Salt Lake County Clerk Election Division Financial Disclosure Report

Name of Candidate of Officeholder Political Party Larsen, Missy W REPUBLICAN Address City State Zip Code Office Sought Phone Number Fax # Email Address Council #4 Org Type: Personal Campaign Committee Report: 2012 Summary Report (Year End) Summary Total this Period YTD Total this Period Other Campaign Accounts YTD Other Campaign Accounts Contributions Received 1 Total Contributions Received $250.00 $10,100.00 $0.00 $0.00 * - YTD totals may reflect activity from past years. Expenditures Made 2 Total Expenditures Made $1,847.83 $7,810.54 $0.00 $0.00 * - YTD totals may reflect activity from past years. Balance Summary 3 Balance at Beginning of Reporting Period $1,662.13 Refer to Line 7 on your last report 4 Total Contributions Received (From Line 1 Column A) $250.00 5 Subtotal (Add Lines 3 and 4) $1,912.13 6 Total Expenditures Made (From Line 2 Column A) $1,847.83 7 Balance at Close of Reporting Period $64.30 Contributions Received Itemized Contributions Received Date Received Contributor Name Occupation Employer Type Amount In-Kind? 11/02/2012 Deborah Sigman Individual $50.00 11/04/2012 Darin Gilson Owner Banyan Ventures Individual $200.00 Total Contributions $250.00 Expenditures Made Itemized Expenditures Made Date Expended Recipient Name Purpose Amount In-Kind? 11/02/2012 Costco Supplies $130.17 11/02/2012 Facebook Advertising $75.00 11/05/2012 Office Max Supplies $57.42 11/06/2012 Costco Campaign Event $130.17 11/06/2012 Fresh Market Campaign Event $17.97 11/07/2012 Hilton Hotel Campaign Event $832.17 11/10/2012 Domain Services Internet $50.00 11/12/2012 Charla Barton Volunteer supplies $154.93 11/12/2012 Sego Art & Frame Volunteer supplies $200.00 11/12/2012 Wendy Hopkins Contract $200.00 Total Expenditures $1,847.83 No Contributions Received from other Campaign Accounts reported for this period. No Expenditures of other Campaign Accounts reported for this period.