f.!2
CAMPAIGN FINANCIAL REPORT
To of -------------------------------(Municipality)
(City Recorder l'Ioum Clerk)
For Full name of candidate
--r;;~~O:..JMI,.,.;!...;:.__=U=_"~e.=.!.rs...=..::C()=:::.:.._.!._
_
, Utah 84Q.3~. --~~~~=·~~~-=--~~-----------------------------
Ci~--__
Name of office
--'-(V1-C..o...-+to=..a...C
_
(District
)
a..__
$ -_~-,'It
1. Total contributions of donors who gave more than $50.00 (Form "11» total from other side of this sheet)
$
2. Aggregate total of contributions of $50.00 or less . 3. Total campaign expenses (Form «B" total from other side of this sheet)
. "
b~
$ _5.;:::::..::::d:;...:3=---
$
4. Balance at the end of the repcrting period
t!:._::_91_~_-_Cl
---f.!2----
-----,--_
.
Date __
_
Signed _~~
_
S
~
_
.._-----
~2>
...••. ~'-._-,..--
(Candidate) NOTE: Utah election code 10-3-208 states that all municipalities
shall adopt
all ordinance establi8hing campaign finance disclosure requirements for can5-6-C Carr Printing
Co=pany, Bountiful, Utah
Complete Election Supply Service Since 1902
'\
didates .running fur city or town office. You should check: with your
Street Address
City __
~
6
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r2
~~ __~_·
Lo n:ff_u_'_{;_W __
6 __
v__ ·1_0
_
L:>_k2.
_
V_,'_?_1e_-_C1_V"_1
Name of office __
,Utah8403£
fY7 __ 4_i_o_e
_
(District
_
1. Total contributions of donors who gave more than $50.00 (Form ':A." total from other side of this sheet)
$ ) gt:V . C?0
2. Aggregate total of contributions of $50.00 or less
$
3. Total campaign expenses (Form "B" total from other side of this sheet)
$ I:J...II. r..3
4. Balance at the end of the reporting period
$ 58&'"
Date
6t2
OC-t
:tol
cr
Signed'~
--~~
.
_
oq...
~
(Candidate) NOTE: Utah election code 10-3-208 states that all municipalities shall adopt
an ordinance establishing campaign finance disclosure requirements for can5·6·C Carr Printing Company, Bountiful, Utah
Complete Election Supply Service Since 1902
didates running
for city or town office. You should check with your city which pertain to your
recorder or town clerk for the disclosure requirements
municipality.
!TEMIZED CONTRIBUTION Date Received
REPORT (Form '14"/ Mailing Address & Zip Code
Name of Contributor
Amount of Contribution
iIJJ#l:
t}..;)o
10/'7li7
$ioo
/0/13
)'7
-----------------------------------------------------------
iJ/ {Zli :.,..
1/.:.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") Date of Expenditure
Person or Organization To Whom Expenditurewas made
VAQ;c.,1.) :-5&M-J,
1/:>",/0 ~ j; '/ / r f
1
tO~
C;7,!WLf::
s;. -
1/1S7A' pel
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1'[::31 1. Z 2. i I-
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1/2-6/1r I
72ALL,/
i.t?lhl/J
+- -
/1i2'r
h: 47K
(If additional space is needed, use blank paper and list informauon like the above format and file with this report)
4- fo
CAMPAIGN FINANCIAL REPORT To
____ ~
W-
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.
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-----------_ fif acfdltioni:.lsl]ace is needed:
lTEIVilZl:.-:;OEXPEN\)iTUR~ Date oi Expenditure
...•.
--_ ..... _-_.-
_--
use blank pepa: and tist sntoanetio« m;o ttie ~b~\r"o tarm ..ar and the-n aCtcir.h tc report)
Parson or Orcanization To Whom Expenofiure was made
------
(ff additional space is nooaed,
R[;'PQFrr (Form uf3'~l Amount
;'113i1ing Address
::.~
Exceno-Iw',:;
& Zip Code
__
._------,_
_.
--- ._--_.
__
.-
._--_ .._--._--
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 candidate
Street Address
U
_)_O_~_V_D_I)I_~_I-;-/-'q_h_1 ;/_I/;_e__ _G_/~r u
_
G~~~~~~_6_~~u~f~~~~~~~~~~~_,U~M03t (District
Name of office
_
1. Total contributions of donors who gave more than $50.00 (Form 'W' total from other side of this sheet)
$ __ IL.l
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
ocIo6er.0(00/7-
Signed
_1_o__0__ 7/
_
;: /36 . Ljr; )
_1i::=-....1_~~.
