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: September 15, 2010 Interim Report


Column A
Total this Period
Column B

Contributions Received
1 Total Contributions Received
(See Schedule A)
$535.00 $2,325.15 * - YTD totals may reflect activity from past years.
Expenditures Made
2 Total Expenditures Made
(See Schedule B)
$284.34 $1,309.76 * - YTD totals may reflect activity from past years.
Balance Summary
3 Balance at Beginning of Reporting Period $1,254.73 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 $1,505.39

Schedule A
Itemized Contributions Received

Date Received Contributor
Address Occupation Employer Type Amount In-Kind?
07/05/2010 Salt Lake Board of Realtors 230 W Towne Ridge Parkway #200
Sandy, UT 84070
Board of Realtors
Organization $500.00
09/14/2010 Aggregate Contributions Under $50

Individual $35.00

Total Contributions $535.00

Schedule B
Itemized Expenditures Made

Date Expended Recipient Name Purpose Amount In-Kind?
07/15/2010 IMAGINOS SIGNS $281.34
08/09/2010 Key Bank SERVICE FEE $3.00

Total Expenditures $284.34