Registered Political Party's Fiscal Period Return the Province of Ss.skatchevvan, being the chief...

21
S;.SlCATC)i£WIJJ Saskatchewan Liberal Party Name of Poluical P:my Published b)' the Chief Elzc!or:!l OHtcer ot Saskatche-.·,an E-521 The Election Act. 19!lG Section 250 (Form E-522) Registered Political Party's Fiscal Period Return

Transcript of Registered Political Party's Fiscal Period Return the Province of Ss.skatchevvan, being the chief...

S;.SlCATC)i£WIJJ

Saskatchewan Liberal Party Name of Registerer~ Poluical P:my

Published b)' the Chief Elzc!or:!l OHtcer ot Saskatche-.·,an

E-521 The Election Act. 19!lG Section 250 (Form E-522)

Registered Political Party's Fiscal Period Return

J.L. Reiman Certified Gene{al Accbunt.ant

AUDITOR'S nEPORT

Box 906, Gfavelbourg, Sask •. SOH DCO Phone: (306)648-3386 Fax: (306)648~2543 _rci¢.~cg~i ®'Sa,sl(tiLnct

To Gerry Hiebert, Chief Official Agent of The Saskatchewan Liber<~l Party.

I have audited the fiscal period return ofT.he Saskatche;van Liberal Party for the )'ear. ended December 31, 201 L This return is the responsibilityof the chief official agent. My responsibility is to express an opinion .on the return based on my audit.

Except as explained in the following paragraph, I conducted my auditin ilccordance with generally accepted a,uditing standards. Those standards re9uire that I plan and perforln an audit to obtain reasonable assurance whether the return is free of material misstatement. An audit includes examining~ ona test basis, evidencesupportingthe amounts and disclosures in the retmn.Anauditalso includes assessing the accounting principles used and significant estimates made by the chief official agent as well as evaluating the overall return presentation.

Due to the nature of the types of transactions inherent in organizations of this type, it is impracticable through auditing procedures to detem1ine thatthe accounting records include all transactions for the fiscal period. Accordingly, my Verification of these transactions was limited to the amounts n;corded iii the accounting records of the registeJ,"ed political party and I was not able to detem1ine whether any adjustnients might be necessary to those revenues.

In my opinion, except for the effect of adjustments, if any, which I might have detennined to be necessary had I been able to satisfy myself as to the completeness of the records as described in the preceding paragraph, the return presents fairly, in all material respects, the financial transactions of the registered political party required by section 250 of The Election Act, 1996 to be detailed in the fiscal period return for the year ended December 31,

April20,2012

Gravelbourg, Saskatchewan

Judy RCim~n B.A .. B. Admin., C.G.A.

·----~~---·----~------

Note

L This Return must be transmittecl to the Chief Electoral ()fficer within four (4) mpnths after the end of th,, iisc;:._,r period to which it relates.

Subsectic>n 250(4)

2 .. This Return must be accompanied by the auditor's report to the chief official agent of the party ()n the information given in this Return. ·

Subsection 250(4)

3. The value of goods and services provided is the "ComrnerciaiValue" as defined in subsection 220(c).

··--· ·----···---- ------ ---·-·· ---·--.

Saskatchewan Liberal Pa1iy ----

I, Gerald Hiebert

Telephone Number Ro:~:dcncc ( )_

PO· Box 21 /176 of c-c,---­

t\ddress

S7 5

lusiness (

0 0

), ____ _

in the Province of Ss.skatchevvan, being the chief official agent of the above~named registsrsd po!iti·~rd ~J;'Jriv

ms.k.s ihe follovving Return respec-ting the fiscal period of tile party 'Nllich commenced .:-:·r·: the-

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Part I . . . . . . . . . . ~ ' . . .... ' ·. · .. : ... : . . ~. . .. . . . . ·. . . . .. ... · .· ~ .. :· :.· .: .... -.. . .... . :':.· ... : :. : :· ... :> . · .. ·:· ~ ... · ...... ·.·. . . : . ... .:':: .. ·: ... ':>:.~:::: ... :.:::::>

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Contri butlons .. . . . (a) Summary of Contributions ·. ' •.

. . .. . • . .

.... · .. ··· .... .

·. ·· . . ·

····. ... · ·' .. . · ...

. ·· .