(Candidate)
NOTE: Utah election code 10-3-208 states t.hat all municipalities
~_ shall adopt
an ordinance establishing campaign finance disclosure requirements for can5·6-C
Carr Printing Company, Bountiful, Utah Complete Election Supply Service Since 1902
didates running
for city or town office. You should check with your city
recorder or town clerk for the disclosure requ.irernerrts which pertain to your
municipality,
~'TEMIZEDCONTfUaU110N REPORT (Form ''A ") Date Received
Name of Contributor
(if additional space is needed, use blank paper and fist information
like t.k~ above tormet and men attach to report)
iTF.;.Mf~EOEXPENDITURE R~?ORT (Form "8") Date of
Expenditure
Amount of Contribution
Mailing Address & Zip Code
see
t1 ff/:lie J7le/l
Person or Organization
ToWhom Expenditurewas made
[if wfiitional
t ._ t:
Amount :)i
[\;1ailing Address &_ Zip Code
spa ce is neeaea, use iJfank paper ana list information like the above format and file wttn this report}
Expenditure
Form A - Itemized Contribution Report - Hanz Johansson Date Recieved First Name Last Name 09/24/2017 Timothy Dora 09/26/2017 Nathan Brockbank 10103/2017 Sara Goldkind 09/26/2017 Nathan Brockbank
Street Address 1340 Lasso Dr
City
State
Hideout
2265 E Murray Holladay Rd 10747 N Hideout Trl
Holladay Hideout Holladay
Utah Utah
2265 E Murray Holladay Rd
Utah Utah
Postal Code Amount of Contribution 84036 $100.00 84117 $500.00 84036 $100.00 84117 $1,000.00 Total
$1,700.00
· ,
Form B - Itemized Expenditure Report - Hanz Johansson Date of Expenditure
09/20/2017 09/22/2017 09/22/2017 09/22/2017 09/22/2017 09/25/2017 09/27/2017 09/28/2017 10/02/2017 10/02/2017 10104/2017 10/10/2017 10/17/2017 10/23/2017 10/23/2017 10/25/2017 10/25/2017 10/29/2017 10/29/2017
Person or Organization
GO DADDY Vista Print Vista Print VistaPrint Square Inc Square Inc Square Inc VistaPrint KAMAS FOODTOWN USPS PO 49421604 Square Inc Square Inc Square Inc Wal-Mart Super 840 USPS PO 49353601 KAMAS FOODTOWN KAMAS FOODTOWN Chris M Baier VistaPrint
to Whom Expenditure
was made Mailing Address
& Zip Code
14455 N Hayden Rd, Scottsdale, AZ 85260 95 Hayden Av, Lexington, MA 02421 95 Hayden Av, Lexington, MA 02421 95 Hayden Av, Lexington, MA 02421 1455 Market Street, San Francisco, CA 94103 1455 Market Street, San Francisco, CA 94103 1455 Market Street, San Francisco, CA 94103 95 Hayden Av, Lexington, MA 02421 146 W 200 S, KAMAS UT 84036 55 W 100 N, KAMAS UT 84036 1455 Market Street, San Francisco, CA 94103 1455 Market Street, San Francisco, CA 94103 1455 Market Street, San Francisco, CA 94103 1274 S US 189, HEBER CITY UT 84032 125 E 100 N, HEBER CITY UT 84032 146 W 200 S, KAMAS UT 84036 146 W 200 S, KAMAS UT 84036 10497 N Forevermore Ct, Hideout UT 84036 95 Hayden Av, Lexington, MA 02421 Total
Amount of Expenditure
$12.17 $3.00 $11.25 $263.69 $0.33 $3.20 $14.80 $137.99 $7.45 $34.00 $0.88 $1.75 $29.30 $59.44 $55.57 $21.03 $27.65 $380.00 $72.99 $1,136.49
CAMPAIGN FINANCIAL REPORT To
of
(City Recorder I Town Clerk)
(Municipality)
For .L!tJ~U~
.
O:....:~:.-.
