State of West Virginia Campaign Financial Statement
(Long Form) in Relation to the 2006 Election Year

Candidate or Committee Name
EPIC West Virginia PharmPAC
Candidate or Committee's Treasurer
Mark Williams
Political Party (for candidates)
Treasurer's Mailing Address (Street, Route, or P.O. Box)
Route 50, HC 61 Box 301 
Office Sought (for Candidates)
City, State, Zip Code
Capon Bridge, WV 26711
Daytime Phone #

Election Cycle Reporting Period (check one):

Primary - First Report
Due Mar 25-Mar 31, 2006
Pre-primary Report
Due Apr 22-Apr 29, 2006
Post-primary Report
Due Jun 03-Jun 09, 2006
General - First Report
Due Sep 02-Sep 08, 2006
Pre-general Report
Due Oct 21-Oct 28, 2006
Post-general Report
Due Dec 02-Dec 08, 2006

Check if Applicable:

Amended Report
You must also check box of appropriate reporting period
Final Report
Zero balance required.
PAC must also file Form F-6 Dissolution

Non-Election Cycle Reporting Period:

Annual Report 2006 Calendar Year
Due last Saturday in March or within 6 days thereafter

Report Totals

Fill in totals at the completion of the report.

RECEIPTS OF FUNDS: Totals for this Period
Contributions  $6,660.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$6,660.00
In-Kind Contributions +$0.00
Total Contributions: =$6,660.00
Other Income  $0.00
Loans Received +$0.00
Total Other Income: =$0.00
Unpaid Bills  $0.00
Outstanding Loans +$0.00
Total Debts: =$0.00
(Add total contributions from all reports)
Beginning Balance
(ending balance from previous report)
Total Monetary Contributions +$6,660.00
Total Other Income +$0.00
Subtotal: a. =$22,386.10
Total Expenditures Paid  $0.00
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$0.00
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
(Add total expenditures from all reports)

