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 
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 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  $640.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$640.00
In-Kind Contributions +$0.00
Total Contributions: =$640.00
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 +$640.00
Total Other Income +$0.00
Subtotal: a. =$32,286.10
Total Expenditures Paid  $11,700.00
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$11,700.00
Ending Balance:
(Subtotal a. - Subtotal b.)

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

$250.00 or LESS

10/25/2010Four Seasons Pharmacy$20.00
10/25/2010Judy’s Drug Store$20.00
10/25/2010Reed’s Drug Store$20.00
10/25/2010Reed’s Pharmacy$20.00
10/25/2010Sav-A-Lot Pharmacy$20.00
10/25/2010Reed’s Pharmacy #2$20.00
10/25/2010Crab Orchard Pharmacy$20.00
10/25/2010American Pharmacy USA$20.00
10/25/2010Iaeger Pharmacy$20.00
10/25/2010Goodykoontz Drug Store$20.00
10/25/2010Flat Iron Drug Store$20.00
10/25/2010Fritz’s Pharmacy$20.00
10/25/2010Bluewell’s Family Pharmacy$20.00
10/25/2010Black Diamond Pharmacy$20.00
10/25/2010Clinic Pharmacy$20.00
10/25/2010Poca Valu-Rite$20.00
10/25/2010Main Street Pharmacy$20.00
10/25/2010Health-Aid Pharmacy$20.00
10/25/2010Cross Lanes Family Pharmacy$20.00
10/25/2010Med-A-Save Pharmacy$20.00
10/25/2010Nicholas Pharmacy$20.00
10/25/2010McDowell Pharmacy$20.00
10/25/2010Reed’s Drug Store LLC$20.00
10/25/2010Citizens Drug Store$20.00
10/25/2010Charlie’s Pharmacy of Mullens, LLC$20.00
10/25/2010Gregg’s Pharmacy$20.00
10/25/2010Judy’s Drug Store #2$20.00
10/25/2010Pill Box Pharmacy$20.00
10/25/2010Craigsville Hometown Pharmacy$20.00
10/25/2010Best Care Pharmacy$20.00
10/25/2010Lumberport Pharmacy Inc.$20.00
10/25/2010Reeds Pharmacy #4$20.00
 Subtotal of contributions of $250.00 or less$640.00