To of -------------------------------(Municipality)
(City Recorder l'Ioum Clerk)
For Full name of candidate
--r;;~~O:..JMI,.,.;!...;:.__=U=_"~e.=.!.rs...=..::C()=:::.:.._.!._
_
, Utah 84Q.3~. --~~~~=·~~~-=--~~-----------------------------
Ci~--__
Name of office
--'-(V1-C..o...-+to=..a...C
_
(District
)
a..__
$ -_~-,'It
1. Total contributions of donors who gave more than $50.00 (Form "11» total from other side of this sheet)
$
2. Aggregate total of contributions of $50.00 or less . 3. Total campaign expenses (Form «B" total from other side of this sheet)
. "
b~
$ _5.;:::::..::::d:;...:3=---
$
4. Balance at the end of the repcrting period
t!:._::_91_~_-_Cl
---f.!2----
-----,--_
.
Date __
_
Signed _~~
_
S
~
_
.._-----
~2>
...••. ~'-._-,..--
(Candidate) NOTE: Utah election code 10-3-208 states that all municipalities
shall adopt
all ordinance establi8hing campaign finance disclosure requirements for can5-6-C Carr Printing
Co=pany, Bountiful, Utah
Complete Election Supply Service Since 1902
'\
didates .running fur city or town office. You should check: with your
Street Address
City __
~
6
~_'\_~ __IP
r2
~~ __~_·
Lo n:ff_u_'_{;_W __
6 __
v__ ·1_0
_
L:>_k2.
_
V_,'_?_1e_-_C1_V"_1
Name of office __
,Utah8403£
fY7 __ 4_i_o_e
_
(District
_
1. Total contributions of donors who gave more than $50.00 (Form ':A." total from other side of this sheet)
$ ) gt:V . C?0
2. Aggregate total of contributions of $50.00 or less
$
3. Total campaign expenses (Form "B" total from other side of this sheet)
$ I:J...II. r..3
4. Balance at the end of the reporting period
$ 58&'"
Date
6t2
OC-t
:tol
cr
Signed'~
--~~
.
_
oq...
~
(Candidate) NOTE: Utah election code 10-3-208 states that all municipalities shall adopt
an ordinance establishing campaign finance disclosure requirements for can5·6·C Carr Printing Company, Bountiful, Utah
Complete Election Supply Service Since 1902
didates running
for city or town office. You should check with your city which pertain to your
recorder or town clerk for the disclosure requirements
municipality.
!TEMIZED CONTRIBUTION Date Received
REPORT (Form '14"/ Mailing Address & Zip Code
Name of Contributor
Amount of Contribution
iIJJ#l:
t}..;)o
10/'7li7
$ioo
/0/13
)'7
-----------------------------------------------------------
iJ/ {Zli :.,..
1/.:.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") Date of Expenditure
Person or Organization To Whom Expenditurewas made
VAQ;c.,1.) :-5&M-J,
1/:>",/0 ~ j; '/ / r f
1
tO~
C;7,!WLf::
s;. -
1/1S7A' pel
iV
pal "7
.-
9/!vh,.,
1/ J fl;J- PeI,,.;7 -
1'[::31 1. Z 2. i I-
,pOS7~6-e- ;:iKl
1/2-6/1r I
72ALL,/
i.t?lhl/J
+- -
/1i2'r
h: 47K
(If additional space is needed, use blank paper and list informauon like the above format and file with this report)
4- fo
CAMPAIGN FINANCIAL REPORT To
____ ~
W-
1'l·..,.. -- -- ..-~-
._--_
_
.... -------_._--
--_._--_ ..__ --_
.
_. _ ....•_---_
...•.
•..
_----
_ .._-_. __ ._------
-----.-.---
_ ...__
...
_
..
_.
-----------_ fif acfdltioni:.lsl]ace is needed:
lTEIVilZl:.-:;OEXPEN\)iTUR~ Date oi Expenditure
...•.
--_ ..... _-_.-
_--
use blank pepa: and tist sntoanetio« m;o ttie ~b~\r"o tarm ..ar and the-n aCtcir.h tc report)
Parson or Orcanization To Whom Expenofiure was made
------
(ff additional space is nooaed,
R[;'PQFrr (Form uf3'~l Amount
;'113i1ing Address
::.~
Exceno-Iw',:;
& Zip Code
__
._------,_
_.
--- ._--_.