$250.00 or LESS

4/4/2005American Pharmacy, USA$20.00
4/4/2005Bluewells Family Pharmacy$20.00
4/4/2005Charlie's Pharmacy #1$20.00
4/4/2005Charlie's Pharmacy #2$20.00
4/4/2005Crab Orchard Pharmacy$20.00
4/4/2005Flat Iron Drug Store$20.00
4/4/2005Four Season's Pharmacy$20.00
4/5/2005Fritz's Pharmacy$20.00
4/4/2005Goodykoontz Drug Store$20.00
4/4/2005Hometown Pharmacy$20.00
4/4/2005Iaeger Pharmacy$20.00
4/4/2005Judy's Drug Store$20.00
4/4/2005Lumberport Pharmacy$20.00
4/4/2005McDowell Pharmacy$20.00
4/4/2005Medicine Shop$20.00
4/4/2005Medicine Shop - Downtown$20.00
4/4/2005Nicholas Pharmacy$20.00
4/4/2005Pennsboro Family Pharmacy$20.00
4/4/2005Pill Box$20.00
4/4/2005Reed's Drug Store$20.00
4/4/2005Reeds PHarmacy$20.00
4/4/2005Reed's Pharmacy #2$20.00
4/4/2005Sav-A-Lot Pharmacy of Fort Ashby$20.00
4/4/2005South Berkeley Pharmacy$20.00
4/4/2005Sunrise Pharmacy$20.00
5/10/2005American Pharmacy, USA$20.00
5/10/2005Bluewells Family Pharmacy$20.00
5/10/2005Charlie's Pharmacy #1$20.00
5/10/2005Charlie's Pharmacy #2$20.00
5/10/2005Crab Orchard Pharmacy$20.00
5/10/2005Flat Iron Drug Store$20.00
5/10/2005Four Seasons Pharmacy$20.00
5/10/2005Fritz's Pharmacy$20.00
5/10/2005Goodykoontz Drug Store$20.00
5/10/2005Hometown Pharmacy$20.00
5/10/2005Iaeger Pharmacy$20.00
5/10/2005Judy's Drug Store$20.00
5/10/2005Lumberport Pharmacy$20.00
5/10/2005McDowell Pharmacy$20.00
5/10/2005Medicine Shop$20.00
5/10/2005Medicine Shop - Downtown$20.00
5/10/2005Nicholas Pharmacy$20.00
5/10/2005Pennsboro Family Pharmacy$20.00
5/10/2005The Pill Box$20.00
5/10/2005Poca Valu-Rite$20.00
5/10/2005Reed's Drug Store$20.00
5/10/2005Reed's Pharmacy$20.00
5/10/2005Reed's Pharmacy #2$20.00
5/10/2005Sav-A-Lot Pharmacy of Fort Ashby$20.00
5/10/2005South Berkeley Pharmacy$20.00
5/10/2005Sunrise Pharmacy$20.00
5/31/2005American Pharmacy, USA$20.00
5/31/2005Black Diamond Pharmacy$20.00
5/31/2005Bluewells Family Pharmacy$20.00
5/31/2005Charlie's Pharmacy #1$20.00
5/31/2005Charlie's Pharmacy #2$20.00
5/31/2005Clinic Pharmacy/WV$20.00
5/31/2005Crab Orchard Pharmacy$20.00
5/31/2005Flat Iron Drug Store$20.00
5/31/2005Four Seasons Pharmacy$20.00
5/31/2005Fritz's Pharmacy$20.00
5/31/2005Goodykoontz Drug Store$20.00
5/31/2005Hometown Pharmacy$20.00
5/31/2005Iaeger Pharmacy$20.00
5/31/2005Judy's Drug Store$20.00
5/31/2005Lumberport Pharmacy$20.00
5/31/2005McDowell Pharmacy$20.00
5/31/2005Medicine Shop$20.00
5/31/2005Medicine Shop - Downtown$20.00
5/31/2005Nicholas Pharmacy$20.00
5/31/2005Pennsboro Family Pharmacy$20.00
5/31/2005The Pill Box$20.00
5/31/2005Poca Valu-Rite$20.00
5/31/2005Reed's Drug Store$20.00
5/31/2005Reed's Pharmacy$20.00
5/31/2005Reed's Pharmacy #2$20.00
5/31/2005Sav-A-L0t Pharmacy of Ft. Ashby$20.00
5/31/2005South Berkeley Pharmacy$20.00
5/31/2005Sunrise Pharmacy$20.00
6/30/2005American Pharmacy USA$20.00
6/30/2005Black Diamond Pharmacy$20.00
6/30/2005Bluewell's Family Pharmacy$20.00
6/30/2005Charlie's Pharmacy #1$20.00
6/30/2005Charlie's Pharmacy #2$20.00
