Local Government Act Section 90 CITY OF NANAIMO CAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL ELECTION (COUNCILLOR) Form 3-9b This disclosure statement is to be filed with the Manager of Legislative Services of the City of Nanaimo within 120 days after the local general election voting day (March 19, 2012). Disclosure statements may be filed from March 2dh, 2012 until April 18th, 2012 on payment of a $500 late filing penalty to the City of Nanaimo. NAME OF CANDIDATE: ... ] \ a_ t'""\ C0 :J""o h. "- C:S. tQ f"\ E. NAME OF OFFICE for which the candidate sought election: ----~C~O--"U'-'-N~C""""l=L=LO~R ____ _ NAME OF ENDORSING ELECTOR ORGANIZATION (if applicable): SUMMARY OF CAMPAIGN CONTRIBUTIONS Total amount of campaign contributions Total of (A, B & CJ from Schedule A: Part 1 (page 4) List of contributors who made contributions totalling $100 or more Complete Schedule A: Part 2 (page 5) Total amount of anonymous campaign contributions remitted to the City of Nanaimo Total from Schedule A: Part 3 (page 6) SUMMARY OF ELECTION EXPENSES Total amount of election expenses COMPLETE SCHEDULE B (page 7) SURPLUS FUNDS Transfer from local government (surplus funds from previous election) Balance (positive or negative) remaining in candidate's campaign account COMPLETE SCHEDULE C (page 8) CAMPAIGN ACCOUNT INFORMATION $ ____ _ $ ____ _ $ I OS • .2 .. y- All m?netary contributions were ?eposite~ in, and all election expenses~ from an ~ccount opened for this purpose at 605-k,,,( Vo:x'> ""- '·fY''-1 1:'J G ed \t located at ~!Af:\ nx::.c h )__3;f8 (name of financial institution) UI\ 1 O"- (Branch ad<;Jress) La..b \e_ tJ~ " NOTE: This is not a balance sheet. For example, contributions may not equ'al expenses. COMPLETE THE APPROPRIATE DECLARATIONS ON PAGES 2 AND 3
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Disclosure statements City of Nanaimo. a :Jo h. -C:S. E.€¦ · Local Government Act Section 90(4)(f) BC. Reg. 380/93 CAMPAIGN FINANCING DISCLOSURE STATEMENT SCHEDULE 'B' ELECTION
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Local Government Act Section 90
CITY OF NANAIMO
CAMPAIGN FINANCING DISCLOSURE STATEMENT FOR THE 2011 GENERAL ELECTION
(COUNCILLOR)
Form 3-9b
This disclosure statement is to be filed with the Manager of Legislative Services of the City of Nanaimo within 120 days after the local general election voting day (March 19, 2012). Disclosure statements may be filed from March 2dh, 2012 until April 18th, 2012 on payment of a $500 late filing penalty to the City of Nanaimo.
NAME OF CANDIDATE: ... ] \ a_ t'""\ C0 :J""o h. "- C:S. tQ f"\ E.
NAME OF OFFICE for which the candidate sought election: ----~C~O--"U'-'-N~C""""l=L=LO~R ____ _
NAME OF ENDORSING ELECTOR ORGANIZATION (if applicable):
SUMMARY OF CAMPAIGN CONTRIBUTIONS
Total amount of campaign contributions Total of (A, B & CJ from Schedule A: Part 1 (page 4)
List of contributors who made contributions totalling $100 or more Complete Schedule A: Part 2 (page 5)
Total amount of anonymous campaign contributions remitted to the City of Nanaimo
Total from Schedule A: Part 3 (page 6)
SUMMARY OF ELECTION EXPENSES
Total amount of election expenses
COMPLETE SCHEDULE B (page 7)
SURPLUS FUNDS
Transfer from local government (surplus funds from previous election)
Balance (positive or negative) remaining in candidate's campaign account
COMPLETE SCHEDULE C (page 8)
CAMPAIGN ACCOUNT INFORMATION
$ ____ _
$ ____ _
$ I OS • .2 .. y-
All m?netary contributions were ?eposite~ in, and all election expenses~ from an ~ccount opened for this purpose at 605-k,,,( Vo:x'> ""- '·fY''-11:'J G ed\t located at~!Af:\ nx::.c h )__3;f8
NOTE: This is not a balance sheet. For example, contributions may not equ'al expenses. COMPLETE THE APPROPRIATE DECLARATIONS ON PAGES 2 AND 3
Form 3-9b DECLARATION OF CANDIDATE
I, r-:]) lct..,~ a__, ~h_ f\. S. '=:C V'\. e , a candidate for COUNCILLOR in the City of Nanaimo election, solemnly affirm that to the best of my knowledge, information and belief:
(a) this campaign financing disclosure statement and supporting schedules completely and accurately discloses the information required by Section 90 of the Local Government Act in relation to my election campaign for the office of COUNCILLOR in the 2011 local general election for the City of Nanaimo; and
(b) the requirements of Division 8 - Campaign Financing of the Local Government Act have been met in relation to my election campaign for the office of COUNCILLOR in the 2011 local general election for the City of Nanaimo.
