STATE OF UTAH - DIVISION OF CONSUMER PROTECTION
                                     STATEMENT OF FUNCTIONAL EXPENSES
              For organizations who file the IRS Form 990-EZ, 990-PF, 990-N, or do not file any type of IRS Form 990

                                           ORGANIZATION NAME

                                                 Revenue
Contribution/Grant Revenue                                                                                          0.00
Other Revenue                                                                                                       0.00
Total Revenue                                                                                                       $ 0.00
                          ONLY FILL OUT THE YELLOW OR GRAYED OUT AREAS
                                                 Expense

   Do not report amounts reported on other       Total                             Management 
                         lines                   Expenses                          & General                        Fundraising
                                                                   Program Service

1 Grants, Allocations, Contributions Made        0.00              0.00
2 Specific Assistance to Individuals             0.00              0.00
3 Registration Fees                              0.00                              0.00
4 Benefits Paid to/for Members                   0.00              0.00            0.00                             0.00
5 Compensation of Officers/Directors             0.00              0.00            0.00                             0.00
6 Employee Salaries and Wages                    0.00              0.00            0.00                             0.00
7 Pension Plan Contributions                     0.00              0.00            0.00                             0.00
8 Other Employee Benefits                        0.00              0.00            0.00                             0.00
9 Payroll Taxes                                  0.00              0.00            0.00                             0.00
10 Legal Fees                                    0.00              0.00            0.00                             0.00
11 Accounting Fees                               0.00              0.00            0.00                             0.00
12 Lobbying Fees                                 0.00              0.00            0.00                             0.00
13 Professional Fundraising Fees                 0.00              0.00            0.00                             0.00
14 Investment Management Fees                    0.00              0.00            0.00                             0.00
15 Bank Fees                                     0.00              0.00            0.00                             0.00
16 Advertisin g,Promotion  and Fundraising Event 0.00              0.00            0.00                             0.00
17 Office Expenses                               0.00              0.00            0.00                             0.00
18 Information Technology                        0.00              0.00            0.00                             0.00
19 Royalties                                     0.00              0.00            0.00                             0.00
20 Occupancy                                     0.00              0.00            0.00                             0.00
21 Travel                                        0.00              0.00            0.00                             0.00
22 Conferences, Conventions and Meetings         0.00              0.00            0.00                             0.00
23 Interest                                      0.00              0.00            0.00                             0.00
24 Payments to Affiliates                        0.00              0.00            0.00                             0.00
25 Insurance                                     0.00              0.00            0.00                             0.00
26 Other Expenses                                0.00              0.00            0.00                             0.00
27 Total Functional Expenses                     $0.00             $ 0.00          $ 0.00                           $ 0.00

                                     Application Financial Information
   Contributions                                                                                                    0.00
   Management & General Expense                                                                                     0.00
   Fundraising Expense                                                                                              0.00

   Fundraising Costs as % of contributions                                                                          0%
   Fundraising + Mgmt as % of contributions                                                                         0%
   % of contributions remaining for charitable                                                                      0%