F5000006534311
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Direction Oa
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RECEIVED / REr I
• Canada Revenue Agence du revenu
F.lokt III Agency du Canada Protected B when completed
Registered Canadian Amateur Athletic Association Information Return
Identification
Name of association
Speed Skating Canada - Patinage de Vitesse Canada
Address
850 Industrial Ave., Unit 17-F
City Ottawa
Province or territory Ontario
Postal code K1G4K2
the address above the same mailing address as last year?
Return for fiscal period ending 2 1 . 0 ,
1 1
1 . 4 1 0
1 . 3 1 3 i. 1
Year Month Day
Is this the first return filed by this association?
Yes No ✓
If "no," has the fiscal period changed from the last return filed?
Yes ✓ No ❑
Is this the final return to be filed by this association?
Yes No ✓
If "yes," please attach an explanation.
File number
BN/Registration number
129990446 RR 0001
Yes 151 No 111 If no, is the address above the new mailing address? Yes No
Instructions
1. Complete the Identification area.
2. Complete the boxes (above right) to indicate the end of the association's fiscal period.
3. Attach FINANCIAL STATEMENTS for the fiscal period covered by this return. These should include a statement of revenue and expenditures for the fiscal period and a statement of assets and liabilities as of the end of the fiscal period.
The statements should indicate the different sources of revenue in sufficient detail to show how funds were spent or invested.
4. Attach a list of the names, addresses, and occupations or lines of business of the association's current directors.
5. Attach a list of the names and the official positions of the people who are authorized to issue official receipts for the association.
6. Attach a note that fully explains what replacement procedure is followed in the event of lost or spoiled receipts.
7. Within six months from the end of the fiscal period of the association, mail or deliver a completed return and all required documents to:
Charities Directorate Canada Revenue Agency Ottawa ON K1A OL5
Form authorized by the Minister of National Revenue.
Canada.
T2052 (blank) E (13) (Ce formulaire existe en trangais.)
Protected B when colfTietad
Information required
5. Did the association issue official donation receipts showing a date in the previous calendar year for donations Yes ni No
12
that were mailed or otherwise submitted after the end of the calendar year? If yes, please attach an explanation.
12
12
Yes No
Yes No
6. Have official donation receipts been issued to acknowledge donations in a form other than cash or cheque — e.g., goods, services rendered, etc.? If yes, please attach a list of these gifts and their value as shown on the official donation receipt.
7. Has any amount donated to the association been returned to the donor during the year? If yes, please attach an explanation.
Yes No
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1. I Jim Allison
Name of director whose signature appears below. Address
2014-01-20
2. Signature of director Position with the association
Treasurer - Board of Directors Speed Skating Canada
Home telephone number Business telephone number
1. Have any changes not previously reported been made to the association's governing documents? If yes, Yes ❑ No please attach a certified copy of the changes.
2. Have complete books and records been kept (including duplicate copies of receipts) which fully substantiate Yes SI No all financial transactions during the fiscal period? If no, please attach an explanation.
3. Please indicate the total amount for which the association issued official donation receipts in this fiscal period. $ 20,206.47 4. Are the receipt forms used to acknowledge payments that are NOT gifts clearly distinguishable from official Yes
is
Nodonation receipts which bear the BN/registration number? If no, please attach an explanation.
8 a. During the fiscal period, did the association accept any gifts with the express or implied condition that such Yes No gifts were to be used for the benefit of another person, club, society or association? If yes, please attach an
explanation.
b. Did the association issue an official donation receipt to acknowledge such a gift?
ertitIcation
To be signed by two directors of the association.
Name of director whose signature appears below.
of
Address
2. I, Tony Main of
HEREBY CERTIFY that the information given in this return and in all attachments is, to the best of my knowledge, correct, complete and current. (Note: It is a serious offense under the Income Tax Act to provide false or deceptive information.)
P
eorsition with the association
President - Board of Directors Speed Skating Canada
Business telephone numb Date
Date
2014-01-20 1. Signature of director
Home telephone number
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Liam McFarlane Susan Auch 'David Gilday Tony Main 'Denis Leclerc Jim Allison Jim Elliott IAntonio Faiola Z >
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Athlete
Representative Director Director Treasurer [Director Director President Director
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ROLE ADDRESS77
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