State of West Virginia Campaign Financial Statement
(Long Form) in Relation to the 2012 Election Year

Candidate or Committee Name
Morgan Co. Republican Club
Candidate or Committee's Treasurer
Daryl Cowles
Political Party (for candidates)
Treasurer's Mailing Address (Street, Route, or P.O. Box)
2612 Martinsburg Road 
Office Sought (for Candidates)
City, State, Zip Code
Berkeley Springs, WV 25411
Daytime Phone #

Election Cycle Reporting Period (check one):

Primary - First Report
Due Mar 31-Apr 06, 2012Mar 31-Apr 06, 2012
Pre-primary Report
Due Apr 23-Apr 27, 2012Apr 23-Apr 27, 2012
Post-primary Report
Due May 21-Jun 19, 2012May 21-Jun 19, 2012
General - First Report
Due Sep 24-Sep 28, 2012Sep 24-Sep 28, 2012
Pre-general Report
Due Oct 22-Oct 26, 2012Oct 22-Oct 26, 2012
Post-general Report
Due Nov 19-Dec 19, 2012Nov 19-Dec 19, 2012

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 2012 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  $220.00
Monetary Contributions from all Fund-Raising Events +$3,450.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$3,670.00
In-Kind Contributions +$0.00
Total Contributions: =$3,670.00
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 +$3,670.00
Total Other Income +$0.00
Subtotal: a. =$5,799.94
Total Expenditures Paid  $1,550.71
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$1,550.71
Ending Balance:
(Subtotal a. - Subtotal b.)

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

$250.00 or LESS

4/27/2012George McVey$5.00
4/27/2012Elaine McVey$5.00
4/27/2012Vince Shambaugh$5.00
4/27/2012Melanie Shambaugh$5.00
5/4/2012Philip Keseckedr$200.00
 Subtotal of contributions of $250.00 or less$220.00

More than $250.00

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

Fund-Raising Events

All monetary contributions received at a fundraiser must be reported in the Event Summary below.
If contributor's name and amount are not listed, the contribution must be turned over to the West Virginia General Revenue Fund. The only exception to this rule may apply to political party executive committees. (WV Code 3-8-5a).

Lincoln Day Dinner Event Summary

Date of Event: 4/28/2012 Total Monetary Contributions:  $3,450.00
Type of Event: Dinner and Speakers Total Expenditures: -$1,550.71
Name of Place Held: American Legion NET RECEIPTS: =$1,899.29
Address of Place Held: Washington Street
Berkeley Springs, WV 25411
Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

4/12/2012Philip Kesecker$50.00
4/12/2012Ron Rankin$25.00
4/12/2012Robert Henry$50.00
4/28/2012Dan Duckwall$50.00
4/28/2012Ruth Miller$25.00
4/28/2012Robert Hess$50.00
4/28/2012Bob Ford$25.00
4/28/2012David Feltner$50.00
4/28/2012Kathryn Eppinger$25.00
4/28/2012Janie Sirbaugh$25.00
4/28/2012Larry Bradley$50.00
4/28/2012Sherrie Johnson$50.00
4/28/2012Kermit Ambrose$25.00
4/28/2012Glenn Ryburn$50.00
4/28/2012Charles Trump$125.00
4/28/2012Larry Faircloth$50.00
4/28/2012Carl Cowgill$25.00
4/28/2012John Rowland$25.00
4/28/2012Marshall Eaton$50.00
4/28/2012Dave Hall$50.00
4/28/2012Tommy Swaim$50.00
4/28/2012Terry Miller$50.00
4/28/2012Jim Fritz$25.00
4/28/2012Larry Kump$25.00
4/28/2012Stewart Taylor$50.00
4/28/2012David Twigg$50.00
4/28/2012Joel Tuttle$25.00
4/28/2012Roland Shambaugh, Jr.$50.00
4/28/2012Les Morris$50.00
4/28/2012Stacy Dugan$50.00
4/28/2012Vince Shambaugh$50.00
4/28/2012Ronnie McIntire$50.00
4/28/2012Kevin McLaughlin$50.00
4/28/2012Scott Lemon$50.00
4/28/2012Daryl Cowles$150.00
4/28/2012George McVey$50.00
4/28/2012Tim Johnson$25.00
4/28/2012Kent Leonhardt$25.00
4/28/2012Ann Swaim$25.00
4/28/2012Pat Fields$75.00
4/28/2012Brad Close$50.00
4/28/2012John Overington$25.00
4/28/2012Daniel Wright$50.00
4/28/2012Bill Maloney$100.00
4/28/2012Patrick Morrisey$50.00
4/28/2012Michael Hall$50.00
4/28/2012Douglas Skinner$50.00
4/28/2012Roland Shambaugh, Sr.$50.00
4/28/2012Peggy Miller$60.00
4/28/2012Eric Householder$40.00
4/28/2012Michael Davis$25.00
4/28/2012Craig Blair$50.00
4/28/2012Brad Close$25.00
4/28/2012Brad Close$50.00
4/28/2012Kimberly Jackson$50.00
4/28/2012Committee to keep Craig Blair In Office$125.00
4/28/2012Thomas Close$250.00
 Subtotal of event contributions of less than $250.00 $2,950.00

More than $250

4/28/2012 Full Name:  Timothy Close
Address:  Resident
332 Sarah Ann Lane
Berkeley Springs, WV 25411

Contributor's Job: (individual contributor only)  Timothy Close
Where Contributor Works: (individual contributor only)  self-employed
Affiliation: (political committee only)  Republican
 Event contributions of $250 or more: 
Event contributions of less than $250: 
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
2/2/2012 American Legion
Washington Street
Berkeley Springs, WV 25411
2/8/2012 Morgan Messenger
16 N. Mercer Street
Berkeley Springs, WV 25411
2/21/2012 American Legion
Washington Street
Berkeley Springs, WV 25411
Hall Rental$300.00
5/2/2012 American Legion Auxiliary
522 North
Berkeley Springs, WV 25411
Ladies Auxiliary for dinner preparation$1,074.31
5/2/2012 Morgan Messenger
16 N. Mercer Street
Berkeley Springs, WV 25411
Lincoln Day Dinner Ad$84.00
  Total Expenditures: $1,550.71

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
Wednesday, August 15, 2012 9:18:40 AM