.. . ,•. . . . . . . •'

. . . ... . . .. ·· .. · ... .··· · .. •

0 o< ', ' , ' o 0 ··- 0 o •• ·, 0 0 0 • A 0 0 0 0 0 .:. 0 0 o 0

List below, by class ot contributcir, .the agg~egate amounts of (A) contributio-ns: in. .~:i<cess :of_$256:.00; ·· . . (B) contributions of $250.00 or less but more than $25.00, and (C) contributions of $25.00 or less, and ihc nl,inilr·c' ;)!

contributors of each class wl1o, in tl1e fiscal period, have provided money, goods or seNices for the use or tho registered poliiical party by way of a gift, loan, advance, deposit, or other form ofi:i'ssistance (includes goods or services donated or provided at other than their true value).

. ..... . . . ... . · ·

.. · ·· . .. . .. · .. . ,.------------- - ---------,.----..._----r------'----.:.:··- .... ··- .. ~

. ...

. .. . ....

Class of Contributor Number of

Contributors Va lue ~~ f

Conlri bu tion~;· · · . .' .. :

. . ..... :·_:..

. . . :. :.· ·:.~ .-:;. ~~ :_ . .

l-- - - -------- ----------1---------1-- - - --- --·· . . . . . ... ·.·: .. .. $64 828.4"1 2-SS- 2'-(S .. . . .

. ~ . . . .... . ..... : ·.. .... : .. :: .. " ·., • ' I • -., ,• o •' ' ' •,'-' , : 0 1 . Individuals

• .. ·.

10 $12417.86 :, ·.· ·.·:

2. Corporations ... 'i _.. 1-------------~--4------+-------------·· _. ~.!

0 $0 3. Trade Unions

-· .. 0 $0

.. . .

' I -·· ' ..

4. Unincorporated Organizations or Associations

1$3051.16 ..

2 5. Any Other Persons or Groups ot Persons

__ , , .... . . $80297..-lG

.. Totals

' ·-- . : ..

Note: Amounts received in respect of membership fees or dues are deemed to be conlributions (s. ?:,o(!:>)') .

. .. :.~ ..

Part I

Contribuiions

(b) Detail of Contributions

contributions include money provided to or on behalf of lh§! tegistereo politicalpartywithoutcon;pe~salion from the registered poHiical party and includes donations in kind and membership fees or due.s paid to the registered politicel party.

Detail of the name of and total an1ount received from each contributor included inclasses 1to5 in Pan (a)who 1,~'"' provided money, goods or service~ byway of a gift, loan, advan~e, depositorotherform()f assistance •nus It><; reported in the> aggregate by classification in the appropriate sched~le .. such pqntriputions are to be id"ntiliod ;,, '"'' ofthree categories: (A) contributions in.f3xcess of ~250.00, (B) contribytionsof $250,09or lessbut more n:an $2t;.OO, arid (C) contributions oj $25,00 or less •• Th.e sum of the categories .should reflect the total contritlution" received, in the fiscal period, for the use of the registered political party in e.ach classification schedule.

Where a corporation, trust fund or constituency 1!Ssociation make~a contribution, pursuant to.subsection240{6)ot The Election Act, 1996, each such contribution rnust be accon1panied by a statement whichsets ()Ut the name ot the p~rson whoauthorized the contribution on behalf of the corporation, trustfund or constituency association, ilnd tho name of and the amountcontributed by, each person who mi!dE> a contribution in excess of $250.00 in a year and whose contribution was used to make up the funds contributed by the corpora,tion, trust fund or constituenGy association.

VVher13 a registered party makes a contribution, pursuant to subsection 240{7) of The Election Act, 1996, eaGi• '''"·' · coniribution must be accomp<'!nied by a statement whi<;h sets out the narne of and the amount contributed ·oy. Baci >

person who made a contribution in excess of $250.00 in a year and whose contribution was. used to moke DP ll.•e funds contributed by the registered party.

A true and correct copy, certified by the chief official ag13nt, for each such statement of c.olltribution received pursuant to subsections 240(6) and (7), must be affix€)d to this Return (ss. 250(3)).

Revenue received by a registered political party, during the fiscal period, from fund-raising activities, meetings and sales of mfiterial of a promotional nature are deemed c(Jntributions. The total net proceeds from each source indicated must be recorded and, in the aggregate, reported in this Return.

The value of donations in kind must be recorded and included as a contribution ~eceived by the chiel olfici<Ji a:J"' ·'' where claimed as an election expense. Accordingly, commercial value is an election expense and a con1rib1ition concurrenily.

