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: Contributions Recevied (April)


Column A
Total this Period
Column B

Contributions Received
1 Total Contributions Received
(See Schedule A)
$2,700.00 $2,700.00 * - YTD totals may reflect activity from past years.
Expenditures Made
2 Total Expenditures Made
(See Schedule B)
$570.23 $570.23 * - 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)

5 Subtotal
(Add Lines 3 and 4)

6 Total Expenditures Made
(From Line 2 Column A)

7 Balance at Close of Reporting Period $2,129.77

Schedule A
Itemized Contributions Received

Date Received Contributor
Occupation Employer Type Amount In-Kind?
03/19/2012 Mike Livsey Teacher Utah Virtual Academy Individual $25.00
03/20/2012 Heidi Livsey Homemaker Self Individual $2,500.00
03/20/2012 Michelle Livsey

Individual $25.00
03/20/2012 Suzanne Harwood Retired
Individual $50.00
03/21/2012 Margaret Shoaf Homemaker Self Individual $100.00

Total Contributions $2,700.00

Schedule B
Itemized Expenditures Made

Date Expended Recipient Name Purpose Amount In-Kind?
03/20/2012 Anedot Website Donation Fee $2.25
03/20/2012 Anedot Website Donation Fee $1.27
04/05/2012 REGIONAL SUPPLY Corx $515.40
04/10/2012 THE UPS STORE Printing Flyers $51.31

Total Expenditures $570.23