General Form Electoral District Association (used when a new representation order is made)

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Janis Fay Ball
5 years ago
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General instructions Completing the Form On Paper or Onscreen The form can be filled out onscreen and saved with Adobe Professional. Print the form to collect the necessary signatures.

1 General instructions Completing the Form On Paper or Onscreen The form can be filled out onscreen and saved with Adobe Professional. Print the form to collect the necessary signatures. If you cannot save, print all completed pages before closing the window. Information that is not saved will be lost. If there is insufficient space for your entries, photocopy the page or click "(+ additional page)" in the heading to generate an extra page in a new window. Save or print the page before closing the window. Important: Be sure the completed form is fully signed and dated. Submitting the Form By Mail, Fax or The form can be submitted to the Registration Unit by mail, fax or . For , scan a signed copy and send it as an attachment. Since incomplete information may delay the processing of your submission, be sure to provide all information requested. Failure to do so may result in your submission being rejected. Reminders Where the chief executive officer is asked to sign, the signature required is that of the person currently holding the position in the association. No one can sign on the chief executive officer's behalf. The same person cannot be both financial agent and chief executive officer of a registered electoral district association as both are required to act, either jointly or alternately, by the Canada Elections Act. Related documentation Registered Association Handbook Find it at under Political Participants > Tools for Electoral District Associations > Manuals. Privacy statement The personal information supplied on this form is collected under the authority of the Canada Elections Act for the purpose of administering the registration of political entities. The information is available for public inspection in accordance with the Act, and certain information is published on the Elections Canada website at You have a right to access and/or to request a correction of your personal information under the Privacy Act. For details on the collection and use of this information, consult the entry for Personal Information Bank CEO PPU 036 at Please contact us if you have questions or require any help in completing the form. Elections Canada Registration Unit, Political Financing 30 Victoria Street Gatineau Québec K1A 0M6 Tel.: (toll-free) TTY: (toll-free) Fax: (toll-free) political.financing@elections.ca Website: Page 1 of 9

2 Section A Identifying Information Section B Type 1 Submission type and declaration by the chief executive officer This is a notice of continuation as a registered association (including the party leader s consent). The association is already registered under the 2003 Representation Order and will continue under the 2013 Representation Order. Complete Section C (Parts 1 and 2) and Section L. I certify that the information set out in this notice is complete and accurate. Print name of the chief executive officer Signature of the chief executive officer Type 2 This is a report of changes to the information recorded in the Registry of Electoral District Associations. Complete applicable part(s) of Section C, then only sections with changes. I certify that the information set out in this report is complete and accurate. Print name of the chief executive officer Signature of the chief executive officer Type 3 This is an application to register an electoral district association of a registered party (including the party leader s consent). Indicate under which option (1, 2 or 3) the association is registering. I hereby apply to register the electoral district association named below. I certify that the information set out in this application is complete and accurate. Print name of the chief executive officer Please choose one registration option Signature of the chief executive officer Option 1 Option 2 Option 3 Under the 2003 Representation Order (308 districts) Complete Section C (Part 1) and all other sections Under the 2003 Representation Order (308 districts) and continuation under the 2013 Representation Order (338 districts) Complete Section C (Parts 1and 2) and all other sections Under the 2013 Representation Order (338 districts) Complete Section C (Part 2) and all other sections Section C Electoral district association information Part Representation Order (308 districts) Full name of the association In English In French Full name of the federal electoral district Part Representation Order (338 districts) Full name of the association In English In French Full name of the federal electoral district Page 2 of 9

3 Section D Chief executive officer information Registration of first or new chief executive officer, appointment effective Change of contact information only. Mr. Mrs. Surname Given name Init. Correspondence Section E Address where communications may be sent to the association (headquarters) This is where Elections Canada sends any correspondence addressed to the chief executive officer. Address Same as address in Section D City Prov./Terr. Postal code Association Web site (optional) Section F Address where books and records are kept Address Same as address in Section E City Prov./Terr. Postal code Page 3 of 9

4 Section G Financial agent information Registration of first or new financial agent, appointment effective Financial agent position is currently vacant; remove this name from the Registry Change of contact information only The financial agent is an individual. Mr. Mrs. Surname Given name Init. Correspondence The financial agent is a corporation The declaration must be completed and signed by a person authorized to sign on behalf of the corporation. of corporation Person authorized to sign on behalf of the corporation. Mr. Mrs. Surname Given name Init. Correspondence Address City Prov./Terr. Postal code Section H Declaration by the financial agent I consent to my appointment as financial agent for the electoral district association named above. I am aware of the duties and responsibilities of this position under the Canada Elections Act and I am qualified to act as a financial agent under that Act. Signature of the financial agent Page 4 of 9

5 Section I Auditor information Registration of first or new auditor, appointment effective Auditor position is currently vacant; remove this name from the Registry Change of contact information only The auditor is an individual. Mr. Mrs. Surname Given name Init. Professional designation Correspondence The auditor is a partnership The declaration must be completed and signed by a person authorized to sign on behalf of the partnership. of partnership Person authorized to sign on behalf of the partnership. Mr. Mrs. Surname Given name Init. Professional designation Correspondence Address City Prov./Terr. Postal code Section J Declaration by the auditor I consent to my appointment as auditor for the electoral district association named above. I am aware of the duties and responsibilities of this position under the Canada Elections Act and I am qualified to act as an auditor under that Act. Signature of the auditor Page 5 of 9

6 Section K Officers of the association Remove officers from the Registry + (additional page) Add or update officers in the Registry + (additional page) Page 6 of 9

7 Section L Declaration and consent of the leader of the registered party This is a declaration relating to: The 2003 Representation Order Complete Part 1 The 2003 Representation Order and a notice of continuation as a registered association under the 2013 Representation Order Complete Parts 1 and 2 The 2013 Representation Order Complete Part 1 Part 1 I, of the leader of the registered party certify that of the electoral district association is an electoral district association of the party for the federal electoral district of of the federal electoral district Part 2 In addition, as a result of the representation order under section 25 of the Electoral Boundaries Readjustment Act, this association has the consent of the registered party to continue as the electoral district association for of the new federal electoral district under the name of New name of the electoral district association Signature of the leader Page 7 of 9

8 Section K Officers of the association Remove officers from the Registry + (additional page) Page 8 of 9

9 Section K Officers of the association Add or update officers in the Registry Page 9 of 9

Office of the Chief Electoral Officer

Office of the Chief Electoral Officer 2015 16 Report on Plans and Priorities Marc Mayrand Chief Electoral Officer of Canada The Honourable Peter Van Loan, PC, MP Leader of the Government in the House of