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~ql:'l~dt,~i~: . 1. lndivld_!.!a.ls

(A) .<::_ontributions in excess of $250.00

Ndte: Ust bel6w; all contributions where during ihe fiscal period ihe aggregate value of coniribut"tons ... · . . · .. e~y~eded $25o:oo. . . ,. . . . . . . . . . . . . . .. ·. . .

: ..

·. '·' . : .···.

.. .. . ·

. .. ...

· Name of Cg~(rib!46r

' ...

. ...

..

. ,.

-· . . ...

.. ·

' . ' '.:-. Ust addition?! contributors on separate sheet prov[ded ,and affix to this R~tum.

· List Attached Y Number of Pages -'2-'-. __ Yes/No

Number of Contributors

Total Amount of all Category (A) Contributions

(B) Contrib.i.Jtions of $250.00 or less but more than $2l5.00

.Amount

' . .

. .

· . ..

Nqte: fleport tJ:!~ numqer of contributors and the tot~!l valu?. of ~ontributions received during the fiscal period, from any individuai, of $250.00 or less bu~ more thi:m $25.00. . .

Number of Contributors r . •

Total Amount of all Category (B) Contributions

(C) Contributions of $25.00 or less Note: Report the number of contributors anci the total value of contributions received during the

· fiscal period, from any individual, of $25.00 -or less. ·

Number of Contributors

Totc:i.l. Amount of all Category (C) Contdbutions

·:

.

65

159

71

=-~-~-----------~------~--~--~------~---------- zqs

Total Number of Contributors

Total Contributions

(Sum of Categ<;>ries (A), (B) and (C))

Enter Totals on Part 1 (a) Summary of Contributions Line 1.

_2.8-5

$-14815.39

$19213.08

$800

$64828.47

,. ;:)

1 300.00 John Aitken

2 300.00 Leon se·zaire

3 300.00 Randy Br~:~n·et

4 300.00. Simone Clayton

5 300.00 Nancy Cote

6 300.00 John Dally

7 300.00 John Dipple

8 300.00 Greg Gallagher

9 300.00 Ralph Goodale

10 300.00 Nikki Hipkin

11 300.00 Lucien Ja_tobs

12 300.00 Marie L_~dwi~

13 300.00 Alan Mdrityre 14 300.00 Rache.lle-Frison Mcintyre

15 300.00 Tiffany Pa'l,ISen 16 305.00 Nathan Friesen 17 330.00 Gloria ChicOine 18 360.00 Roy Challis

19 360.00 Tracey Kd~alchuk

20 380.00 Kyle Ha-rrietha 21 380.00 Rahul Jain

22 380.00 John McicGpwan 23 399.96 Syed Aizaz Ahmed

24 400.00 Morris BOdnar 25 400.00 George Carson 26 400.00 Chris Doll

27 400.00 Shane Fluney

28 400.00 Edith Karwacki

29 400.00 Vic Karwacki 30 400.00 Lyle Pede-rson

31 400.00 Sharon Price

32 402.37 Robert Ba-ndurka

33 424.96 Trent Evanisky

34 440.00 Sheila Hart

35 452.37 Michael Klein 36 480.00 George Mitten 37 482.37 Tracy Muggli

38 500.00 Pat Krueger

39 510.00 Leonard Ludwig

40 520.00 Lynne Gillies

41 527.37 Ken Howland

42 540.00 Mervin Zulynik

43 5SO.OO Janet Ledingham

44 550.00 Robert Peterson 45 550.00 Leslie Widdifield-Konkin

46 592.37 Douglas RicharQsbn

47 600.00 Leslie Anderson-Stodalka

48 600.oo· Bubs Finuca-ne 49 600.0.0 Thomas Hannan 50 600.00 Ally10e Herle

51 610.00 Sheila Koch 52 612.37 Red Williams 53 620.00 David Kramer 54 7QO.OQ Gerry Hiebert

55 757.37 l(eith sater 56 764.73 Devo GoOjha

57 782.37 Vera Bater

58 800.00 Herta Barrori 59 800.00 Theresa Hiebert

60 1,275.00 James Melenchuk

61 1,917.85 David Karwacki 62 2,000.00 Laurie Karwacld 63 2,300.00 Patrick Wolfe

64 4,358.93 Frank Proto

65 6,000.00 Ryan Bater

. -------·---~----------~-----~-~---~

.