6/30/2005Clinic Pharmacy/WV$20.00
6/30/2005Crab Orchard Pharmacy$20.00
6/30/2005Flat Iron Drug Store$20.00
6/30/2005Four Seasons Pharmacy$20.00
6/30/2005Fritz's Pharmacy$20.00
6/30/2005Goodykoontz Drug Store$20.00
6/30/2005Hometown Pharmacy$20.00
6/30/2005Iaeger Pharmacy$20.00
6/30/2005Judy's Drug Store$20.00
6/30/2005Lumberport Pharmacy$20.00
6/30/2005McDowell Pharmacy$20.00
6/30/2005Medicine Shop - Downtown$20.00
6/30/2005Medicine Shop - Charleston$20.00
6/30/2005Nicholas Pharmacy$20.00
6/30/2005Pennsboro Family Pharmacy$20.00
6/30/2005Pill Box$20.00
6/30/2005Poca Valu-Rite$20.00
6/30/2005Reed's Drug Store$20.00
6/30/2005Reed's Pharmacy$20.00
6/30/2005Reed's Pharmacy #2$20.00
6/30/2005Sav-A-Lot Pharmacy of Fort Ashby$20.00
6/30/2005South Berkeley Pharmacy$20.00
6/30/2005Sunrise Pharmacy$20.00
7/29/2005American Pharmacy USA$20.00
7/29/2005Black Diamond Pharmacy$20.00
7/29/2005Bluewell's Family Pharmacy$20.00
7/29/2005Charlie's Pharmacy #1$20.00
7/29/2005Charlie's Pharmacy #2$20.00
7/29/2005Crab Orchard Pharmacy$20.00
7/29/2005Flat Iron Drug Store$20.00
7/29/2005Four Seasons Pharmacy$20.00
7/29/2005Fritz's Pharmacy$20.00
7/29/2005Goodykoontz Drug Store$20.00
7/29/2005Hometown Pharmacy$20.00
7/29/2005Iaeger Pharmacy$20.00
7/29/2005Judy's Drug Store$20.00
7/29/2005Lumberport Pharmacy$20.00
7/29/2005McDowell Pharmacy$20.00
7/29/2005Medicine Shop - Downtown$20.00
7/29/2005Medicine Shop / Charleston$20.00
7/29/2005Nicholas Pharmacy$20.00
7/29/2005Pennsboro Family Pharmacy$20.00
7/29/2005The Pill Box$20.00
7/29/2005Paca Valu-Rite$20.00
7/29/2005Reed's Drug Store$20.00
7/29/2005Reed's Pharmacy$20.00
7/29/2005Reed's Pharmacy #2$20.00
7/29/2005Sav-A-Lot Pharmacy of Fort Ashby$20.00
7/29/2005South Berkeley Pharmacy$20.00
7/29/2005Sunrise Pharmacy$20.00
9/14/2005American Pharmacy, USA$20.00
9/14/2005Black Diamond Pharmacy$20.00
9/14/2005Bluewells Family Pharmacy$20.00
9/14/2005Charlie's Pharmacy #1$20.00
9/21/2005Charlie's Pharmacy #2$20.00
9/14/2005Clinic Pharmacy/WV$20.00
9/14/2005Crab Orchard Pharmacy$20.00
9/14/2005Flat Iron Drug Store$20.00
9/14/2005Four Seasons Pharmacy$20.00
9/14/2005Fritz's Pharmacy$20.00
9/14/2005Goodykoontz Drug Store$20.00
9/14/2005Hometown Pharmacy$20.00
9/14/2005Iaeger Pharmacy$20.00
9/14/2005Judy's Drug Store$20.00
9/14/2005Lumberport Pharmacy$20.00
9/14/2005McDowell Pharmacy$20.00
9/14/2005Medicine Shop - Downtown$20.00
9/14/2005Medicine Shop - Charleston$20.00
9/14/2005Nicholas Pharmacy$20.00
9/14/2005Pennsboro Family Pharmacy$20.00
9/14/2005The Pill Box$20.00
9/14/2005Poca Valu-Rite$20.00
9/14/2005Reed's Drug Store$20.00
9/14/2005Reed's Pharmacy$20.00
9/14/2005Reed's Pharmacy #2$20.00
9/14/2005Sav-A-Lot Pharmacy of Ft. Ashby$20.00
9/14/2005South Berkeley Pharmacy$20.00
9/14/2005Sunrise Pharmacy$20.00
10/11/2005American Pharmacy USA$20.00
10/11/2005Black Diamond Pharmacy$20.00
10/11/2005Bluewells Family Pharmacy$20.00
10/11/2005Charlie's Pharmacy #1$20.00
10/11/2005Charlie's Pharmacy #2$20.00
