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) (Amended)


Column A
Total this Period
Column B

Contributions Received
1 Total Contributions Received
(See Schedule A)
$2,100.00 $2,100.00 * - YTD totals may reflect activity from past years.
Expenditures Made
2 Total Expenditures Made
(See Schedule B)
$1,244.61 $1,244.61 * - 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 $855.39

Schedule A
Itemized Contributions Received

Date Received Contributor
Occupation Employer Type Amount In-Kind?
03/28/2012 Nancy Tingey homemaker self Individual $2,000.00
04/10/2012 Derek Brown lawyer Signing Times Individual $100.00

Total Contributions $2,100.00

Schedule B
Itemized Expenditures Made

Date Expended Recipient Name Purpose Amount In-Kind?
03/28/2012 Twist Advertising yard signs $918.91
03/31/2012 Univeristy of Utah Credit Union bank fee $2.00
04/12/2012 Nancy Tingey filing fee, fliers, voter list $323.70

Total Expenditures $1,244.61