Sctieclule: 2. Corporations

(A) Contributions in excess of$250.QO

Noti?_: _ Ljst be"IQW, ?.!1 _C:oritributii:inS where dUring the fiScal Period the· a_ggregate Vel! uS Of contribUtions exceei:de·d $250 00 · .• ... - .

Name Qf.Gi:mtribiJtQt . · Aino~nt

.. . See_AttaC:hed . .

. .

. .. · .. . · .··. -·

. •

. ·· . .. -·· . .

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. .

.•

.· .

• •• .

. · . .

_··.

· .

.

• ..

Ltst addttional contributors on separate sheet prqvtded and CJ,ffix to thts Return .

List Attached Y Number of Pages -'-'---Yes/No

Number of Contributors

Total Amount of all Category (A) Contributions

(B) Contributions of $250.00 or less but more than $25.00 Note: Report thei number of coritributors and the total value· of ccihtributi~ns reCeived during the

fiScal period, from any corporation, of $~50.00 or Jess but mOre lhan $25.00.

Number of Contributors

Total Amount of all Category (B) Contributions

(C) Contributions of $25.00 or less Nob~: Report the _number of ·co"ntribUtors and the ~otal value of contributions received during the

fiscal period,·from any corporation, of $25.00 or less.

Number of Contributors

Total Amount of all Category (C) Contributions

Total Number of Contributors

Total Contributions

(Sum of Categories (A), (B) and (C))

Enter Totals on Part 1 (a) Summary of Contributions Line 2.

6

··_·

· .. · ·.·

7

3

0

10

· .

••

$11817.86

$600

$0

$12417.86

1 R&A RetaurantsLfd. 2 '.8:SsO'i:iated Eng-i~-eers 3 I<A Associates 4 Potash Corp 5 country Autob9dy 6 Proto Pens ·and Pa"r.chment inc. 7 Royal Ban~

$ 500.00 $ 500.00 $ 500.00

$ 658,93

$ 2,000.00 $ 3,158.93

$4,500.00

Schedule: 3. Trade Unions

(A) Contributions in excess of $250.00

NOte:. _liSt b61PW, -_an Coritribl!tiO'i-ts _.Where during_ the fisCal period- the aggregate value of ContributiOI'ls exceeded $250.00. ·

.· N8me of Contributor Amount

Ust additional ·contributorS on separate sheet provided and affix to this Return.

List Attached Yes/ No

Number of Pages ------.,.

Number of Contributors

Total Amount of all Category (A) Contributions

(B) Contributions of $250.00 or less but more than $25.00 N()te: f=l:~port the ·nuinber of contributors and the total :value qf contributions rece_ived _during the

fiscal p·eridd, frciril any trade Union, of $250.00 or Jess but more than $25.00.

Number of Contributors

Total Amount of all Category (B) Contributions

(C) .Contributions of $25.00 or less Note:· _Report the n~mbet of contributors and the total value of contributions received during the

fiscal period, from ·any trade union; of $25.00 or less.

Number of Contributors

Total Amount of all Category (C) Contritmtions

Total Number of Contributor,

Total Contributions (Slim of Categories (A), (B) and (C))

Enter Totals on Part 1 (a) Summary of Contributions Line 3.

NIL

7

Schedule: 4. Unincorporated Organizat~ons or ft.ssoclatio111s

(A) Contributions in excess of $250.00

Note: L:st below, all contributions where during the tiscal period 1hG aggrega-le value of contributi:;ns exceecied S250.00.

Na'T',e of Contributor !\mount

----~ ~~-~-

~---~-~--~~~ I j

I i !-------~

I --~~---~-·l

__ j I I ~----------------~ I

···--·~--------1 !-----·~--! Usl addi!icnal r..on1.ri~1utors :::n separate srteet provided and attix to tr.is Return.

Ust A1iached !~umber of Pages Yes/ No

Number of Contributors

Totai Amount of all Category (A) Contributions

(B) Contribut!cns of $250.00 or iess but more than S25.00

Note: Report the num:-:Jer of cc~irib:Jto~s and the total va!L:e of conlrib-:1tions receivr:d during l!lP. fiscal perio-d, irom any unincorporated organization or ossociation, of S250.00 or tess but more than $25.00.

Nu1Y1ber ot Contributors

Total Amou1Tl of all CategOiy {B) Contributions

(C) Contributions of $25.00 or less

Note: Reporl the number of con:ributors r.:md the lo1al value of contributions received d'.lring the flsca! period, from any unincorporated organization or .sssociaHon, of $25.00 or less.