__
.-
._--_ .._--._--
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 candidate
Street Address
U
_)_O_~_V_D_I)I_~_I-;-/-'q_h_1 ;/_I/;_e__ _G_/~r u
_
G~~~~~~_6_~~u~f~~~~~~~~~~~_,U~M03t (District
Name of office
_
1. Total contributions of donors who gave more than $50.00 (Form 'W' total from other side of this sheet)
$ __ IL.l
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
ocIo6er.0(00/7-
Signed
_1_o__0__ 7/
_
;: /36 . Ljr; )
_1i::=-....1_~~.
(Candidate)
NOTE: Utah election code 10-3-208 states t.hat all municipalities
~_ shall adopt
an ordinance establishing campaign finance disclosure requirements for can5·6-C
Carr Printing Company, Bountiful, Utah Complete Election Supply Service Since 1902
didates running
for city or town office. You should check with your city
recorder or town clerk for the disclosure requ.irernerrts which pertain to your
municipality,
~'TEMIZEDCONTfUaU110N REPORT (Form ''A ") Date Received
Name of Contributor
(if additional space is needed, use blank paper and fist information
like t.k~ above tormet and men attach to report)
iTF.;.Mf~EOEXPENDITURE R~?ORT (Form "8") Date of
Expenditure
Amount of Contribution
Mailing Address & Zip Code
see
t1 ff/:lie J7le/l
Person or Organization
ToWhom Expenditurewas made
[if wfiitional
t ._ t:
Amount :)i
[\;1ailing Address &_ Zip Code
spa ce is neeaea, use iJfank paper ana list information like the above format and file wttn this report}
Expenditure
Form A - Itemized Contribution Report - Hanz Johansson Date Recieved First Name Last Name 09/24/2017 Timothy Dora 09/26/2017 Nathan Brockbank 10103/2017 Sara Goldkind 09/26/2017 Nathan Brockbank
Street Address 1340 Lasso Dr
City
State
Hideout
2265 E Murray Holladay Rd 10747 N Hideout Trl
Holladay Hideout Holladay
Utah Utah
2265 E Murray Holladay Rd
Utah Utah
Postal Code Amount of Contribution 84036 $100.00 84117 $500.00 84036 $100.00 84117 $1,000.00 Total
$1,700.00
· ,
Form B - Itemized Expenditure Report - Hanz Johansson Date of Expenditure
09/20/2017 09/22/2017 09/22/2017 09/22/2017 09/22/2017 09/25/2017 09/27/2017 09/28/2017 10/02/2017 10/02/2017 10104/2017 10/10/2017 10/17/2017 10/23/2017 10/23/2017 10/25/2017 10/25/2017 10/29/2017 10/29/2017
Person or Organization
GO DADDY Vista Print Vista Print VistaPrint Square Inc Square Inc Square Inc VistaPrint KAMAS FOODTOWN USPS PO 49421604 Square Inc Square Inc Square Inc Wal-Mart Super 840 USPS PO 49353601 KAMAS FOODTOWN KAMAS FOODTOWN Chris M Baier VistaPrint
to Whom Expenditure
was made Mailing Address
& Zip Code
14455 N Hayden Rd, Scottsdale, AZ 85260 95 Hayden Av, Lexington, MA 02421 95 Hayden Av, Lexington, MA 02421 95 Hayden Av, Lexington, MA 02421 1455 Market Street, San Francisco, CA 94103 1455 Market Street, San Francisco, CA 94103 1455 Market Street, San Francisco, CA 94103 95 Hayden Av, Lexington, MA 02421 146 W 200 S, KAMAS UT 84036 55 W 100 N, KAMAS UT 84036 1455 Market Street, San Francisco, CA 94103 1455 Market Street, San Francisco, CA 94103 1455 Market Street, San Francisco, CA 94103 1274 S US 189, HEBER CITY UT 84032 125 E 100 N, HEBER CITY UT 84032 146 W 200 S, KAMAS UT 84036 146 W 200 S, KAMAS UT 84036 10497 N Forevermore Ct, Hideout UT 84036 95 Hayden Av, Lexington, MA 02421 Total
Amount of Expenditure
$12.17 $3.00 $11.25 $263.69 $0.33 $3.20 $14.80 $137.99 $7.45 $34.00 $0.88 $1.75 $29.30 $59.44 $55.57 $21.03 $27.65 $380.00 $72.99 $1,136.49
CAMPAIGN FINANCIAL REPORT To
of
(City Recorder I Town Clerk)
(Municipality)
For .L!tJ~U~
.
O:....:~:.-.