10/11/2005Clinic Pharmacy - WV$20.00
10/11/2005Crab Orchard Pharmacy$20.00
10/11/2005Flat Iron Drug Store$20.00
10/11/2005Four Seasons Pharmacy$20.00
10/11/2005Four Seasons Pharmacy$20.00
10/11/2005Goodykoontz Drug Store$20.00
10/11/2005Health-Aid Pharmacy$20.00
10/11/2005Hometown Pharmacy$20.00
10/11/2005Iaeger Pharmacy$20.00
10/11/2005Judy's Drug Store$20.00
10/11/2005Lumberport Pharmacy$20.00
10/11/2005Main Street Pharmacy-Oak Hill$20.00
10/11/2005McDowell Pharmacy$20.00
10/11/2005Medicine Shop - Downtown$20.00
10/11/2005Medicine Shop$20.00
10/11/2005Nicholas Pharmacy$20.00
10/11/2005The Pill Box$20.00
10/11/2005Pennsboro Family Pharmacy$20.00
10/11/2005Poca Valu-Rite$20.00
10/11/2005Reeds Drug Store$20.00
10/11/2005Reeds Pharmacy #2$20.00
10/11/2005Reed's Pharmacy$20.00
10/11/2005Sav-A-Lot Pharmacy of Fort Ashby$20.00
10/11/2005South Berkeley Pharmacy$20.00
10/11/2005Sunrise Pharmacy$20.00
11/1/2005American Pharmacy USA$20.00
11/1/2005Black Diamond Pharmacy$20.00
11/1/2005Bluewells Family Pharmacy$20.00
11/1/2005Charlie's Pharmacy #1$20.00
11/1/2005Charlie's Pharmacy #2$20.00
11/1/2005Clinic PHarmacy/WV$20.00
11/1/2005Crab Orchard Pharmacy$20.00
11/1/2005Flat Iron Drug Store$20.00
11/1/2005Four Seasons Pharmacy$20.00
11/1/2005Fritz's Pharmacy$20.00
11/1/2005Goodykoontz Drug Store$20.00
11/1/2005Health-Aid Pharmacy$20.00
11/1/2005Iaeger Pharmacy$20.00
11/1/2005Judy's Drug Store$20.00
11/1/2005Lumberport Pharmacy$20.00
11/1/2005Main Street Pharmacy-Oak Hill$20.00
11/1/2005McDowell's PHarmacy$20.00
11/1/2005Medicine Shop - Downtown$20.00
11/1/2005Medicine Shop$20.00
11/1/2005Nicholas Pharmacy$20.00
11/1/2005The Pill Box$20.00
11/1/2005Reed's Drug Store$20.00
11/1/2005Reed's Pharmacy$20.00
11/1/2005Reed's PHarmacy #2$20.00
11/1/2005Sav-A-Lot Pharmacy of Ft. Ashby$20.00
11/1/2005South Berkeley Pharmacy$20.00
11/1/2005Sunrise Pharmacy$20.00
12/4/2005American Pharmacy$20.00
12/4/2005Black Diamond Pharmacy$20.00
12/4/2005Bluewells Family Pharmacy$20.00
12/4/2005Charlie's Pharmacy #1$20.00
12/4/2005Charlie's Pharmacy #2$20.00
12/4/2005Clinic Pharmacy-WV$20.00
12/4/2005Crab Orchard Pharamcy$20.00
12/4/2005Cross Lanes Family Pharmacy$20.00
12/7/2005Flat Iron Drug Store$20.00
12/4/2005Four Seasons Pharmacy$20.00
12/4/2005Fritz's Pharmacy$20.00
12/4/2005Goodykoontz Drug Store$20.00
12/4/2005Health Aid Pharmacy$20.00
12/4/2005Iaeger Pharmacy$20.00
12/4/2005Judy's Drug Store$20.00
12/4/2005Lumberport Pharmacy$20.00
12/4/2005Main Street Pharmacy$20.00
12/4/2005McDowell Pharmacy$20.00
12/4/2005Medicine Shop-Downtown$20.00
12/4/2005Medicine Shop - Charleston$20.00
12/4/2005Nicholas Pharmacy$20.00
12/4/2005The Pill Box$20.00
12/4/2005Reeds Drug Store$20.00
12/4/2005Reed's Pharmacy$20.00
12/4/2005Reed's Pharmacy #2$20.00
12/4/2005Sav-A-Lot Pharmacy of Ft Ashby$20.00
12/4/2005South Berkeley Pharmacy$20.00
12/4/2005Sunrise Pharmacy$20.00
12/22/2005American Pharmacy USA$20.00
12/22/2005Black Diamond Pharmacy$20.00
