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CAMPAIGN FINANCIAL REPORT
To
of --------------------------------(City Recorder l'Ioum Clerk) (Municipality)
For
Full name of candidate --r;;~~O:..JMI,.,.;!...;:.__=U=_"~e.=.!.rs...=..::C()=:::.:.._.!._ _
Ci~--__--~~~~=·~~~-=--~~-----------------------------,Utah84Q.3~. _
Name of office --'-(V1-C..o...-+to=..a...C _ (District )
1. Total contributions of donors who gave more than $50.00 $ _~-,'a..__- It(Form "11» total from other side of this sheet)
2. Aggregate total of contributions of $50.00 or less $---f.!2----. . b~
3. Total campaign expenses " $ _5.;:::::..::::d:;...:3=--- _(Form «B" total from other side of this sheet)
-----,--_ .._-----. S ~4. Balance at the end of the repcrting period $ ~2>
Date __ t!:._::_91_~_-_Cl _ Signed _~~ ...••.~'-._-,-..--(Candidate)
5-6-CCarr Printing Co=pany, Bountiful, Utah
Complete Election Supply Service Since 1902
NOTE: Utah election code 10-3-208 states that all municipalities shall adoptall ordinance establi8hing campaign finance disclosure requirements for can-didates .running fur city or town office. You should check: with your <'ityl"Gcox-der at' bown clel'k for the disclosure l'aquiremantswhich pertain to yourmunicipality.
'\
ITEMIZED CONTRIBUTION REPORT (Form "AiAmount of
ContributionDateReceived MaJ1im} Address & Zip CodeName at Contributor
------------------r--
ITEMIZED EXPENDITURE REPORT (Form '13")~onorOr~on
ToWhomexpenditUre was made MatTIngAddress& Zip CodeAmount of
Expenditurl'lOaWof
Expenditure
! -..~Aeo ~., Lexfh3\bn f.M W:iJi 46). ~
I" Jt 'l $l~II'oatt l(" $n~.al
Obt.(Ut\lfo..Woy, eec~CttyOT~ .il'~~
/0"11-11"-3C?-nCil-30- nq-~-n usPS
----- ,-----'--,._._--
CAMPAIGN FINANCIAL REPORT
To
of(Municipality)(City Recorder I Town Clerk)
For
Fullnameofcandida~ ~ ~_'\_~__IP ~~ __~_· v__6__·1_0 _
Street Address 7""'> 6 r2 Lo n:ff_u_'_{;_W__ L:>_k2. _
City __ V_,'_?_1e_-_C1_V"_1 ,Utah8403£
Name of office __ fY7__ 4_i_o_e _ (District _
1. Total contributions of donors who gave more than $50.00 $ )gt:V . C?0(Form ':A." total from other side of this sheet)
2. Aggregate total of contributions of $50.00 or less $ . _
3. Total campaign expenses $ I:J...II. r..3(Form "B" total from other side of this sheet)
4. Balance at the end of the reporting period $ 58&'" oq...
Date 6t2 OC-t :tol cr Signed'~ --~~ ~(Candidate)
5·6·CCarr Printing Company, Bountiful, Utah
Complete Election Supply Service Since 1902
NOTE: Utah election code 10-3-208 states that all municipalities shall adoptan ordinance establishing campaign finance disclosure requirements for can-didates running for city or town office. You should check with your cityrecorder or town clerk for the disclosure requirements which pertain to yourmunicipality.
DateReceived
iIJJ#l:10/'7li7/0/13 )'7iJ/ {Zli :.,..
Date ofExpenditure
Name of Contributor
!TEMIZED CONTRIBUTION REPORT (Form '14"/
Mailing Address& Zip CodeAmount of
Contribution
t}..;)o
$ioo1/.:.1i..)------------------------------ .tiS-c.? (.)------------------------------
(if additional space is needed, use blank paper and list information like the above format and then attach to report)
ITEMIZED EXPENDITURE REPORT (Form "8")Person or Organization
ToWhom Expenditurewas made MailingAddress & Zip Code
VAQ;c.,1.) :-5&M-J, tO~ i.t?lhl/J 72ALL,/1/:>",/0 C;7,!WLf:: s;. - pal ,.J,"/,,, ,.JC-~ j; '/ / f r 1/1S7A' pel iV "7 .- ~j 6.J5:I~'lf:>.!;
9/!vh,., 1/J fl;J- PeI,,.;7 - e)U~c'PIJ~1'[::311 ,pOS7~6-e- ;:iKl rY7A-iL-i,';'?..1-
1. Z 2. i I- /1<) ~;;- fi)cl,)c.) +- - £ tti Shrvl (1/2-6/1r ,j.J.;ff}1! pe(};:fr!= - $ 15,,,\ 5i-.?-%iJ
I
/2.7Ji ,v. ~ifZ m7-V 8)1/,1 s'foai;,6S''/.1 N' Lc:-n£-y),~rc!>:4. 8Y..7J£
h: 4<n~.:5 po i7 c?.a;:J c€" y¥;;,1¢"t:[C E' FR., ('o-7A·rF 8'y",,!fr'•
s, •••• (?tj:>7K
