State of West Virginia Campaign Financial Statement
(Long Form) in Relation to the 2010 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 hokie.eer@gmail.com 
Office Sought (for Candidates)
District/Division
City, State, Zip Code
Capon Bridge, WV 26711
Daytime Phone #
304-856-2901

Election Cycle Reporting Period (check one):

 X 
Primary - First Report
Due Mar 27-Apr 02, 2010
    
Pre-primary Report
Due Apr 26-Apr 30, 2010
    
Post-primary Report
Due May 24-Jun 23, 2010
    
General - First Report
Due Sep 20-Sep 24, 2010
    
Pre-general Report
Due Oct 18-Oct 22, 2010
    
Post-general Report
Due Nov 15-Dec 15, 2010

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 2010 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  $7,900.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$7,900.00
In-Kind Contributions +$0.00
Total Contributions: =$7,900.00
 
Other Income  $0.00
Loans Received +$0.00
Total Other Income: =$0.00
 
OUTSTANDING LOANS & DEBTS:  
Unpaid Bills  $0.00
Outstanding Loans +$0.00
Total Debts: =$0.00
 
TOTAL CONTRIBUTIONS ELECTION YEAR-TO-DATE
(Add total contributions from all reports)
$7,900.00
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)
 $40,406.10
Total Monetary Contributions +$7,900.00
Total Other Income +$0.00
Subtotal: a. =$48,306.10
 
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
=$48,306.10
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$0.00

