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: October 26, 2010 Interim Report


Column A
Total this Period
Column B

Contributions Received
1 Total Contributions Received
(See Schedule A)
$1,535.00 $12,106.61 * - YTD totals may reflect activity from past years.
Expenditures Made
2 Total Expenditures Made
(See Schedule B)
$2,783.00 $11,701.88 * - YTD totals may reflect activity from past years.
Balance Summary
3 Balance at Beginning of Reporting Period $1,652.73 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 $404.73

Schedule A
Itemized Contributions Received

Date Received Contributor
Address Occupation Employer Type Amount In-Kind?
09/20/2010 Mike & Bricia Weir
Professional Golfer Self Employed Individual $250.00
09/22/2010 Susie McHugh
Individual $250.00
10/02/2010 Barbara Bolstad
Individual $60.00
10/02/2010 Lucia Marshall
Director of Donor Relations Pepperdine University Individual $250.00
10/18/2010 Maria O'Brien
Candidate/Realtor RE/MAX Masters Individual $500.00
10/20/2010 Michael O'Brien
Attorney Van Cott Law Firm Individual $200.00
10/20/2010 Susan Chasson
Nurse IHC Individual $25.00

Total Contributions $1,535.00

Schedule B
Itemized Expenditures Made

Date Expended Recipient Name Purpose Amount In-Kind?
10/07/2010 Media One Newspaper Advertising $2,450.00
10/18/2010 Copper Printing Advertising $333.00

Total Expenditures $2,783.00