Election return by a candidate 2008 election - Page 1 of 3

Elections ACT

Approved form AF2008-84 made under the Electoral Act 1992	
Election return by a candidate	
Following the ACT Legislative Assembly election held on	18/10/2008		
			
Please refer to the Funding and financial disclosure handbook, Candidates when completing this form.	
	
The due date for lodging this return is 2 February 2009
(15 weeks after polling day)	
	
Enquiries and returns should be addressed to:

ACT Electoral Commission,  PO Box 272, CIVIC SQUARE ACT 2608
                                                	
Telephone: 6205 0224	Fax: 6205 0382	Email: elections@act.gov.au	Website: www.elections.act.gov.au	
Candidate details	
			
Full name of candidate:			
			
Was the candidate endorsed by a registered political party?		yes		no		
			
If yes, the name of the party:			
			
Electorate contested: 		Brindabella		Ginninderra		Molonglo	
			
Reporting agent’s details 	
			
Name of reporting agent:			
			
Postal address:			
	Postcode:                    		
			
Daytime contact number:			
			
Email:			
			
I certify that the information contained in this return and its attachments is true and complete.	
Agent’s signature:	/          /          		
			
This form is Approved Form AF2008 -  84  under section 340A of the Electoral Act 1992
	Election return by a candidate - Page 2 of 3

Gifts received	
	
Refer to the Funding and financial disclosure handbook, Candidates for information about the disclosure period and for a definition of gifts.	
1.  What is the period covered by this section?	/       /	to	17/11/2008		
	
2.  Total amount of gifts received:	$		
	
3.  Total number of donors:			
	
4.  Details of individual donors:	
In the table below, list the name, address, date, and value of each gift received for those persons and organisations from whom gifts totalling:
•	$1500 or more were received for the period to from 16 November 2004 to 30 June 2008, inclusive; or
•	$1000 or more were received for the period from 16 November 2004 to 17 November 2008, if any gift was received after 1 July 2008.	
	
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	If space is insufficient please attach additional sheets		

	Election return by a candidate - Page 3 of 3
	
Electoral expenditure	
	
This section of the return covers the period:	12/9/2008	to	18/10/2008		
	
Set out the total expenditure incurred by, or on behalf of, the candidate during the pre-election period in the categories identified below.	
Note:	
	
•	all figures must be gross;	
	
•	only the listed categories of campaign expenditure need be disclosed (for example, travel or telephone costs are not required to be included);	
	
•	expenditure on campaign goods or services used during the pre-election period must be included irrespective of when payment was actually made (for example, the cost of production incurred before the pre-election period of advertisements shown during the campaign period).	
				
	Categories of electoral expenditure	Amount Paid		
	Broadcasting electoral advertisements (including production costs)	$		
	Publishing electoral advertisements (including production costs)	$		
	Displaying electoral advertisements at a theatre or other place of entertainment (including production costs)	$		
	Production of printed electoral matter requiring authorisation (for example, how-to-vote cards, posters and pamphlets)	$		
	Producing and distributing electoral matter addressed to particular persons or organisations (such as direct mailing, including printing and postage)	$		
	Consultant’s or advertising agent’s fees in respect of services provided or material used relating to the election	$		
	Opinion polling and other electoral research	$