Number of Contributors

To-!aJ Amount ot all Category (C) Contributions

Tot:a! Number of Ccntrlbuto-rs

Totai ContrEbut~ons

(Sum of Categories (A}, (B) and (C))

En!er Totals on Part i (a) Sumrnary of Contributions Line 4. 8

I)

NlL

< <

l3t:lledllle: 5. Any Other Persons or Groups of Persons

([\) C(lntributi()h$ in excess pi $250.oo

l-!Ote::- Ll$~ bel_qW,- all c;:oritriblJtiohs \.Vhe·re dUring the. fist at pei'lod the a:gg·regate V~IU_e of i::ohtribqtiO:n:s ,. d d$ '• < • :. :;, :_-_excee -~ . ~o .. oo, .·.·. . .. · . · ..

.. < ••• _ Natne: of COntriputo.r .· . .Amount

... . ··· ..

sas_kiitoon:.._soUthe?St(ib~ra.Js $35J.48 .·

.· . For\Qu'apelle Liberals $269::3.68

•··.· · .. . . .

... . .· .

· ... ··. -'·

···. . .... .. · . ·· . . · .

I . ········.·. ·.

.

.

•.· .

.

• <

.· .

I . · .

. ·· .

Ust ~dc;htronal_c_ontnbutors on separate sheet prov1ded a~d affix to th1s Return.

UstAttached N Number of Pages __ _ -Yes I No

Nlimber Of Contributors

Total Amount of all Category (A) Contributions

(B) Contributions of $250.00 or less but more than $25.00 _t.Jot~:- Bep~rtthe niliTlberof coritributors and the total value of. c·antributioOs re¢eiyed during the fiS'cal

PSrlqd, tiOm any 9ther pe~sOn or group of persons, of $250.00 or Jess bu_t mare than $25.00.

Number of Contributors

Total. Amount of all Category (B) Contributions

(C) Contributions of $25.00 or less r:Jote:· _ Rl;poft th,~ number of cbritiibutors ~lid the total value of contributionS receiV.ed d1,iring the fiscal

perrod, frorri any other person or group of persons, of $25.00 or less.

Number of Contributors

Total Amount of all Category (C) Contributions

Total Number of Contributors

Total C.ontributions

(Sum of Categories (A), (B) and (C))

Enter Totals on Part 1 (a) Summary of Contributions Line 5.

. .

.

2

$3051.16

0

$0

0

$0

2

$3051.16

9

Part I

Contributions

(c) Proceeds from Other Sources - Summary

Sei out belay; the aggregate value of net proceeds re.ceived by the registered political party during the fiscal peiiod from the sourc:es as indicated. ·. ·. •. ·.

. ·. . . . . · . Source Arnount

. --c- • ...

1. Sales of tickets to or monies paid to each dinner, rally, public meeting $0.00

ahd other fund-raising function; ·.

.

$b.OO 2. Collections made at events mentioned in item 1 el:>ove or other

events. .

3. Sales of pins, buttons, flags, emblems, hats, banners, literature $0.00

and other materials. . . .

Total $0.00

. .

Enter Total on Schedule: 5. Any Other Persons or Groups of Persons of Part 1 (b) Detail of Contributions

10

.

.

.

Pllrt I

Otlie.r Revenue

(a) lnc()rne from Other Sources

pet out below the total value of income receiVed by the registered political party during the Meal period fiorn the sources as indicated. ·

Source ...

• I 1. Election Expenses/Auditor Reimbursement(s)

2 . Candidates' Excess Contributions

. .

3. Interest/Investment Income

4: Other (Provide Details)

..

(b) Cash on Hand

Set out the <~mount of money, securities or the equivalent of money that the registered political party has on hand at the .end of the fiscal period.

-

Total

Amount

$853.00

$0

.

$0

.

$0

$853.00

11 :3.S? C:.5. b9 $5585.03

.

11

Part II

Expenditures

(a) Operating Expenditures

.$et out below the total operating expenses of the registered poltlical party during the fiscal period.

NOte:· ·omit eJection expenses inCurred WhiCh related to an eleCtiOri held duriilQ the fiscal period.

.. ·.· Operating Expens~s Amount . · .. .·

1. s,.tarles, Wages and Employee Benefits · .

