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: 2012 Summary Report Local School Board (Year End) Summary Total this Period YTD Total this Period Other Campaign Accounts YTD Other Campaign Accounts Contributions Received 1 Total Contributions Received $550.00 $3,804.66 $0.00 $0.00 * - YTD totals may reflect activity from past years. Expenditures Made 2 Total Expenditures Made $567.06 $3,954.66 $0.00 $0.00 * - YTD totals may reflect activity from past years. Balance Summary 3 Balance at Beginning of Reporting Period $17.06 Refer to Line 7 on your last report 4 Total Contributions Received (From Line 1 Column A) $550.00 5 Subtotal (Add Lines 3 and 4) $567.06 6 Total Expenditures Made (From Line 2 Column A) $567.06 7 Balance at Close of Reporting Period $0.00 Contributions Received Itemized Contributions Received Date Received Contributor Name Occupation Employer Type Amount In-Kind? 11/01/2012 Canyons Education Association PAC Organization $550.00 Total Contributions $550.00 Expenditures Made Itemized Expenditures Made Date Expended Recipient Name Purpose Amount In-Kind? 12/11/2012 Mont Millerberg Reimbursement of Advances $125.00 12/11/2012 Mont Millerberg Advertising $42.00 12/11/2012 Mont Millerberg Printing $265.00 12/11/2012 Mont Millerberg Postage $135.06 Total Expenditures $567.06 No Contributions Received from other Campaign Accounts reported for this period. No Expenditures of other Campaign Accounts reported for this period.