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: 2010 Year End Summary for Local School Board


Column A
Total this Period
Column B

Contributions Received
1 Total Contributions Received
(See Schedule A)
$6.81 $1,602.25 * - YTD totals may reflect activity from past years.
Expenditures Made
2 Total Expenditures Made
(See Schedule B)
$264.68 $1,602.25 * - YTD totals may reflect activity from past years.
Balance Summary
3 Balance at Beginning of Reporting Period $257.87 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?
01/06/2011 Nathan Gedge
Director, Pharmacy & Medicare Educators Mutual Insurance Association Individual $6.81

Total Contributions $6.81

Schedule B
Itemized Expenditures Made

Date Expended Recipient Name Purpose Amount In-Kind?
10/24/2010 USPS postage $35.20
10/25/2010 Office Depot mailing supplies $45.60
10/25/2010 The UPS Store copies $50.00
10/25/2010 USPS postage $35.20
11/02/2010 Phillips 66 volunteer gasoline $25.00
11/02/2010 Target volunteer appreciation $73.68

Total Expenditures $264.68