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):

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

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)
$12,380.00

CASH BALANCE SUMMARY
Beginning Balance (ending balance from previous report)		$31,646.10
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		=$20,586.10

TOTAL EXPENDITURES ELECTION YEAR-TO-DATE (Add total expenditures from all reports)
$32,200.00

Contributions
$250.00 or LESS

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

Contributions
More than $250.00

DATE	CONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAME	AMOUNT
	Subtotal of all contributions of more than $250.00 Subtotal of all contributions of $250 or less Total Contributions:	$0.00 $640.00 $640.00

Other Income: Interest, Refunds, Miscellaneous Receipts

Date	Source of Income	Type of Receipt	Amount
		Total Other Income:	$0.00

In-Kind Contributions

Date	Name and Contributor Information	Description of Contribution	Value
		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

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.)
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

Date	Name of Person or Vendor And Address	Purpose	Amount
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

Date	Candidate Committee Name and Year	Amount
	Total Receipts of Transfer of Excess Funds:	$0.00

Disbursement of Excess Funds

Date	Name of candidate committee and election year disbursing excess funds	Purpose of Disbursement	Amount
		Total Disbursement of Excess Funds:	$0

Unpaid Bills

Date	Group or Firm Affiliation	Purpose	Amount
		Total Unpaid Bills:	$0.00

Office Use Only
Filed With West Virginia Secretary of State
Tuesday, November 16, 2010 9:28:08 AM

State of West Virginia Campaign Financial Statement (Long Form) in Relation to the 2010 Election Year