DESK WITHIN CANADA OR UNITED STATES CALL ...1 888 342 3292 OUTSIDE OF TOLL FREE AREA CALL COLLECT...303 801 2147 PLEASE QUOTE ACCESS CODE 2EC0 *************************************************** ***PLEASE REVIEW YOUR ITINERARY FOR ACCURACY*** PLEASE INFORM US WITHIN ONE BUSINESS DAY SHOULD YOU FIND ANY DISCREPANCIES. DEPENDING ON THE NATURE OF THE DISCREPANCY COSTS ASSOCIATED WITH MAKING CORRECTIONS MAY BE YOUR RESPONSIBILITY -----------AIR CANADA RULES-------------- TICKET IS NON REFUNDABLE CHANGES PERMITTED UP TO 2 HOURS PRIOR TO FLIGHT TIME CHANGE FEES PLUS ANY FARE INCREASE WILL APPLY 24HOURS IN ADVANCE GO TO WWW.AIRCANADA.COM TO CHECK IN AND PRINT YOUR BOARDING PASS. --------------------------------------------
GOVERNMENT CENTRE MAIN FLOOR, 9929- 108TH ST, EDMONTON, AB T5K1G8
ALBERTA HEALTH SERVICES ALBERTA HEALTH SERVICES 10030 - 107 STREET EDMONTON AB T5J 3E4
20 Apr 17
Trip #:
File Locator:
MY ITINERARY Passengers KATHARINA GIESBRECHT Not Specified
Required Travel Documents Citizenship Not Specified
All passengers need to ensure that correct documentation requirements are met for entry to the applicable destinations as well as for their return to Canada
PAYMENTS Form of Payment Invoice # Payment Date Card Holder Amount CAD 04/26/2017 75.00
Total Payment: 75.00 CAD
Balance Due CAD Currency 0.00 CAD
0.00 Total GST Total HST $0.00 CORPORATE UNIT 101 REASON FOR TRAVEL BUSINESS
AIR FLIGHT ACCIDENT INSURANCE IS PROVIDED AT NO COST TO OUR CLIENTS FOR THE PRINCIPAL SUM $100000 UNDER GROUP POLICY GTRMM 11506 UNDERWRITTEN BY MANULIFE FINANCIAL *************************************************** AFTER HOURS EMERGENCY HELP DESK WITHIN CANADA OR UNITED STATES CALL ...1 888 342 3292 OUTSIDE OF TOLL FREE AREA CALL COLLECT...303 801 2147 PLEASE QUOTE ACCESS CODE 2EC0 *************************************************** ***PLEASE REVIEW YOUR ITINERARY FOR ACCURACY*** PLEASE INFORM US WITHIN ONE BUSINESS DAY SHOULD YOU FIND ANY DISCREPANCIES. DEPENDING ON THE NATURE OF THE DISCREPANCY COSTS ASSOCIATED WITH MAKING CORRECTIONS MAY BE YOUR RESPONSIBILITY -----------AIR CANADA RULES-------------- TICKET IS NON REFUNDABLE -----------AIR CANADA RULES-------------- TICKET IS NON REFUNDABLE CHANGES PERMITTED UP TO 2 HOURS PRIOR TO FLIGHT TIME CHANGE FEES PLUS ANY FARE INCREASE WILL APPLY 24HOURS IN ADVANCE GO TO WWW.AIRCANADA.COM TO CHECK IN AND PRINT YOUR BOARDING PASS.
GOVERNMENT CENTRE MAIN FLOOR, 9929- 108TH ST, EDMONTON, AB T5K1G8
ALBERTA HEALTH SERVICES KATHARINA GIESBRECHT 10030 107 ST EDMONTON AB CA T5J3E4
27 Apr 17
Trip #:
File Locator:
MY ITINERARY Passengers KATHARINA GIESBRECHT Not Specified
Required Travel Documents Citizenship Not Specified
All passengers need to ensure that correct documentation requirements are met for entry to the applicable destinations as well as for their return to Canada
PAYMENTS Form of Payment Invoice # Payment Date Card Holder Amount CAD 03/28/2017 483.66
Total Payment: 483.66 CAD
Balance Due CAD Currency 0.00 CAD
Payment Due Date: 27 Jul 17
0.00 Total GST Total HST $0.00 CORPORATE UNIT 101 REASON FOR TRAVEL AHS BOARD MEETING
AIR FLIGHT ACCIDENT INSURANCE IS PROVIDED AT NO COST TO OUR CLIENTS FOR THE PRINCIPAL SUM $100000 UNDER GROUP POLICY GTRMM 11506 UNDERWRITTEN BY MANULIFE FINANCIAL *************************************************** AFTER HOURS EMERGENCY HELP DESK WITHIN CANADA OR UNITED STATES CALL ...1 888 342 3292 OUTSIDE OF TOLL FREE AREA CALL COLLECT...303 801 2147 PLEASE QUOTE ACCESS CODE 2EC0 *************************************************** ***PLEASE REVIEW YOUR ITINERARY FOR ACCURACY*** PLEASE INFORM US WITHIN ONE BUSINESS DAY SHOULD YOU FIND ANY DISCREPANCIES. DEPENDING ON THE NATURE OF THE DISCREPANCY COSTS ASSOCIATED WITH MAKING CORRECTIONS MAY BE YOUR RESPONSIBILITY -----------AIR CANADA RULES-------------- TICKET IS NON REFUNDABLE CHANGES PERMITTED UP TO 2 HOURS PRIOR TO FLIGHT TIME CHANGE FEES PLUS ANY FARE INCREASE WILL APPLY 24HOURS IN ADVANCE GO TO WWW.AIRCANADA.COM TO CHECK IN AND PRINT YOUR BOARDING PASS.
GOVERNMENT CENTRE MAIN FLOOR, 9929- 108TH ST, EDMONTON, AB T5K1G8
ALBERTA HEALTH SERVICES ALBERTA HEALTH SERVICES 10030 - 107 STREET EDMONTON AB T5J 3E4
28 Mar 17
Trip #:
Agents email: @MARLINTRAVEL.C
File Locator:
MY ITINERARY Passengers KATHARINA GIESBRECHT Not Specified
Required Travel Documents Citizenship Not Specified
All passengers need to ensure that correct documentation requirements are met for entry to the applicable destinations as well as for their return to Canada