Ontario Ministry of Municipal Affairs
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Ontario Ministry of Municipal Affairs Financial Statement - Auditor's Report Candidate - Form 4 Municipal Elections Act, 1996 (Section 88.25) lnstructions All candidates must complete Boxes A and B. Candidates who receive contributions or incur expenses must complete Boxes C, D, Schedule 1 and Schedule 2 as appropriate. Candidates who receive contributions or incur expenses in excess of $'10,000 must also attach an Auditor's Report. All surplus funds (after any refund to the candidate or their spouse) shall be paid immediately over to the clerk who is responsible for the conduct of the election. MM DD MM DD For the campaign period from (day candidate filed nomination) 2018 07 26 to 201 12 31 I tnitiat filing reflecting finances to December 31 (or 45 days after voting day in a by-election) ! Supplementary filing including finances after December 31 (or 45 days after voting day in a by-election) Box A: Name of Candidate and Office Candidate's name as shown on the ballot Last Name or Single Name Given Name(s) GROSSI ROBERT which ca n name or no. REGIONAL COUNCILLOR / DEPUTY MAYOR Municipality TOWN OF GEORGINA Spending Lim¡t - General Spending Limit - Parties and Other Expressions of Appreciation $ 32,953.95 $ 3,295.40 ! t OiO not accept any contributions or incur any expenses . (Comptete Boxes A and B only) Box B: Declaration t, Robert Grossi , declare that to the best of my knowledge and belief that these financial statements and ng schedules are true and correct. 2019t03t29 idate Date (yyyy/mm/dd) Date Filed (yyyy/m Time Filed ,w (if filed in person) tt: +(nñl 9503P (2018/04) @ Queen's Printerfor Ontario, 2018 D¡sponible en français Pâge 1 of I Box C: Statement of Campaign lncome and Expenses LOAN Name of bank or recognized lending institutionTORONTO DOMINION BANK Amount borrowed $ INCOME Total amount of all contributions (from line 1A in Schedule 1) +$ 21 500.00 Revenue from items $25 or less +$ Sign deposit refund +$ Revenue from fundraising events not deemed a contribution (from Part lll of Schedule 2) + $ lnterest earned by campaign bank account + $ Other (provide full details) 1. +$ 2. +$ 3. +$ 4. +$ 5. +$ Total Campaign lncome (Do not include loan) $2r 500.00 cr EXPENSES (Note: include the value of contributions of goods and services) Expenses subject to general spending limit lnventory from previous campaign used in this campaign (list details in Table 4 of $ 1,000.00 Schedule 1) + Advertising + $ 4,198.00 Brochures/flyers + $ 1 901.00 Signs (including sign deposit) + $ 3,390.00 Meetings hosted + -5-$ 640.00 Office expenses incurred until voting day + Æ2oo Phone and/or internet expenses incurred until voting day + $ 1 225.00 Salaries, benefits, honoraria, professional fees incurred until voting day + $ 1 890.00 Bank charges incurred until voting day + $ 19.00 lnterest charged on loan until voting day + $ Other (provide full details) 1. POST OFFTCE (MAILING COSTS) +$ 2,071.00 2. vEHlcLE EXPENSES (GAS, ETC) + $ 1,385.00 3. voLUNTEERS (FOOD EXPENSES) +$ 417.OO 4. HARDWOOD (FASTNERS, WOOD, ETC.) +$ 843.00 5. +$ Total Expenses subject to general spending limit = $ 19,411.00 cz EXPENSES Expenses subject to spending limit for parties and other expressions of appreciation 1 ELECTION DAY PARTY & VOLUNTEER + $ 926.00 2. +$ 3. +$ 4. +$ 5. +$ Total Expenses subject to spending limit for parties and other expressions of appreciation $ 926.00 cs e5o3P (2018/04) Page 2 of I Expenses not subject to spending limits Accounting and audit + $ 800.00 Cost of fundraising events/activities (list details in Part lV 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 + $ 440.00 Bank charges incurred after voting day + $ 12.00 lnterest charged on loan after voting day + $ Expenses related to recount + $ Expenses related to controverted election + $ Expenses related to compliance audit + $ Expenses related to candidate's disability (provide full details) 1. +$ 2. +$ J. +$ 4. +$ 5. +$ Other (provide full details) 1. +$ 2. +$ 3. +$ 4. +$ 5. +$ Total Expenses not subject to spending limits - $ 1,252.00 c¿, Total Campaign Expenses (C2 + Cg + C4) = $ 21,589.00 cs Box D: Calculation of Surplus or Deficit Excess (defìciency) of income over expenses (lncome minus Total Expenses) (c1 - c5) +$ -89.00 or Eligible deficit carried forward by the candidate from the last election (applies to 2018 regular election only) $ D2 Total (D1 - D2) $ -89.00 lf there is a surplus, deduct any refund of candidate's or spouse's contributions to the campaign $ Surplus (or deficit) for the campaign $ -89.00 o¡ lf line D3 shows a surplus, the amount must be paid in trust, at the time the financial statements are filed, to the municipal clerk who is responsible for the conduct of the election. 