Salt Lake County Clerk Election Division Financial Disclosure Report

Name of Candidate of Officeholder Political Party Millerberg, Mont L UNAFFILIATED Address City State Zip Code Office Sought Phone Number Fax # Email Address School Board Org Type: Local School Boards Report: Interim Report August 31, 2012 Summary Total this Period YTD Total this Period Other Campaign Accounts YTD Other Campaign Accounts Contributions Received 1 Total Contributions Received $300.00 $325.00 $0.00 $0.00 * - YTD totals may reflect activity from past years. Expenditures Made 2 Total Expenditures Made $0.00 $25.00 $0.00 $0.00 * - YTD totals may reflect activity from past years. Balance Summary 3 Balance at Beginning of Reporting Period $0.00 Refer to Line 7 on your last report 4 Total Contributions Received (From Line 1 Column A) $300.00 5 Subtotal (Add Lines 3 and 4) $300.00 6 Total Expenditures Made (From Line 2 Column A) $0.00 7 Balance at Close of Reporting Period $300.00 Contributions Received Itemized Contributions Received Date Received Contributor Name Occupation Employer Type Amount In-Kind? 05/30/2012 Mont L. Millerberg CPA Self Individual $100.00 08/05/2012 Canyons Education Association PAC Political Action Committee N/A Organization $200.00 Total Contributions $300.00 No Expenditures Made reported for this period. No Contributions Received from other Campaign Accounts reported for this period. No Expenditures of other Campaign Accounts reported for this period.