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

Candidate or Committee Name
National Association of Social Workers Action Committee
Candidate or Committee's Treasurer
R. Larry Beckett
Political Party (for candidates)
Treasurer's Mailing Address (Street, Route, or P.O. Box)
31 Brittany Woods lbeckett@suddenlink.net 
Office Sought (for Candidates)
District/Division
City, State, Zip Code
Charleston, WV 25314
Daytime Phone #
(304) 553-5144

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
 X 
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  $0.00
Monetary Contributions from all Fund-Raising Events +$713.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$713.00
In-Kind Contributions +$127.50
Total Contributions: =$840.50
 
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)
$840.50
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)
 $2,985.76
Total Monetary Contributions +$713.00
Total Other Income +$0.00
Subtotal: a. =$3,698.76
 
Total Expenditures Paid  $1,400.00
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$1,400.00
 
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
=$2,298.76
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$1,400.00

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
 Subtotal of contributions of $250.00 or less 
 

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
$0.00
$0.00

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).

NASWAC fundraising reception Event Summary

Date of Event: 4/26/2012 Total Monetary Contributions:  $713.00
Type of Event: event to raise funds from NASW members Total Expenditures: -$0.00
Name of Place Held: Charleston Mariott Hotel NET RECEIPTS: =$713.00
Address of Place Held: 200 Lee St. East
Charleston, WV 25301
Total In-Kind Contributions Related to the Fundraiser  $127.50

$250 or Less

DATEFULL NAMEAMOUNT
4/26/2012Shelly Adkins$15.00
4/26/2012Jessica Barry$15.00
4/26/2012Marlena Chestnut$15.00
4/26/2012Holly Haves$15.00
4/26/2012James Heagy$15.00
4/26/2012Sammy Heflin$15.00
4/26/2012Hanno Kirk$15.00
4/26/2012Kathryn Malcom$15.00
4/26/2012Pamela Mayhugh$15.00
4/26/2012Rosa McKinney$15.00
4/26/2012Laurie McMullen$15.00
4/26/2012Clarence Mizell$15.00
4/26/2012Leslie Myatt$15.00
4/26/2012Leah Newby$15.00
4/26/2012Julie Pratt$15.00
4/26/2012Wesley Thomas$15.00
4/26/2012Wesley Thorne$15.00
4/26/2012Kim Tieman$15.00
4/26/2012Mike Toothman$15.00
4/26/2012Bev Wheatcraft$15.00
4/26/2012Sarah Whittaker$15.00
4/26/2012Sharon Wood$15.00
4/26/2012Sabrina Adams$5.00
4/26/2012Steven Burton$50.00
4/26/2012Jacqueline Englehardt$15.00
4/26/2012Linda Ferrise$30.00
4/26/2012George L James$15.00
4/26/2012Vickie James$15.00
4/26/2012Sam Hickman$50.00
4/26/2012Leslie Stone$15.00
4/26/2012Joe Deegan$15.00
4/26/2012Perry Bryant$15.00
4/26/2012Nicole Gates$15.00
4/26/2012Jo Ann Carper$15.00
4/26/2012Nat Ayre$15.00
4/26/2012Kati Davenport$13.00
4/26/2012Carla Higginbothom$15.00
4/26/2012Miranda Brown$15.00
4/26/2012Susan Sobkoviak$40.00
4/26/2012Jessica Poe$10.00
4/26/2012Sharon Lewis $10.00
4/26/2012Miranda Brown$10.00
 Subtotal of event contributions of less than $250.00 $713.00

More than $250

DATE AMOUNT
 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 
$0.00
$713.00
$713.00

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
4/26/2012National Association of Social WorkersFood/Refreshments for reception$127.50
  Total In-Kind Contributions: $127.50

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
5/11/2012 WILLIAM R. LAIRD IV
Room 229W, Building 1
Charleston, WV 25305
campaign contribution$100.00
5/11/2012 Dan Poling
216E, Building 1
Charleston, WV 25305
campaign contribution$100.00
5/11/2012 Ricky Moye
Room 217E, Building 1
Charleston, WV 25305
campaign contribution$100.00
5/11/2012 BARBARA "Bobbie" HATFIELD
Room 214E, Building 1
Charleston, WV 25305
campaign contribution$100.00
5/11/2012 Bonnie Brown
207E, Building 1
Charleston, WV 25305
campaign contribution$100.00
5/11/2012 Nancy Guthrie
Room 206E, Building 1
Charleston, WV 25305
campaign contribution$100.00
5/11/2012 Bill Hartman
Room 202E, Building 1
Charleston, WV 25303
campaign contribution$100.00
5/11/2012 MIKE MANYPENNY
Room 203E, Building 1
Charleston, WV 25305
campaign contribution$100.00
5/11/2012 BARBARA EVANS FLEISCHAUER
Room 201E, Building 1
Charleston, WV 25305
campaign contribution$100.00
5/11/2012 CHARLENE MARSHALL
Room 214E, Building 1
Charleston, WV 25305
campaign contribution$100.00
5/11/2012 Donn Marshall
P.O. Box 2675
Martinsburg, WV 25402
campaign contribution$100.00
5/11/2012 TIFFANY LAWRENCE
652 Sawgrass Drive
Charles Town, WV 25414
campaign contribution$100.00
5/11/2012 Jack Yost
Room 209W, Building 1
Charleston, WV 25305
campaign contribution$200.00
  Total Expenditures: $1,400.00

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
Wednesday, May 23, 2012 1:39:01 PM