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: August 31,2010 Interim Report for School Board


Column A
Total this Period
Column B

Contributions Received
1 Total Contributions Received
(See Schedule A)
$320.00 $620.00 * - YTD totals may reflect activity from past years.
Expenditures Made
2 Total Expenditures Made
(See Schedule B)
$378.00 $668.45 * - YTD totals may reflect activity from past years.
Balance Summary
3 Balance at Beginning of Reporting Period $9.55 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 ($48.45)

Schedule A
Itemized Contributions Received

Date Received Contributor
Address Occupation Employer Type Amount In-Kind?
08/23/2010 Leslie Jentzsch

Individual $20.00
08/23/2010 Rolando Galano
retired retired Individual $250.00
08/23/2010 Scott Soulier

Individual $50.00

Total Contributions $320.00

Schedule B
Itemized Expenditures Made

Date Expended Recipient Name Purpose Amount In-Kind?
07/12/2010 Jordan Education Foundation hole sponsorship $200.00
08/12/2010 Jordan Education Foundation golf tournament donation $70.00
08/23/2010 National Pen promotional pens $108.00

Total Expenditures $378.00