(If additional space is needed, use blank paper and list informauon like the above format and file with this report)
Amount ofExpenditure
fiJ27. ql:JLof)"o 3r3;¥l8:3i>i2'r
13 !',fu;tlI )6
4- fo
CAMPAIGN FINANCIAL REPORT
To
____ ~ W-< l-b I (~(City Recorder l Touiri Clerl«)
--- of(Municipality)
For
li'ull name of candidate _C_~_Vl_' ~_h_V\t_- _M_- .: _£_U-1_Q,y_' -=(_t_\\._-V\_j_M_(_l3_(t1_~_· =-r-t-r-r-r-
Street Address ....J./_O_Lf_Q_l_N_. ·-_t--o_"r£.t_tr4_VV1_C1_re_L_f _
City_--,-I~_'_t_k_cu_+_- , Utah 84 0 3b
Name of office __ C_'_O'\lv_Vl_Cf_·_\_fV1--'--U1'1_b_u _ (District _
1. Total contributions of donors who gave more than $50,00 .. , ... " ..... $ I) &2-9, 50(Form "A" total from other side of this sheet)
1)2,/7
2. Aggregate total of contributions of $50.0001' less , $ ~
3. Total campaign expenses ,." ,." $ I 7l..f 2. V I 9a(Form "B" total from other side of this sheet)
5·6·CCOr!' Printing Cornp erry, Bounlif,,[, Ulnh
Complete Election. Suppl), Service Since 1902
NOTE: Utah election code 10·3·208 states that all municipalities shall adoptan ordinance establishing campaign finance disclosure requirements tor can-didates funning for city or town office. You should check with your cityrecor-der- or lO\.VTI clerk Cor t.hp ,1i80c1o,;ure requircon1.enb~ wlvich p~rtAil'\ to YOlU'
municipality.
""'\ •...• ~"""!...l~~lt.;-
ht!c;~lved
)/J.-C{ Iii
/I:c/t{· fLl_1.~l:-11cL_J.~fj)lniOViJ) !'7
i{}15~/1'7
:"Ta\fnZ~D CONTRta: !TiON BErJ08T (Form ''A")
Narne ot Contributor ['flailing Address & ZiD Code;\n~OUt·.t-j~Contribution
WK<:r.w~~.0.:"y.j)VY'~
PI\,d 2(,r~·i~\. . _
ihc{I! ?:~rJkit 11S>1'l·..,..-- -- ..-~-
. __ ._.- ._--_ ....-------_._--
--_._--_ ..__ •.._------_ _. _ ....•_---_ ...•. _ .._-_.__ ._------
Date oiExpenditure
-----.-.--- _ ...__ ..._ .. _.
-----------_ ...•._-- --_ ..... _-_.-fif acfdltioni:.lsl]ace is needed: use blank pepa: and tist sntoanetio« m;o ttie ~b~\r"o tarm ..ar and the-n aCtcir.h tc report)
lTEIVilZl:.-:;OEXPEN\)iTUR~ R[;'PQFrr (Form uf3'~lParson or Orcanization
To Whom Expenofiure was madeAmount ::.~
Exceno-Iw',:;;'113i1ingAddress & Zip Code
------ ._------,_ _.__ .-
._--_ .._---
--- ._--_.__._--(ff additional space is nooaed, use !.'/~i{ oacor and /!st tntarmauon like lije .;!.'~ovetormat and fila with this rocon)
~.
CAMPAIGN FINANCIAL REPORT
To
of(City Recorder I Town Clerk) (Municipality)
For
Full name of candidateU
Street Address _)_O_~_V_D_I)I_~_I-;-/-'q_h_1;/_I/;_e__ _G_/~r _u
G~~~~~~_6_~~u~f~~~~~~~~~~~_,U~M03t
Name of office (District _
1. Total contributions of donors who gave more than $50.00 $ __ IL.l _1_o__0__(Form 'W' total from other side of this sheet)
7/2. Aggregate total of contributions of $50.00 or less $ _
3. Total campaign expenses , $(Form "B" total from other side of this sheet)
;: /36 .Ljr;)
4. Balance at the end of the reporting period $
Date ocIo6er.0(00/7- Signed _1i::=-....1_~~. ~_(Candidate)
5·6-CCarr Printing Company, Bountiful, Utah
Complete Election Supply Service Since 1902
NOTE: Utah election code 10-3-208 states t.hat all municipalities shall adoptan ordinance establishing campaign finance disclosure requirements for can-didates running for city or town office. You should check with your cityrecorder or town clerk for the disclosure requ.irernerrts which pertain to yourmunicipality,
DateReceived
Date ofExpenditure
Name of Contributor
~'TEMIZEDCONTfUaU110N REPORT (Form ''A ")
Mailing Address & Zip CodeAmount of
Contribution
(if additional space is needed, use blank paper and fist information like t.k~above tormet and men attach to report) t ._iTF.;.Mf~EOEXPENDITURE R~?ORT (Form "8") see t1 ff/:lie J7le/l t:
Person or Organization Amount :)iToWhom Expenditurewas made [\;1ailingAddress&_ Zip Code Expenditure