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
3/25/2010Judy’s Drug Store$20.00
3/25/2010Reed’s Drug Store$20.00
3/25/2010Reed’s Pharmacy$20.00
3/25/2010Four Seasons Pharmacy$20.00
3/8/2010Craigsville Hometown Pharmacy$40.00
3/8/2010Pill Box Pharmacy$40.00
3/8/2010Judy’s Drug Store$40.00
3/8/2010Gregg’s Pharmacy$40.00
3/8/2010Charlie’s Pharmacy of Mullens, LLC$40.00
3/8/2010Citizens Drug Store$40.00
3/8/2010Reed’s Pharmacy #4$40.00
3/8/2010Reed’s Drug Sotre LLC-Romney$40.00
3/8/2010McDowell Pharmacy$40.00
3/8/2010Nicholas Pharmacy$40.00
3/8/2010Med-A-Save Pharmacy$40.00
3/8/2010Cross Lanes Family Pharmacy$40.00
3/8/2010Health Aid Pharmacy$40.00
3/8/2010Main Street Pharmacy$40.00
3/8/2010Poca Valu Rite$40.00
3/8/2010Clinic Pharmacy$40.00
3/8/2010Black Diamond Pharmacy$40.00
3/8/2010Bluewells Family Pharmacy$40.00
3/8/2010Fritz’s Pharmacy$40.00
3/8/2010Flat Iron Drug Store$40.00
3/8/2010Goodykoontz Drug Store$40.00
3/8/2010Iaeger Pharmacy$40.00
3/8/2010American Pharmacy$40.00
3/8/2010Crab Orchard Pharmacy$40.00
3/8/2010Reed’s Pharmacy #2$40.00
3/8/2010Sav-A-Lot Pharmacy$40.00
3/8/2010Reed’s Pharmacy$40.00
3/8/2010Reed’s Drug Store$40.00
3/8/2010Judy’s Drug Store$40.00
3/8/2010Four Seasons Pharmacy$40.00
12/28/2009Craigsville Hometown Pharmacy$60.00
12/28/2009Pill Box$60.00
12/28/2009Judy’s Drug Store #2$60.00
12/28/2009Gregg’s Pharmacy$60.00
12/28/2009Charlie’s Pharmacy of Mullens$60.00
12/28/2009Citizen’s Drug Store$60.00
12/28/2009Reed’s Pharmacy #4$60.00
12/28/2009Reed’s Drug Store - Romney$60.00
12/28/2009McDowell Pharmacy$60.00
12/28/2009Nicholas Pharmacy$60.00
12/28/2009Med-A-Save Pharmacy$60.00
12/28/2009Cross Lanes Family Pharmacy$60.00
12/28/2009Health-Aid Pharmacy$60.00
12/28/2009Main Street Pharmacy$60.00
12/28/2009Poca Valu Rite$60.00
12/28/2009Clinic Pharmacy$60.00
12/28/2009Black Diamond Pharmacy$60.00
12/28/2009Bluewell’s Family Pharmacy$60.00
12/28/2009Fritz Pharmacy$60.00
12/28/2009Flat Iron Drug Store$60.00
12/28/2009Goodykoontz Drug Store$60.00
12/28/2009Iaeger Pharmacy$60.00
12/28/2009American Pharmacy, USA$60.00
12/28/2009Crab Orchard Pharmacy$60.00
12/28/2009Reed’s Pharmacy #2$60.00
12/28/2009Sav-A-Lot Pharmacy of Fort Ashby$60.00
12/28/2009Reed’s Pharmacy$60.00
12/28/2009Reed’s Drug Store - Keyser$60.00
12/28/2009Judy’s Drug Store$60.00
12/28/2009Four Seasons Pharmacy$60.00
12/28/2009Lumberport Pharmacy$20.00
10/22/2009Four Seasons Pharmacy$60.00
10/22/2009Judy’s Drug Store$60.00
10/22/2009Craigsville Hometown Pharmacy$60.00
10/22/2009Pill Box$60.00
10/22/2009Judys Drug Store #2$60.00
10/22/2009Greggs Pharmacy$60.00
10/22/2009Charlies Pharmacy of Mullens$60.00
10/22/2009Citizens Drug Store$60.00
10/22/2009Reeds Pharmacy #4$60.00
10/22/2009Reeds Drug Store LLC - Romney$60.00
10/22/2009McDowell Pharmacy$60.00
10/22/2009Nicholas Pharmacy$60.00
10/22/2009Med-A-Save Pharmacy$60.00
10/22/2009Cross Lanes Pharmacy$60.00
10/22/2009Health Aid Pharmacy$60.00
10/22/2009Main Street Pharmacy$60.00
