--- Page 1 --- Page 1 of 2 Student Election Expense Report Sample (Note: There is no expense report form since everyone’s expense report will be different, you just need to create it in Microsoft Word/Google Docs/Apple Pages, Microsoft Excel/Google Sheets/Apple Numbers, or whatever app you prefer to use. This sample was created using Microsoft Word.) Coalition Name (or Individual Candidate Full LEGAL Name) February/March XX, 20XX • The list of expenses AND receipts submitted should be in order by the buyers last name, then date and time. • Make sure to include buyer’s full LEGAL names in the list for reimbursement. Section 1: Expenses with Receipts Buyer Name (Full LEGAL Name) Date Time Store Item Descriptions (One (1) Receipt Per Row) Amount John Adams 1/29 14:38 Office Depot 2 white poster board packs, 1black poster pack 15.26 John Adams 1/30 16:35 Home Depot 5 blue tapes 25.84 Jane Boone 1/30 19:13 Target 8 metal color markers 5.40 Jane Boone 2/01 16:09 Michaels 1 banner paper roll, 2 brushes. 1 wrap 20.17 Tom Card 2/01 18:47 Target Ink for Epson printer 18.56 Tom Card 2/01 20:43 FedEx Office B&W photocopy Qty: 50 sheets 5.46 George Dun 2/01 21:22 Home Depot 6 blue tapes 19.47 Stephanie Erl 1/29 22:25 FedEx Office B&W photocopy Qty: 100 sheets 10.93 Stephanie Erl 2/02 00:33 FedEx Office B&W photocopy Qty: 265 sheets 28.96 Stephanie Erl 2/05 00:37 FedEx Office B&W photocopy Qty: 169 sheets 18.47 Stephanie Erl 2/08 00:33 Staples 2 glue sticks 5.44 Stephanie Erl 2/10 16:12 Home Depot 6 2-inch blue tapes 36.02 Daphne Hun 2/08 11:41 Office Depot 2 white poster board pack, 4 markers 18.87 Daphne Hun 2/09 13:24 Michaels 2 shirt printing packs 21.83 Bob Lamb 1/29 13:27 Michaels 16 shirts 43.70 Bob Lamb 2/04 13:39 FedEx Office Card stock paper Qty: 100 sheets 31.68 Bob Lamb 2/07 16:06 Target 72CT Paper 4.17 Danielle Rin 2/01 15:38 Staples Color & BW printing Qty: 75 sheets 22.47 Danielle Rin 2/05 15:39 Staples 1 white poster board pack 5.45 Danielle Rin 2/10 14:52 Staples B&W photocopy Qty: 240 sheets 20.98 Danielle Rin 2/10 15:18 Staples B&W Photocopy Qty: 402 35.13 Danielle Rin 2/12 14:08 Staples B&W photocopy Qty: 240 20.98 Total $435.24 B&W photocopy cost 10 cents each. Color photocopy cost 45 cents each. 10 poster boards in each poster pack. Receipt Totals: Buyer Name (Full Legal Name) Amount John Adams 41.10 Jane Boone 25.57 Tom Card 24.02 George Dun 19.47 Stephanie Erl 99.82 Daphne Hun 40.70 Bob Lamb 79.55 Danielle Rin 105.01 Total $435.24 --- Page 2 --- Page 2 of 2 Section 2: Expenses without Receipts or Donated Materials 1. 8 Sharpie markers donated by John Adams, cost approximately $8.19 2. Printing some color photos by George Dun’s printer, cost approximately $9 (20 sheets @ $0.45) Total of Items without Receipts or Donated Materials: $17.19 Section 3: Grand Total Category Amount Receipt Subtotal 435.24 No Receipt Subtotal 27.19 Grand Total $462.43 Grand Total must be below Campaign Expense Limit. Notes and Tips: • Each independent candidate and each coalition, regardless of whether they campaigned or used funds to campaign, must submit an expense report to the Office of College Life by the deadline specified in the election timeline. • There is no expense report form since everyone’s expense report will be different; you just need to create it in Microsoft Word/Google Docs/Apple Pages, Microsoft Excel/Google Sheets/Apple Numbers, or whatever app you prefer to use. This sample was created using Microsoft Word. • Coalitions only need to submit one expense report for all their members. • Original receipts are required for reimbursement. • Receipts must show that a payment was made to be eligible for a reimbursement. • Expense reports containing a substantial number of inaccuracies may result in disqualification. • The list of expenses AND receipts submitted should be in order by the buyers last name, then date and time. • Make sure to include buyer’s FULL LEGAL NAMES in the list for reimbursement. • List one (1) receipt per row. • Budget the expenses in advance and record expenses when incurred (when you buy material or receive a donation). Do not wait until the end to add the expenses all together at one time to eliminate the chance of going over the Campaign Expense Limit. • Donated material cost shall be realistically estimated using department store price or Internet price. Saved as Student-Election-Expense-Report-Sample.docx Revised 2/16/2022