12/22/2005Bluewells Family Pharmacy$20.00
12/22/2005Charlie's Pharmacy #1$20.00
12/22/2005Charlie's Pharmacy #2$20.00
12/22/2005Clinic Pharmacy - WV$20.00
12/22/2005Crab Orchard Pharmacy$20.00
12/22/2005Cross Lanes Family Pharmacy$20.00
12/22/2005Flat Iron Drug Sotre$20.00
12/22/2005Four Seasons Pharmacy$20.00
12/22/2005Fritz's Pharmacy$20.00
12/22/2005Goodykoontz Drug Store$20.00
12/22/2005Health Aid Pharmacy$20.00
12/22/2005Iaeger Pharmacy$20.00
12/22/2005Judy's Drug Store$20.00
12/22/2005Lumberport Pharmacy$20.00
12/22/2005Main Street Pharmacy$20.00
12/22/2005McDowell Pharmacy$20.00
12/22/2005Medicine Shop - Downtown$20.00
12/22/2005Medicine Shop$20.00
12/22/2005Nicholas Pharmacy$20.00
12/22/2005The Pill Box$20.00
12/22/2005Poca Valu-Rite$40.00
12/22/2005Reed's Drug Store$20.00
12/22/2005Reed's Drug Store$20.00
12/22/2005Reed's Pharmacy #2$20.00
12/22/2005Sav-A-Lot Pharmacy of Ft. Ashby$20.00
12/22/2005South Berkeley Pharmacy$20.00
12/22/2005Sunrise Pharmacy$20.00
1/31/2006American Pharmacy USA$20.00
1/31/2006Black Diamond Pharmacy$20.00
1/31/2006Bluewells Family Pharmacy$20.00
1/31/2006Charlie's Pharmacy #1$20.00
1/31/2006Charlie's Pharmacy #2$20.00
1/31/2006Clinic Pharmacy/WV$20.00
1/31/2006Crab Orchard Pharmacy$20.00
1/31/2006Cross Lanes Family Pharmacy$20.00
1/31/2006Flat Iron Drug Store$20.00
1/31/2006Four Seasons Pharmacy$20.00
1/31/2006Fritz's Pharmacy$20.00
1/31/2006Goodykoontz Drug Store$20.00
1/31/2006Health-Aid Pharmacy$20.00
1/31/2006Iaeger Pharmacy$20.00
1/31/2006Judy's Drug Store$20.00
1/31/2006Lumberport Pharmacy$20.00
1/31/2006Main Street Pharmacy$20.00
1/31/2006McDowell Pharmacy$20.00
1/31/2006Medicine Shop - Downtown$20.00
1/31/2006Medicine Shop$20.00
1/31/2006Nicholas Pharmacy$20.00
1/31/2006Pill Box$20.00
1/31/2006Poca Valu-Rite$40.00
1/31/2006Reed's Drug Store$20.00
1/31/2006Reed's Pharmacy #2$20.00
1/31/2006Sav-A-Lot Pharmacy of Ft. Ashby$20.00
1/31/2006South Berkeley Pharmacy$20.00
1/31/2006Sunrise Pharmacy$20.00
3/14/2006American Pharmacy, USA$20.00
3/14/2006Black Diamond Pharmacy$20.00
3/14/2006Bluewells Family Pharmacy$20.00
3/14/2006Charlie’s Pharmacy #1$20.00
3/14/2006Charlie’s Pharmacy #2$20.00
3/14/2006Clinic Pharmacy$20.00
3/14/2006Crab Orchard Pharmacy$20.00
3/14/2006Cross Lanes Family Pharmacy$20.00
3/14/2006Flat Iron Drug Store$20.00
3/14/2006Four Seasons Pharmacy$20.00
3/14/2006Fritz’s Pharmacy$20.00
3/14/2006Goodykoontz Drug Store$20.00
3/14/2006Health Aid Pharmacy$20.00
3/14/2006Iaeger Pharmacy$20.00
3/14/2006Judy’s Drug Store$20.00
3/14/2006Lumberport Pharmacy$20.00
3/14/2006Main Street Pharmacy$20.00
3/14/2006Nicholas Pharmacy$20.00
3/14/2006The Pill Box$20.00
3/14/2006Poca Valu-Rite$20.00
3/14/2006Reed’s Drug Store$20.00
3/14/2006Reed’s Pharmacy$20.00
3/14/2006Reed’s Pharmacy #2$20.00
3/14/2006Sav-A-Lot Pharmacy of Fort Ashby$20.00
3/14/2006South Berkeley Pharmacy$20.00
3/14/2006Sunrise Pharmacy$20.00
1/31/2006Reed’s Pharmacy$20.00
 Subtotal of contributions of $250.00 or less$6,660.00

