County and Metro Township Candidates & Office Holders

Statement of Dissolution

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Candidate Information

First Jeffrey

Middle C.

Last White

Suffix

Work Phone (xxx) xxx-xxxx

Office Council

District #/County 6

Party Unaffiliated

County of Election

Street Address XXXXXXXXXX

Suite/PO Box XXXXXXXXXX

City XXXXXXXXXX

State XX

Zip 000000

Dissolution Confirmation

I, Jeffrey White, affirm that my account balance is zero, I have closed my campaign account, dissolved my campaign committee, and I will no longer be receiving contributions or making expenditures for political purposes as a candidate for the above office.

Signature of Candidate Jeffrey White

Date 1/1/0001

For More Information

Contact the Salt Lake County Clerk’s office
Email: FinancialDisclosure@slco.org

Phone: (385) 468-8683