. ·

2, Travelli~g Expenses

3. Conventions and Meetings

.

4. Rental (Premises, Equipment and \Jtilities)

5 .. Advertising (Particulars to be set out in Part Jl(b))

.

6. Printing, Stationery and Supplies

7. Postage

.. .

8. Legal and Audit Fees .

9 . Interest . .

.

10 . Tax.es (Property)

...... . • .

11. Other (Provide Details) . . ..

. .

Total See attached

· ..

.

12

Saskatchewan Lib~ral Party Iricom~ StaJ~ment (fP)

For the year ended December 31, 2011

Expenses Salaries, W rig~s ~nd Beq~fi~s Travelling Expenses Convention & Meetings Rental Advertising Printing, Stationary & Supplies Po_sta:ge Legal & AuditFees Office Interest &Bank Fees Taxes (Property) Other (Consulting) Other (Telephone & Internet) Other (Copier)

Total Expenses

$ $ $ $ $ $ $ $ $ $ s

1,860.39

743.40 3,05).00

283.89 2;730.65

$ 46,245.10 $ 15!5.12 $

$ 56.431.55

.

.

Partll

Expenclitllres

(b) Advertishig. Expenditures

Setout below the particulars of expenditures on advertising ofthe registered [loiitiC<JI party during the fiscal period.

NOte: SribS_6Ction 243(4) limitS th6 ·am-ount Of_ hianey_a_ n~giStered ·party ·_cari spend dUri~g a fiscal_ p_erlo9 _on _adv~ttiSiilQ~.- This limit doeS not aj::lpfy to election expenses which may be rawtully incurred by a registered paliticai party

. . ·. Name ()f Broadcaster oi Publisher

.. · ... -_-· ._ ... - .

Date of Advertisement Amount •

. _.- ..

- .. .

--.

·. .. . · .

• ·•-- . .

. .

..

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.

..

. .

. . ..

.

·-.

-·· ·- .

.

.

. Total $0

-

.

.

13

----------------------·

Pint II

Expen!Jitures

(c) All Other Expenditures

Set out below any transfer of monies .or other expenses incurred by the registered political party during the fiscal period.

. . .

.

Other Expenditures Amount . · .

" .. 1. Transfer to Provincial Constituencies and Candidates $2s¥25~sEr

.

. .

2. Transfer to Federal Electoral Districts $0 .

3. Transfer to Registered Party $0 .

4.

5. .

6. .

7.

8.

.

9. 8.7 l/8.~6 .

$25¥25.88 Total

14

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r:::erald 1 .. u' "' iebert

Cf:ief Official Agent oi

The Election Act 1096 Section 250

Declaration of a Chief Official Agent a Registered Political Party

c.;~sk~i"Che''V~"" of V'O -a..._ ll v· dt 1

Saskatchewan Liberal Pa,ly . " . . ... ·----·-- , a reglstereo poln1ca1 party,

solemnly deciare that ! have examlned the Fiscal Period Reium, along wiQh any ettached certified statements to be tmnsmitted to the Cl1fef Electoral Officer and now shown io me by the officer before whom this declaration is made, and that, to the best of my knowledge and belief, that Return and any attached certified statements are correct~

and 1 further solemniy declare that, except as specified in the Return, no money, security, or equivalent for money has be-en paid, advanced, given or deposited by anyone io me m, to the best ot my knowledge and bellef, to any other person tor the purpose of defraying any expenses lncurred on behalf of the registered politlca.i pmiy or lor promoting its aims;

and 1 turther solemnly declare that. except as appears frorr. tha1 Return, l have not, and, to the best of my lmovviedge and be!ief, no person, club, society, company or association has, on behalf o-1 the registered poiitic81 party, made any payment or incurred any liability on account of or with respect to !he conduct or management of t!1e affairs ot \he registered political party;

and l make this soiemn dec~aration conscientiously believing it to be true, and knowing that it is of the same force and eHec"l as if made under oath, and by virtue of the Canada Evidence Act.

S.ignature of Chief Official t\gent

Signed and declared before me by the above-named Chief Official Agent at\·--\( 'JL"i~Jc=--'-<=c:::~=:\ _____ _ in the

Province of Saskatche\.van, or. the __ 9~-- day of (', ~ '

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~0CJO, ,r(;j ~ .r;,~J __ P::;,son Authorize:! to /<.dm:nister Oaths ,'(Jaskatch2wan

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