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)
$1,500.00 $1,750.00 * - YTD totals may reflect activity from past years.
Expenditures Made
2 Total Expenditures Made
(See Schedule B)
$140.88 $182.81 * - YTD totals may reflect activity from past years.
Balance Summary
3 Balance at Beginning of Reporting Period $208.07 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 $1,567.19

Schedule A
Itemized Contributions Received

Date Received Contributor
Address Occupation Employer Type Amount In-Kind?
07/01/2010 Jolene Bass
Radiology Technician Iasis Individual $250.00
07/01/2010 Todd Bass
Lawn Maintenance Technician self Individual $250.00
08/11/2010 Jim Dabakis
Art Dealer self Individual $500.00
08/21/2010 Michelle Turpin
Attorney The Law Office of Turpin & Associates Individual $500.00

Total Contributions $1,500.00

Schedule B
Itemized Expenditures Made

Date Expended Recipient Name Purpose Amount In-Kind?
08/13/2010 Wells Fargo Bank Fee $15.00
08/25/2010 Salt Lake County Clerk Voter File $26.92
08/30/2010 Dr. Don's Buttons Stickers $98.96

Total Expenditures $140.88