10/22/2009Poca Valu-Rite$60.00
10/22/2009Clinic Pharmacy$60.00
10/22/2009Black Diamond Pharmacy$60.00
10/22/2009Bluewells Family Pharmacy$60.00
10/22/2009Fritz Pharmacy$60.00
10/22/2009Flat Iron Drug Store$60.00
10/22/2009Lumberport Pharmacy$60.00
10/22/2009Goodykoontz Drug Store$60.00
10/22/2009Iaeger Pharmacy$60.00
10/22/2009American Pharmacy USA$60.00
10/22/2009Crab Orchard Pharmacy$60.00
10/22/2009Reeds Pharmacy #2$60.00
10/22/2009Sav-A-Lot Pharmacy$60.00
10/22/2009Reeds Pharmacy$60.00
10/22/2009Reeds Drug Store - Keyser$60.00
7/1/2009Craigsville Hometown Pharmacy$20.00
7/1/2009Pill Box Pharmacy$20.00
7/1/2009Judys Drug Store #2$20.00
7/1/2009Greggs Pharmacy$20.00
7/1/2009Charlies Pharmacy of Mullens, LLC$20.00
7/1/2009Citizen’s Drug Store$20.00
7/1/2009Reeds Pharmacy #4$20.00
7/1/2009Reed’s Drug Store, LLC$20.00
7/1/2009McDowell Pharmacy$20.00
7/1/2009Nicholas Pharmacy$20.00
7/1/2009Med-A-Save Pharmacy$20.00
7/1/2009Cross Lanes Pharmacy$20.00
7/1/2009Health-Aid Pharmacy$20.00
7/1/2009Main Street Pharmacy$20.00
7/1/2009Poca Valu-Rite$20.00
7/1/2009Clinic Pharmacy$20.00
7/1/2009Black Diamond Pharmacy$20.00
7/1/2009Bluewells Family Pharmacy$20.00
7/1/2009Fritz Pharmacy$20.00
7/1/2009Flat Iron Drug Store$20.00
7/1/2009Lumberport Pharmacy$20.00
7/1/2009Goodykoontz Drug Store$20.00
7/1/2009Iaeger Pharmacy$20.00
7/1/2009American Pharmacy$20.00
7/1/2009Crab Orchard Pharmacy$20.00
7/1/2009Reeds Pharmacy #2$20.00
7/1/2009Sav-A-Lot Pharmacy $20.00
7/1/2009Reeds Pharmacy$20.00
7/1/2009Reeds Drug Store$20.00
7/1/2009Judys Drug Store$20.00
7/1/2009Four Seasons Pharmacy$20.00
6/6/2009Pill Box Pharmacy$20.00
6/6/2009Judy’s Drug Store #2$20.00
6/6/2009Gregg’s Pharmacy$20.00
6/6/2009Charlie’s Pharmacy of Mullens$20.00
6/6/2009Citizens Drug Store$20.00
6/6/2009Reed’s Pharmacy #4$20.00
6/6/2009Reed’s Pharmacy LLC$20.00
6/6/2009McDowell Pharmacy$20.00
6/6/2009Nicholas Pharmacy$20.00
6/6/2009Med-A-Save Pharmacy$20.00
6/6/2009Cross Lanes Family Pharmacy$20.00
6/6/2009Health-Aid Pharmacy$20.00
6/6/2009Main Street Pharmacy$20.00
6/6/2009Poca Valu-Rite$20.00
6/6/2009Clinic Pharmacy$20.00
6/6/2009Black Diamond Pharmacy$20.00
6/6/2009Bluewell’s Family Pharmacy$20.00
6/6/2009Fritz’s Pharmacy$20.00
6/6/2009Flat Iron Drug Store$20.00
6/6/2009Lumberport Phamacy$20.00
6/6/2009Goodykoontz Drug Store$20.00
6/6/2009Iaeger Pharmacy$20.00
6/6/2009American Pharmacy USA$20.00
6/6/2009Crab Orchard Pharmacy$20.00
6/6/2009Reed’s Pharmacy #2$20.00
6/6/2009Sav-A-Lot Pharmacy of Fort Ashby$20.00
6/6/2009Reed’s Pharmacy $20.00
6/6/2009Reed’s Drug Store $20.00
6/6/2009Judy’s Drug Store$20.00
6/6/2009Four Seaons Pharmacy$20.00
5/6/2009The Pill Box$20.00
5/6/2009Reed’s Pharmacy #4$20.00
5/6/2009Judy’s Drug Store #2$20.00
5/6/2009Gregg’s Pharmacy$20.00
5/6/2009Charlie’s Pharmacy of Mullens$20.00
5/6/2009Citizens Drug Store$20.00
5/6/2009Reed’s Drug Store-LLC$20.00
5/6/2009McDowell Pharmacy$20.00
5/6/2009Nicholas Pharmacy$20.00
