County Clerk Salt Lake County Clerk
Election Division
Financial Disclosure Report

Name of Candidate of Officeholder Political Party
Address City State Zip Code

Office Sought Phone Number Fax # Email Address

Org Type: Personal Campaign Committee
Report: April 5, 2010 Interim Report


Column A
Total this Period
Column B

Contributions Received
1 Total Contributions Received
(See Schedule A)
$150.00 $150.00 * - YTD totals may reflect activity from past years.
Expenditures Made
2 Total Expenditures Made
(See Schedule B)
$2,557.72 $2,557.72 * - YTD totals may reflect activity from past years.
Balance Summary
3 Balance at Beginning of Reporting Period $20,152.40 Refer to Line 7 on last report
4 Total Contributions Received
(From Line 1 Column A)

5 Subtotal
(Add Lines 3 and 4)

6 Total Expenditures Made
(From Line 2 Column A)

7 Balance at Close of Reporting Period $17,744.68

Schedule A
Itemized Contributions Received

Date Received Contributor
Address Occupation Employer Type Amount In-Kind?
03/19/2010 Varsity Printing 6667 South 300 West
Midvale, Ut 84047
Commercial Printing
Organization $150.00 IN-KIND

Total Contributions $150.00

Schedule B
Itemized Expenditures Made

Date Expended Recipient Name Purpose Amount In-Kind?
02/04/2010 Salt Lake GOP Lincoln Day Dinner Donation $1,500.00
02/24/2010 Jordan Commons Campaign Tickets $195.00
03/12/2010 Salt Lake County Clerk Filing Fee $642.72
03/15/2010 U.S. Postmaster P.O. Box $70.00
03/21/2010 Erin Evans Signs $150.00

Total Expenditures $2,557.72