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
10/26/2010 Larry Border for House
39 Highland Meadows Drive
Davisville, WV 26142
Campaign Contribution$300.00
10/26/2010 Dan Poling for House
1007 Star Avenue
Parkersburg, WV 26105
Campaign Contribution$200.00
10/26/2010 Tom Azinger for House
1310 7th Street
Vienna, WV 26105
Campaign Contribution$200.00
10/26/2010 Mitch Carmichael for House
11 Vail Drive
Ripley, WV 25271
Campaign Contribution$200.00
10/26/2010 Paxton for the House of Delegates
Route 1, Box 187
Liberty, WV 25124
Campaign Contribution$200.00
10/26/2010 Troy Andes for Delegate
15 Deer Valley Drive
Hurricane, WV 25705
Campaign Contribution$200.00
10/26/2010 Kevin Craig for House
34 Chestnut Ave.
Huntington, WV 25705
Campaign Contribution$200.00
10/26/2010 Jim Morgan for House
P.O. Box 117
Huntington, WV 26705
Campaign Contribution$200.00
10/26/2010 Carol Miller for House
1316 12th Street
Huntington, WV 25701
Campaign Contribution$200.00
10/26/2010 Don Perdue for House
Route 1 - Box 98
Prichard, WV 25555
Campaign Contribution$300.00
10/26/2010 Committee to Elect Ralph Rodighiero
142 Sayer Circle
Logan, WV 25601
Campaign Contribution$200.00
10/26/2010 Josh Stowers for House
4293 Coat River Road
Alum Creek, WV 25003
Campaign Contribution$200.00
10/26/2010 Committee to Elect Harry Keith White
P.O. Box 1985
Gilbert, WV 25621
Campaign Contribution$300.00
10/26/2010 Clif Moore for House
P.O. Box 67
Thorpe, WV 248888
Campaign Contribution$200.00
10/26/2010 John Frazier for House
197 Sandpiper Ave.
Princeton, WV 24740
Campaign Contribution$200.00
10/26/2010 Virginia Mahan for House
P.O. Box 1114
Mill Creek Road
Green Sulphur Springs, WV 25966
Campaign Contribution$200.00
10/26/2010 2010 Friends of Bill wooton
210 Main St.
Beckley, WV 2801
Campaign Contribution$200.00
10/26/2010 Team Summer
155 Oak Run Road
Beckley, WV 25801
Campaign Contribution$200.00
10/26/2010 David Perry for House
330 E. Martin Avenue
Oak Hill, WV 25901
Campaign Contribution$200.00
10/26/2010 Re-Elect Barbara "Bobbie" Hatfield
3 Wilbur Drive
South Charleston, WV 25303
Campaign Contribution$300.00
10/26/2010 Mark Hunt for House
901 Edgewood Drive
Charleston, WV 25302
Campaign Contribution$300.00
10/26/2010 Sharon Spencer for House of Delegates
1018 Pine Road
Charleston, WV 25314
Campaign Contribution$200.00
10/26/2010 Nelson for House
P.O. Box 186
Charleston, WV 25321
Campaign Contribution$200.00
10/26/2010 Patrick Lane for House
98 Presidio Pointe
Cross Lanes, WV 25313
Campaign Contribution$200.00
10/26/2010 Ron Walters for House
P.O. Box 3665
Charleston, WV 25336
Campaign Contribution$200.00
10/26/2010 Committee to Elect Brent Boggs
145 Holly Gray Drive
Sutton, WV 26601-9542
Campaign Contribution$200.00
10/26/2010 Committee to Elect Bill Hartman
P.O. Box 243
Elkins, WV 26241
Committee to Elect Bill Hartman$200.00
10/26/2010 Tim MIley for House
23 Valley View Road
Bridgeport, WV 26330
Campaign Contribution$300.00
10/26/2010 Mike Manypenny for House
Route 3 - Box 202
Grafton, WV 26588
Campaign Contribution$200.00
10/26/2010 Friends to Re-elect Mike Caputo
RR 1 - Box 155
Riversville, WV 26588-9711
Friends to Re-Elect Mike Caputo$300.00
10/26/2010 Charlene Marshall for House
1010 Ashton Drive
Morgantown, WV 26508
Campaign Contribution$200.00
10/26/2010 Friends of Barbara
235 High Street, Suite 618
Morgantown, WV 26505
Campaign Contribution$300.00
10/26/2010 Pasdon for House
P.O. Box 106
Morgantown, WV 26505
Campaign Contribution$200.00
10/26/2010 Chris Walters for House
227 McCullough Street, Apt B1
Morgantown, WV 26505
Campaign Contribution$200.00
10/26/2010 Stan Shaver for House
3612 Burch Root Road
Tunnelton, WV 26444
Campaign Contribution$200.00
10/26/2010 Daryl Cowles for House
3612 Martinsburg Road
Berkeley Springs, WV 25411
Campaign Contribution$200.00
10/26/2010 Jonathon Miller for House
134 Whitman Lane
Inwood, WV 25428
Campaign Contribution$200.00
10/26/2010 John Doyle for House
P.O. Box 1407
Shepherdstown, WV 25443
Campaign Contribution$200.00
10/26/2010 Lawrence for Delegate
19 Baltic Lane
Ranso, WV 25438
Campaign Contribution$200.00
10/26/2010 Committee to Elect Klempa
82 Burkham Ct.
Wheeling, WV 36003
Campaign Contribution$200.00
10/26/2010 Mike Hall for Senate
12 Stonegate Drive
Hurricane, WV 25526
Campaign Contribution$200.00
10/26/2010 Ron Miller for Senate
HC 34 Box 359
Lewisburg, WV 24901
Campaign Contribution$200.00
10/26/2010 Mark Wills for House
218 Hale Ave.
Princeton, WV 24720
Campaign Contribution$200.00
10/26/2010 Committee to Elect Joe Minard
510 Heymond Highway
Clarksburg, WV 25301-3876
Campaign Contribution$300.00
10/26/2010 Committee to Elect Bob Beach
P.O. Box 1620
Morgantown, WV 26501
Campaign Contribution$300.00
10/26/2010 Helmick for Senate
HC #2 - Box 130
Marlinton, WV 24954
Campaign Contribution$300.00
10/26/2010 John Unger for Senate
P.O. Box 2415
Martinsburg, WV 25402
Campaign Contribution$200.00
10/26/2010 Committee to Re-Elect Brooks McCabe
1233 Staunton Road
Charleston, WV 25314-1414
Campaign Contribution$200.00
10/26/2010 Committee to Elect Earl Ray Tomblin
P.O. Box 115
Chapmanville, WV 25508-0116
Campaign Contribution$1,000.00
  Total Expenditures: $11,700.00

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, November 16, 2010 9:28:08 AM