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SPECIFIED FUNDRAISING Spec-FF (17/11) FUNCTION PAGE I~ - ~I OF I~ -~ POLITICAL ENTITY EVENT DATE (YYYY/MM/DD) I EVENT TIME (HH: MM) BC NOP 2019/09/20 17:30 EVENT DESCRIPTION LOCATION NAME (OR ADDRESS• IF HELD AT PRIVATE RESIDENCE) P612-Fall Reception with John Horgan Polygon Gallery, North Vancouver NAME OF RESIDENT" (IF HELD AT PRIVATE RESIDENCE) TICK IF EVENT HELD AT PRIVATE RESIDENCE • ~ be obscured ftom public lnapectlon. PART A PARTS THIS PART MUST BE SUBMITTED AT THIS PART MUST BE SUBMITTED WITHIN LEAST 7 DAYS BEFORE THE EVENT 60 DAYS AFTER THE EVENT TICKET PRICE(S) $ 50.00 # OF TICKETS SOLD 140 $295.00 $ 350.00 CONTRIBUTIONS RAISED $37,045.00 Names of the political party leader, parliamentary secretaries or Check if the political party leader, parliamentary secretary or members of the Executive Council scheduled to attend: member of the Executive Council attended the event: John Horgan ATTENDED EVENT? IZl Bowinn Ma ATTENDED EVENT? IZl Selina Robinson ATTENDED EVENT? IZl Bruce Ralston ATTENDED EVENT? IZl David Eby ATTENDED EVENT? • Sheila Malcolmson ATTENDED EVENT? IZl Adrian Dix ATTENDED EVENT? • Judy Darcy ATTENDED EVENT? • Shane Simpson ATTENDED EVENT? IZl ATTENDED EVENT? • ATTENDED EVENT? • Add more forms if needed. SU BMITTED BY SUBMITTED BY Rowyn DeVito Rowyn DeVito EMAIL PHONE EMAIL PHONE [email protected] 604-430-8600 [email protected] 604-430-8600 SIGNATURE 1 DATE (YYYY/MM/DD) DATE (YYYY/MM/DD) ~'V\~D; 2019/09/13 Sl~;~~+-o 2019/11 /15 This form will be published on Elections BC's website. This information is collected under the authority of the Election Act and the Freedom of Information and Protection or Privacy Act. The information will be used to administer provisions under the Election Act. Questions can be directed to: PLEASE KEEP A COPY FOR YOUR RECORDS. Privacy Officer, Elections BC 1-800-661-8683, priyacy@elections be ca or PO Box 9275 Stn Prov Govt, Victoria BC VBW 9J6 THIS IS AN AMENDED FORM Shane Simpson.

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