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
School Board

Org Type: Local School Boards
Report: June 15, 2010 Interim Report for School Board


Column A
Total this Period
Column B

Contributions Received
1 Total Contributions Received
(See Schedule A)
$0.00 $0.00 * - YTD totals may reflect activity from past years.
Expenditures Made
2 Total Expenditures Made
(See Schedule B)
$215.20 $215.20 * - YTD totals may reflect activity from past years.
Balance Summary
3 Balance at Beginning of Reporting Period $0.00 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 ($215.20)

No Schedule A contributions reported for this period.

Schedule B
Itemized Expenditures Made

Date Expended Recipient Name Purpose Amount In-Kind?
03/12/2010 ELECTIONS SALT LAKE County File for canidancy $25.00
03/19/2010 Web site Administration $35.40
03/29/2010 Web site Administration $10.95
04/10/2010 Trevor Miller Pictures $25.00 IN-KIND
05/04/2010 Office Max Printing $37.16
05/06/2010 Office Max Printing $14.58
05/06/2010 Walmart Printing supplies $67.11

Total Expenditures $215.20