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SALTLAKE .SEP f 2 2006
COUNTYCLERK
2006 Financial Disclosure Repo~Li:CT'ON giVISloNFor a Candidate
SHERRIE SWENSENSalt lake CountyClerk
2001 South State Street, Suite #S1100Salt Lake City, Utah 84190-1051
Fax# 468-3473
Name of Candidate or Officeholder Political Party
!
!\J R~f)UBLIC/q/UStreet Address and Apartment Number City State Zip Code
'--""'J / 5 F' ") ! ~ .':S)b L0! tie- C, L0t <:5<Tci2!JfM) \)'1
Office Sought District Number Phone Number Fax #
StCj~ ~'S2 2-
Type of Report(Check the appropriate box)
INTERIM REPORTS: (Required onlyduring candidate election years)
YEAR-END REPORT:DJanuary 31 of eachyear (Requiredby allopencampaigncommittees)
o April 5For the period ending March 31, 2006 FINAj...REPORT:
IkYRnal Report (Required by all candidates andofficeholders as soon as they close campaignaccounts along with a statement of dissolution)
Is this report an amendment?o Yes (If yes, date of report)
o No
o June20Forthe period ending June 19, 2006
o September 15For the period ending September 10, 2006
o October 31For the period ending October 30, 2006
Report VerificationI, '\5 r I:i:c0T fV~2Gtf1J
Print Name of Candidate or Officeholder
For more information or additional forms, visitwww.clerk.slco.org or contact the Salt LakeCounty Clerk, Elections Division at 468-3427.
for Office lJse OnlyEnte.red
Date Received
Copied
K:IElectionlFinancial DisciosurelFinancial DisciosureslFinancialDisciosureform06a.doc
Summary Page(Complete this page after filling out Schedule A and Schedule B)
Page"2---
Column ATotal this Period
Column BSumTotal
to Date
CONTRIBUTIONS RECEIVED
1 TOTAL CONTRIBUTIONS RECEIVED(See Schedule A)
EXPENDITURES MADE
2 ITOTAL EXPENDITURES MADE(See Schedule B) 3 YbJJ
BALANCE SUMMARY
3 I Balance at Beginning of Reporting Period Refer to Line 7 on your last report
4 ITotal Contributions Received(From Line 1 Column A)
5 I Subtotal(Add Lines 3and 4)
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'7 (~) f ft; /
3~6?J6 ITotal Expenditures Made(From Line 2 Column A)
7 I Balance at Close of Reporting Period(Subtract Line 6 from Line 5)
K:\E lection \Financial Di sclos ure \Fi n ancial Disclosures \FinanciaIDisciosureform06a. doc 2
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Schedule A
Page
'3
Itemized Contributions Received
Attach addif dsheet if ded
K:\Election \Financial Oisciosure\Financial Oisciosures\FinanciaIOisciosureform06a. doc 3
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Date Complete Mailing Occupationl AmountReceived Name of Contributor Address Employer $
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SUBTOTAL FOR THIS PAGE
TOTAL CONTRIBUTIONSRECEIVED (Sum of subtotals from all Schedule A pages)
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Schedule BItemized Expenditures Made
Attach addif dsheet if needed
K:\Election\Financial Disclosure \Financial Disciosures\Financia IDisciosureform06a. doc 4
lonal aqes or your own spreaDate of
Name of Recipient PurposeAmount of
Expenditure Expenditure
1/1 /0 gEA) 'h8'1/( C 'PvS'T A{;E' /5'1CJv'S,ElL 307 7l-I r
SUBTOTAL FOR THIS PAGE
TOTAL EXPENDITUTRES MADE (Sum of subtotals from all Schedule B pages)
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SHERRIE SWENSENrc
- .'Salt lake County Clerk ~ I -\ ri:..5'\
2001 South State Street, Suite #S1100 ,,~C .J /~ \\.:?Salt Lake City, Utah 84190-1051 8A.1.;'f:III~D I If
Fax# 468-3473 SEp l.A./(E. I 'I :Jnn"
-'-. iGOtJ. ..vuoDissolution of a Candidate Cam~"!f¥PlI3 . :bv
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Pursuant to the provisions of Salt Lake County Ordj.nance, §2.72A.205
(Salt Lake County Code of Ordinances, 2004) notice is hereby given of the dissolution
of the following campaign committee:
Name of County Office Candidate
Name of Committee Secretary
Date Committee Was Established
Name of Committee _c:\ VV'\ yV\. ,TT C~
Attach a final summary financial report, which shows all final financial activity of
the committee. The ending balance on the final summary report filed must be zero and
the balance in the separate bank account required in Salt Lake County Code
§2.72.A.201, must be zero.
By signing, the County office candidate, office holder or secretary certifies that
the campaign committee is no longer active, is no longer receiving contributions, and is
no longer making expenditures as defined in County ordinance.
k://Election2006/Candidatelnfo/FilingForms/06pccdissolution.doc