I certify that :

• I am an individual resident of Ontario;

• I am making this contribution from my own personal funds, not from the funds of any corporation, trade union, or other entity, and not on behalf of another person;

• My total contributions to this campaign in the 2026 election year do not and will not exceed $1,200, including this contribution;

• I am not a candidate registered in another municipal election in Ontario.

Contributions to municipal election campaigns are not eligible for a tax credit or receipt under the Income Tax Act. A contribution receipt will be issued in accordance with the Municipal Elections Act, 1996

I confirm that the above statements are true and accurate.