5/6/2009Med-A-Save Pharmacy$20.00
5/6/2009Cross Lanes Family Pharmacy$20.00
5/6/2009Health Aid Pharmacy$20.00
5/6/2009Main Street Pharmacy$20.00
5/6/2009Poca Valu-Rite$20.00
5/6/2009Clinic Pharmacy$20.00
5/6/2009Black Diamond Pharmacy$20.00
5/6/2009Bluewell’s Family Pharmacy$20.00
5/6/2009Fritz’s Pharmacy$20.00
5/6/2009Flat Iron Drug Store$20.00
5/6/2009Lumberport Pharmacy$20.00
5/6/2009Goodykoontz Drug Store$20.00
5/6/2009Iaeger Pharmacy$20.00
5/6/2009American Pharmacy USA$20.00
5/6/2009Crab Orchard Pharmacy$20.00
5/6/2009Reed’s Pharmacy #2$20.00
5/6/2009Sav-A-Lot Pharmacy$20.00
5/6/2009Reed’s Pharmacy$20.00
5/6/2009Reed’s Drug Store$20.00
5/5/2009Judy’s Drug Store$20.00
5/5/2009Four Seasons Pharmacy$20.00
4/6/2009Judy’s Drug Store$20.00
4/6/2009Gregg’s Pharmacy$20.00
4/6/2009Charlie’s Pharmacy of Mullens$20.00
4/6/2009Citizens Drug Store$20.00
4/6/2009Reed’s Pharmacy #4$20.00
4/6/2009Reed’s Drug Store LLC$20.00
4/6/2009McDowell Pharmacy$20.00
4/6/2009Nicholas Pharmacy$20.00
4/6/2009Med-A-Save Pharmacy$20.00
4/6/2009Cross Lanes Family Pharmacy$20.00
4/6/2009Health Aid Pharmacy$20.00
4/6/2009Main Street Pharmacy$20.00
4/6/2009Poca Valu Rite$20.00
4/6/2009Clinic Pharmacy$20.00
4/6/2009Black Diamond Pharmacy$20.00
4/6/2009Bluewell’s Family Pharmacy$20.00
4/6/2009Fritz’s Pharmacy$20.00
4/6/2009Flat Iron Drug Store$20.00
4/6/2009Lumberport Pharmacy$20.00
4/6/2009Goodykoontz Drug Store$20.00
4/6/2009Ieager Pharmacy$20.00
4/6/2009American Pharmacy USA$20.00
4/6/2009Crab Orchard Pharmacy$20.00
4/6/2009Reed’s Pharmacy #2$20.00
4/6/2009Sav-A-Lot Pharmacy$20.00
4/6/2009Peed’s Pharmacy$20.00
4/6/2009Reed’s Drug Store$20.00
4/6/2009The Pill Box$20.00
4/6/2009Judy’s Drug Store$20.00
4/6/2009Four Seasons Pharmacy$20.00
3/25/2010Sav-A-Lot Pharmacy$20.00
3/25/2010Reed’s Pharmacy #2$20.00
3/25/2010Crab Orchard Pharmacy$20.00
3/25/2010American Pharmacy USA$20.00
3/25/2010Iaeger Pharamcy$20.00
3/25/2010Flat Iron Drug Store$20.00
3/25/2010Fritz’s Pharmacy$20.00
3/25/2010Bluewells Family Pharmacy$20.00
3/25/2010Black Diamond Pharmacy$20.00
3/25/2010Clinic Pharmacy$20.00
3/25/2010Main Street Pharmacy$20.00
3/25/2010Health Aid Pharmacy$20.00
3/25/2010Cross Lanes Family Pharmacy$20.00
3/25/2010Nicholas Pharmacy$20.00
3/25/2010McDowell Pharmacy$20.00
3/25/2010Reed’s Drug Store$20.00
3/25/2010Reed’s Pharmacy #4$20.00
3/25/2010Citizens Drug Store$20.00
3/25/2010Charlie’s Pharmacy of Mullens$20.00
3/25/2010Gregg’s Pharmacy$20.00
3/25/2010Judy’s Drug Store #2$20.00
3/25/2010Pill Box Pharmacy$20.00
3/25/2010Craigsville Hometown Pharmacy$20.00
3/25/2010Poca Valu Rite$20.00
3/25/2010Med-A-Save Pharmacy$20.00
3/25/2010Goodykoontz Drug Store$20.00
 Subtotal of contributions of $250.00 or less$7,900.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:
$0.00
$7,900.00
$7,900.00


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

Loans

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
Tuesday, March 30, 2010 9:52:00 AM