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: Interim Report April 5, 2012 (Amended) Summary Column A Total this Period Column B YTD Contributions Received 1 Total Contributions Received (See Schedule A) $2,800.00 $2,800.00 * - YTD totals may reflect activity from past years. Expenditures Made 2 Total Expenditures Made (See Schedule B) $698.75 $698.75 * - YTD totals may reflect activity from past years. Balance Summary 3 Balance at Beginning of Reporting Period $0.00 Refer to Line 7 on last report 4 Total Contributions Received (From Line 1 Column A) $2,800.00 5 Subtotal (Add Lines 3 and 4) $2,800.00 6 Total Expenditures Made (From Line 2 Column A) $698.75 7 Balance at Close of Reporting Period $2,101.25 Schedule A Itemized Contributions Received Date Received Contributor Name Occupation Employer Type Amount In-Kind? 03/17/2012 Ted Wilson & Holly Mullen Executive & Non-Profit Talisker & Rape Crisis Center Individual $1,000.00 03/20/2012 Glen & Janene Davis Individual $100.00 03/22/2012 Dennis Webb Mayor City of Holladay Individual $100.00 03/22/2012 Richard & Mary Lee Reese Retired Individual $300.00 03/23/2012 Marilee Latta Individual $100.00 03/24/2012 Sean & Kathryn Holcomb Senior Vice President Computer Marketing Corp. Individual $200.00 04/01/2012 Dan Lofgren Owner Cowboy Partners Individual $1,000.00 Total Contributions $2,800.00 Schedule B Itemized Expenditures Made Date Expended Recipient Name Purpose Amount In-Kind? 03/09/2012 AMENDMENT Salt Lake County Filing Fee $173.16 03/29/2012 City Signs Banner Printing $75.00 IN-KIND 03/29/2012 Office Max Supplies $26.27 03/30/2012 ASAP Printing Printing $140.00 03/30/2012 U.S. Postmaster Postage $180.00 03/31/2012 Dan Jones, Chairman Debate Booth $80.00 03/31/2012 Fresh Market Booth supplies $24.32 Total Expenditures $698.75