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)
$2,775.00 $6,245.95 * - YTD totals may reflect activity from past years.
Expenditures Made
2 Total Expenditures Made
(See Schedule B)
$3,150.00 $5,750.95 * - YTD totals may reflect activity from past years.
Balance Summary
3 Balance at Beginning of Reporting Period $870.00 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 $495.00

Schedule A
Itemized Contributions Received

Date Received Contributor
Address Occupation Employer Type Amount In-Kind?
09/16/2010 Salt Lake County Republican Party P.O. Box 719
Salt Lake City, UT 84110
Political Party N/A Organization $1,250.00
10/12/2010 Salt Lake Board of Realtors (BORPAC) 230 W Towne Ridge Parkway #200
Sandy, UT 84070
Realtors Association N/A Organization $1,000.00
10/15/2010 Richard L. & Jeanne Burgi

Individual $150.00
10/21/2010 James V. Kesler
Individual $200.00
10/25/2010 Henry Black

Individual $175.00 IN-KIND

Total Contributions $2,775.00

Schedule B
Itemized Expenditures Made

Date Expended Recipient Name Purpose Amount In-Kind?
10/11/2010 Media One Newspaper Advertising $2,975.00
10/25/2010 Henry Black Web Site $175.00 IN-KIND

Total Expenditures $3,150.00