More than $250.00

 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:

Other Income: Interest, Refunds, Miscellaneous Receipts

DateSource of IncomeType of ReceiptAmount
  Total Other Income: $0.00

In-Kind Contributions

DateName and Contributor InformationDescription of ContributionValue
  Total In-Kind Contributions: $0


West Virginia Code: §3-8-5f. Loans to candidates, organizations or persons for election purposes.

"Every candidate, financial agent, person or association of persons or organization advocating or opposing the nomination or election of any candidate or the passage or defeat of any issue or item to be voted upon may not receive any money or any other thing of value toward election expenses except from the candidate, his or her spouse or a lending institution. All loans shall be evidenced by a written agreement executed by the lender, whether the candidate, his or her spouse, or the lending institution. Such agreement shall state the date and amount of the loan, the terms, including interest and repayment schedule, and a description of the collateral, if any, and the full names and addresses of all parties to the agreement. A copy of the agreement shall be filed with the financial statement next required after the loan is executed."

The loan agreement must include all items asked for in the statute. (See above.) The loan agreement does not have to follow a certain format; generally, if all the required information is listed, any format is acceptable. Candidates or political committees that take out a loan for the campaign through a bank or other commercial lending institution must include a copy of the loan agreement executed with that bank or institution. Candidates should not take out loans which are partially for personal use and partially for the campaign. It is almost impossible to keep reporting straight in this case. Any money a candidate contributes to his or her campaign committee with the hope of repayment must be treated as a loan and reported in this section. When a candidate determines that no further repayment can be expected, the loan can be reported as repaid in this section by entering the amount left to repay in the repayments column and reporting the same amount as a contribution from the candidate on Page 2. These loans must be executed in writing. Caution: Candidates may not carry outstanding loans from one campaign to the next. Each campaign is separate. Funds from a current campaign cannot be used to repay a loan from a previous campaign.

How To Report Loans

  1. Each loan for your campaign should be listed on a separate line. (Each time you loan money to the campaign or get a loan, it is considered to be a separate loan.) Include the following information ont he form below.
    1. loans(s) from prior reporting periods and the balance of each loan (Col A.) If a payment was made on the loan, list that in Col. C. Any loan that was repaid in previous reporting periods does not need to be listed.
    2. new loans, the amount (Col. B), any repayments (Col. C), and the balance (Col. D.)
  2. Attach a copy of the loan agreement for each loan received during the reporting period.

Loans (Continued)

Bank Loans: List name & address or financial institution
Candidate or Candidate's Spouse Loans: List name, residence and mailing address of person(s) making or cosigning loan
Column A
Balance of previous loan at end of period
Column B
Amount of new loan received during period
Column C
Repayments during period
Column D
Balance outstanding at end of period
Amount Date Amount Date Amount Amount
Loans Received Repayment of Loans Outstanding Loans
Totals: $0.00 $0.00 $0.00

Itemized Expenditures

DateName of Person or Vendor And AddressPurposeAmount
  Total Expenditures: $0.00

Receipt of a Transfer of Excess Funds

DateCandidate Committee Name and YearAmount
 Total Receipts of Transfer of Excess Funds: $0.00

Disbursement of Excess Funds

DateName of candidate committee and election year disbursing excess fundsPurpose of DisbursementAmount
  Total Disbursement of Excess Funds: $0

Unpaid Bills

DateGroup or Firm AffiliationPurposeAmount
  Total Unpaid Bills: $0.00

Office Use Only
Filed With West Virginia Secretary of State
Friday, March 31, 2006 12:00:00 AM