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: Year-End 2010 Summary Report


Column A
Total this Period
Column B

Contributions Received
1 Total Contributions Received
(See Schedule A)
$35.04 $6,280.99 * - YTD totals may reflect activity from past years.
Expenditures Made
2 Total Expenditures Made
(See Schedule B)
$530.04 $6,280.99 * - YTD totals may reflect activity from past years.
Balance Summary
3 Balance at Beginning of Reporting Period $495.00 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 $0.00

Schedule A
Itemized Contributions Received

Date Received Contributor
Address Occupation Employer Type Amount In-Kind?
12/31/2010 Aggregate Contributions Under $50

Individual $35.04

Total Contributions $35.04

Schedule B
Itemized Expenditures Made

Date Expended Recipient Name Purpose Amount In-Kind?
10/29/2010 Wells Fargo Service Fee $6.00
11/30/2010 Wells Fargo Service Fee $6.00
12/31/2010 Wells Fargo Service Fee $14.00
01/07/2011 Lee Gardner Campaign expense reimbursement $252.02
01/07/2011 Pete Lund Campaign expense reinbursement $202.02
01/07/2011 Tuff Shed Gift Certificate $50.00 IN-KIND

Total Expenditures $530.04