Declared before me at _N ...... ~~c1x\~ ..... <1 ....... t .... r:Y) .............. 0......_ __ , British Columbia
this ?.. "'°' day of S>ei::..~
Designa dL alGovernmentOfficer or Commissioner for taking affidavits for British Columbia
, 201....L.
Signature of Candidate
DECLARATION OF ELECTOR ORGANIZATION OFFICIAL (if applicable)
I, _________________ , being the----------------(title of authorized official)
for the------------------------' solemnly affirm that to the (name of elector organization)
best of my knowledge, information and belief:
(a) this campaign financing disclosure statement and supporting schedules completely and accurately discloses the information required by Section 90 of the Local Government Act for the election campaign of ________________________ _
(name of candidate)
for the office of COUNCILLOR in the 2011 local general election for the City of Nanaimo; and
(b) the requirements of Division 8 - Campaign Financing of the Local Government Act have been met in relation to the election campaign of ___________________ _ for the office of COUNCILLOR in the 2011 local general election for the City of Nanaimo.
Declared before me at , British Columbia ---------this ___ day of _________ , 201_.
Designated Local Government Officer or Commissioner for taking affidavits for British Columbia
Signature of Elector Organization Official
Page 2 of 13
Form 3-9b
DECLARATION OF CAMPAIGN ORGANIZER (it applicable)
I, ________________ , being the ______________ _ (title of authorized official)
for the------------------------' solemnly affirm that to the (name of elector organization)
best of my knowledge, information and belief:
(a) this campaign financing disclosure statement and supporting schedules completely and accurately discloses the information required by Section 90 of the Local Government Act for the election campaign of ________________________ _
(name of candidate)
for the office of COUNCILLOR in the 2011 local general election for the City of Nanaimo; and
(b) the requirements of Division 8 - Campaign Financing of the Local Government Act have been met in relation to the election campaign of-------------------for the office of COUNCILLOR in the 2011 local general election for the City of Nanaimo.
Declared before me at _________ , British Columbia
this ___ day of _________ , 201 .
Designated Local Government Officer or Commissioner for taking affidavits for British Columbia
Signature of Campaign Organizer
DECLARATION OF FINANCIAL AGENT
I, --1--1--"----"-"°'-"""-',,;,,._,_----"-=.1..-4.....,._-<.!... _______ ----:_,,,,..."<"-___ ~ ::...._--, have prepared this
disclosure statement and supporting schedules for ------'=--....:....<..~'-'---:_/- 6_ 1-/,'-'-W--"-':-,,:::.....c__,__o_M....:...._'E ____ _ name of candidate (or elector organization or campaign organizer, if applicable)
and solemnly affirm that to the best of my knowledge, information and belief that:
(a) this campaign financing disclosure statement and supporting schedules completely and accurately discloses the information required by Section 90 of the Local Government Act in relation to the election campaign of---------------------
(name of candidate)
for COUNCILLOR in the 2011 local general election for the City of Nanaimo; and
(b) the requirements of Division 8 - Campaign Financing of the Local Government Act have been met in relation to the election campaign of ___________________ _
(name of candidate)
for COUNCILLOR in the 2011 local general election for the City of Nanaimo.
Declared before me at t-0~C"f'\C)
this ;;..~ day of ~'!:~
Design tedlo~overn~ent Officer or Commissioner for taking affidavits for British Columbia