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2020 CAMPAIGN FINANCIAL REPORT Full Name of Candidate: Address: (Street) (City) (Zip Code) Office Filed For: Party: Phone: Phone: (Cell) (Home or Office) Current Report Last Report Cumulative Totals Total contributions Total expenditures Campaign balance I understand that this document is an official government record to be filed with the Summit County Clerk. As such I hereby certify under oath, that the foregoing information is true and correct. I further understand that including any false or forged information or documents or making any written false or inconsistent statement will subject me to criminal penalties under Title 76, Chapter 8 of the Utah Code. Anonymous contributions over $50.00 must be turned over to the county for deposit in the general fund or to a 501(c)(3) non-profit organization. Date: Candidate Signature ---PAGE BREAK--- Campaign Financial Report 2020 ITEMIZED CONTRIBUTION REPORT Date Name of Contributor Mailing Address Zip Code Amount 04/15/20 Jon & Jane Doe P.O. Box 128, Coalville, UT 84017 $435.00 ---PAGE BREAK--- 2020 CAMPAIGN FINANCIAL REPORT ITEMIZED EXPENSE REPORT These reports must also include a list of all expenses, for political purposes, and include the recipient of the expense. Total amount of expenditures Date Person or Organization Purpose of Expenditure Amount 04/15/20 Name of Business Campaign signs & flyers $512.00