[if wfiitional spa ce is neeaea, use iJfank paper ana list information like the above format and file wttn this report}
Form A - Itemized Contribution Report - Hanz Johansson
Date Recieved First Name Last Name Street Address City State Postal Code Amount of Contribution09/24/2017 Timothy Dora 1340 Lasso Dr Hideout Utah 84036 $100.0009/26/2017 Nathan Brockbank 2265 E Murray Holladay Rd Holladay Utah 84117 $500.0010103/2017 Sara Goldkind 10747 N Hideout Trl Hideout Utah 84036 $100.0009/26/2017 Nathan Brockbank 2265 E Murray Holladay Rd Holladay Utah 84117 $1,000.00
Total $1,700.00
· ,
Form B - Itemized Expenditure Report - Hanz Johansson
Date of Expenditure Person or Organization to Whom Expenditure was made Mailing Address & Zip Code Amount of Expenditure09/20/2017 GO DADDY 14455 N Hayden Rd, Scottsdale, AZ 85260 $12.1709/22/2017 Vista Print 95 Hayden Av, Lexington, MA 02421 $3.0009/22/2017 Vista Print 95 Hayden Av, Lexington, MA 02421 $11.2509/22/2017 VistaPrint 95 Hayden Av, Lexington, MA 02421 $263.6909/22/2017 Square Inc 1455 Market Street, San Francisco, CA 94103 $0.3309/25/2017 Square Inc 1455 Market Street, San Francisco, CA 94103 $3.2009/27/2017 Square Inc 1455 Market Street, San Francisco, CA 94103 $14.8009/28/2017 VistaPrint 95 Hayden Av, Lexington, MA 02421 $137.9910/02/2017 KAMAS FOODTOWN 146 W 200 S, KAMAS UT 84036 $7.4510/02/2017 USPS PO 49421604 55 W 100 N, KAMAS UT 84036 $34.0010104/2017 Square Inc 1455 Market Street, San Francisco, CA 94103 $0.8810/10/2017 Square Inc 1455 Market Street, San Francisco, CA 94103 $1.7510/17/2017 Square Inc 1455 Market Street, San Francisco, CA 94103 $29.3010/23/2017 Wal-Mart Super 840 1274 S US 189, HEBER CITY UT 84032 $59.4410/23/2017 USPS PO 49353601 125 E 100 N, HEBER CITY UT 84032 $55.5710/25/2017 KAMAS FOODTOWN 146 W 200 S, KAMAS UT 84036 $21.0310/25/2017 KAMAS FOODTOWN 146 W 200 S, KAMAS UT 84036 $27.6510/29/2017 Chris M Baier 10497 N Forevermore Ct, Hideout UT 84036 $380.0010/29/2017 VistaPrint 95 Hayden Av, Lexington, MA 02421 $72.99
Total $1,136.49
CAMPAIGN FINANCIAL REPORT
To
of(Municipality)(City Recorder I Town Clerk)
For
Full name of candidate ~LI:.~JJ=:::rt:.L\ .L!tJ~U~ .
Street Address _~rO:....:~:.-.<-f~S--1.t\I-.:::L:... -114...!.·..!...:('t>!::!...~~::::.::t~~CJ::x)~:..:..c-_' .
, Utah 84 63-b
(District )
1. Total contributions of donors who gave more ,than $50.00(Form "A"total from other side of this sheet)
•• e " •• ......$------
2. Aggregate total of contributions of $50.00 or less $ _
3. Total campaign expenses $ _(Form "B" total from other side of this sheet)
4. Balance at the end of the reporting period $ _
Date _-.:.,_pL(=-.J-j-' (-..!1_1 _ Signed ~_- _~ (Candidate)
5-6-CCarr Printing Company, Bountiful, Utah
Complete Election Supply Service Since 1902
NOTE: Utah election code 10-3-208 states that all municipalities shall adoptan ordinance establishing campaign finance disclosure requirements for can-didates running for city or town office. You should check with your cityrecorder or town clerk for the diselceure requirements which pertain to yourmunicipality.
DateReceived
Date ofExpenditure
ITEMIZED CONTRIBUTION REPORT (Form "Aj
Name ot Contributor Mailing Address & Zip Code
(If additionBI space is needed, ue« blank papsr and list information fike the above format and Ihsn aItadr to reporl)
lTEMlZED EXPENDITURE REPORT (Form 481 -Person or O~nization
To Whom Expenditure was made Mailing Address & Zip Code
Amount ofContribution
Amount ofExPenditure
_-r;.~I'1.:.::.::a.~t..e-r-~~6~~~~f~_-----'~=;;o..s &(/1;00:7";'" Zoo E. ~ toe SL~ ? 'I" ( lo~. 'O-z;..,
___ ' _. ..:::~=~A...__ I()~ ·u_
_____ t~\ ~~~~~S~T____ ~r.v-___ t_' -'f~v~C"Pr__'___ /0 ~ . toe
____~.~, ~~~~koo==·~t~ ~~ (~2,~____ ,~\ ~p.~o~J~r~~E~ ~ tG.lC
_________________ ----JD~~,J S"