9503P (2018/04) Page 3 of I Schedule I - Contributions Part l- Summary of Contributions Contributions in money from candidate and spouse +$ Contributions in goods and services from candidate and spouse (include value listed in Table 3 and Table 4) +$ 1,000.00 Total value of contributions not exceedinS $100 per contributor . lnclude ticket revenue, contributions in money, goods and services where the total contribuiion from a contributor is $100 or less (do not include contributions from candidate or spouse). +$ Total value of contributions exceeding $100 per contributor (from line 1B on page 5; list details in Table 1 and Table 2) . lnclude ticket revenue, contributions in money, goods and services where the total contribution from a contributor exceeds $100 (do not include contributions from candidate or spouse). +$ 20,500.00 Less: Contributions returned or payable to the contributor -$ Contributions paid or payable to the clerk, including contributions from anonymous sources exceeding $25 -$ Total Amount of Contributions (record under lncome in Box G) $ 21,500.00 r¡ Part ll - Contributions exceedÍng $100 per contributor - individuals other than candidate or spouse Table l: Mo contributions from individuals other than candidate or $ Name Full Address Date Received Amount Received $ rned to Contributor Paid to Clerk SEE LIST SEE LIST 20,500.00 n Additional information is listed on separate supplementary attachment Total 20,500.00 e5o3P (2018/04) Page 4 of I Brenda Redinger 905 Lake Drive North Keswick Ontario L4P 3E9 August 6 51000. Guilhermina Ribeiro 2[-AWestwood Lane Richmond Hill Ontario L4C 6X9 August 17 5500. Aviva Eisenberger 5400 Yonge St. #5 Toronto Ontario M2N 5R5 August 1-7 5500. L. Morra L8 Quantz Court Markham Ontario L3R 918 August 17 51200. Michael Smith Lake Drive North Keswick Ontario L4P 3E9 August L7 SrOO. Domenic Di Monte 22 Mellings Dr. Woodbridge Ontario L4L 8J2 August 28 5250. Donato DiMonte 54 Cooperage Rd Kleinburg Ontario LOJ 1-C0 August 28 5250. Anthony Sgro 13L Longview Cres. Woodbridge Ontario L4H 1A8 August 28 $250. Sergio Di Monte 46 Autumn Grove Court Kleinburg Ontario LOJ LCO August 28 SZSO. D. and A. Haynes 20936 Dalton Rd. Georgina Ontario LOE LRO August 25 SsOO. Alexander Libfeld 82 Arjay Cres Toronto Ontario M2L 1C7 Sept.S SSOO. Michael Rice 14 Sawmill Lane Gormley Ontario LOH 1GO Sept. 13 Srooo. Jeffrey Kerbel 74The Bridle Path Toronto Ontario M3B 2BL Sept. 14 Srzoo John Gallucci 5L Constellation Court #2L0 Toronto Ontario MgW 1K4 Oct. L8 Srzoo. Kelly Steadman 57 Pointon St. Aurora Ontario L4G OJ9 Oct.8 Srzoo. Anita Grasso L7 Auburndale Dr. Thornhill Ontario L4J 9C1 Oct.5 Srzoo C. and A. DeGasperis t27 Pine Valley Cres. Woodbridge Ontario L4L 2W3 August 23 5120o Thomas Sheppard 25 Alexandra Blvd. Toronto Ontario M4R 1L8 Oct. 1-1- Sooo Joseph Chetti 156 Capner Court Kleinburg Ontario LOJ LCO Oct. 1-1 s12oo Muzammil Kodwavi 24 Sutherland Dr. Toronto Ontario M4G 1G8 Oct.L0 Srooo Jakub Kilis 97 Sweet Anna Court Maple Ontario L6A 4E5 Oct. 1 sL000 Anthony DiBattista 15 Findlay Ave. King City Onta rio L7B 182 Oct. L0 slooo Salvatore Balsamo 53L Velmar Dr. Woodbridge Ontario L4L 8H8 Oct. L0 s12oo. A. and S. DeGasperis 270 Chrislea Rd. Woodbridge Ontario L4L 8A8 August 23 Srzoo. Sajjad Hussain 24 Sutherland Dr. Toronto Ontario M4G 1G8 Oct. l-0 Srooo Table 2: Contributions in goods or services from individuals other than candidate or spouse (Note: must also be recorded as Expenses in Box G) Name Full Address Description of Goods Date Received Value $ or Services (yyyy/mm/dd) ! nOOitionat information is listed on separate supplementary attachment Total Total for Part ll - Contributions exceeding $100 per contributor (Add totals from Table I and Table 2 and record the total in Part 1 - Summary of Contributions) $ 20,500.0018 PaÉ lll - Contributions from candidate or spouse Table 3: Gontributions in goods or services Description of Goods or Services Date Received Value $ (yyyy/mm/dd) I nOOitional information is listed on separate supplementary attachment Total 9503P (2018/04) Page 5 of I Table 4: Inventory of campaign goods and materials from previous municipal campaign used in this campaign (Note: value must be recorded as a contribution from the candidate and as an expense) Description Date Acquired Supplier Quant¡ty Gurrent Market (yyyyimm/dd) Value $ AIGNS SELF 2018t07t26 480 1,000.00 n Addit¡onal information is listed on separate supplementary aüachment Total 1,000.00 9503P (201 8/04) Page 6 of I Schedule 2 - Fundraising Events and Activities Fundraising EvenUActivity Complete a separate schedule for each event or activity held f] Additional schedule(s) attached Description of fundraising evenVactivity Date of evenUactivity (yyyy/mm/dd) PaÉl-Ticketrevenue Admission charge (per person) (lf there are a range of ticket prices, attach complete breakdown of all ticket sales) $ 2A Number of tickets sold X 28 Total Part I (2A X 2B) (include in Part I of Schedule 1) $ Part ll - Other revenue deemed a contribution (e.9.