State of West Virginia Campaign Financial Statement
(Long Form) in Relation to the 2008 Election Year

Candidate or Committee Name
North Central West Virginia Democracy for America
Candidate or Committee's Treasurer
Wayne Worth
Political Party (for candidates)
Treasurer's Mailing Address (Street, Route, or P.O. Box)
163 W. Pike Street, Apt. K 
Office Sought (for Candidates)
City, State, Zip Code
Clarksburg, WV 26301
Daytime Phone #

Election Cycle Reporting Period (check one):

Primary - First Report
Due Mar 29-Apr 04, 2008
Pre-primary Report
Due Apr 28-May 02, 2008
Post-primary Report
Due May 26-May 30, 2008
General - First Report
Due Sep 22-Sep 26, 2008
Pre-general Report
Due Oct 20-Oct 24, 2008
Post-general Report
Due Nov 17-Nov 21, 2008

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 2008 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  $145.55
Monetary Contributions from all Fund-Raising Events +$1,778.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$1,923.55
In-Kind Contributions +$0.00
Total Contributions: =$1,923.55
Other Income  $420.00
Loans Received +$0.00
Total Other Income: =$420.00
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 +$1,923.55
Total Other Income +$420.00
Subtotal: a. =$3,234.54
Total Expenditures Paid  $2,786.10
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$2,786.10
Ending Balance:
(Subtotal a. - Subtotal b.)

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

$250.00 or LESS

11/9/2007Belinda Biafore$25.00
12/6/2007Richard Iaquinta$40.00
1/9/2008Larry Hitt$10.00
3/18/2008Tim Gentilozzi$70.55
 Subtotal of contributions of $250.00 or less$145.55

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).

Spaghetti Dinner Event Summary

Date of Event: 11/10/2007 Total Monetary Contributions:  $1,778.00
Type of Event: Spaghetti Dinner Total Expenditures: -$509.46
Name of Place Held: Our Lady of Perpetual Help Church Hall NET RECEIPTS: =$1,268.54
Address of Place Held: 707 Third Street
Stonewood, WV 26301
Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

11/10/2007Jennifer Banko$210.00
11/10/2007Betty Cottrill$126.00
11/10/2007August Serifino$154.00
11/10/2007Nathan Drain$21.00
11/10/2007Christine Spalla$14.00
11/10/2007Ron Fragale$77.00
11/10/2007Julie Rea$217.00
11/10/2007Jody Barberio$70.00
11/10/2007Mary Ellen Sullivan$35.00
11/10/2007John Scott$112.00
11/10/2007Anna Smucker$49.00
11/10/2007Sally Egan$56.00
11/10/2007Jerry McKeen$63.00
11/10/2007Denise Binion$196.00
11/10/2007Al Powell$7.00
11/10/2007Willard Wheelock$14.00
11/10/2007Mark Benicosa$14.00
11/10/2007Martin Shaffer$28.00
11/10/2007James Terango$35.00
11/10/2007Natalie Tennant$14.00
11/10/2007Tim Miley$7.00
11/10/2007Susan Wilcher$7.00
11/10/2007Tod Lewark$70.00
11/10/2007Margaret Singleton$56.00
11/10/2007Libby Stout$7.00
11/10/2007Diane Parker$28.00
11/10/2007Marianne McKeen$21.00
11/10/2007Karen Bowers$35.00
11/10/2007Justine Marino$28.00
11/10/2007Joan Whiteman$7.00
 Subtotal of event contributions of less than $250.00 $1,778.00

More than $250

 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
4/24/2007MembersMembership Dues$40.00
1/9/2008MembersMembership dues$60.00
2/19/2008MembersMembership Dues$320.00
  Total Other Income: $420.00

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
4/4/2007 Liberty Names of America
1623 Military Road
Niagra Falls, NY 14304
Domain Name for Web Site$25.00
5/2/2007 Things Remembered
Meadowbrook Mall
Bridgeport, WV 26330
Meeting expenses$41.33
5/11/2007 Denise Binion
Rt. 1 Box 225 A
Flemington, WV 26347
Reinbursement for meeting expenses$40.00
5/11/2007 Steve Binion
155 Liberty Avenue
Clarksburg, WV 26301
Reinburse for office equipment$20.00
5/11/2007 Staples
Emily Drive
Bridgeport, WV 26330
Office Supplies$34.96
5/11/2007 Wesbanco
Main Street
Clarksburg, WV 26301
Office Supplies (new checks)$14.75
6/26/2007 Harrison County Democratic Party
Main Street
Clarksburg, WV 26301
7/13/2007 Staples
Emily Drive
Bridgeport, WV 26330
Office supplies$49.78
7/16/2007 A.C. Moore
Emily Drive
Clarksburg, WV 26301
Decorations for rally/event$46.42
7/20/2007 MCM
Buckhannon Pike
Nutter Fort , WV 26301
Printing of Newsletter$46.54
7/27/2007 USPS
Emily Drive
Clarksburg, WV 26301
8/1/2007 Village Square Enterprises
Rt. 19 South
Clarksbug, WV 26301
Speaker expense for meeting$11.26
8/29/2007 Elder Beerman
Meadowbrook Mall
Bridgeport, WV 26330
Door prize for event$24.00
8/30/2007 A.C. Moore
Emily Drive
Clarksburg, WV 26301
8/30/2007 Krogers
Emily Drive
Clarksburg, WV 26301
Food for Event$101.09
8/30/2007 MCM
Buckhannon Pike
Nutter Fort, WV 26301
Printing of brochure$53.00
8/31/2007 Krogers
Emily Drive
Bridgeport, WV 26330
Food for Event$121.72
9/5/2007 Julie Rea
131 Euclid Ave
Clarksburg, WV 26301
Reinburse for hall rental and tickets$150.00
9/18/2007 USPS
Pike Street
Clarksburg, WV 26301
P O Box Rental$40.00
11/4/2007 Staples
Emily Drive
Clarksburg, WV 26301
Office Supplies$42.78
11/5/2007 MCM
Buckhannon Pike
Nutter Fort, WV 26301
Printing of Newsletter$46.64
11/5/2007 Sams
Emily Drive
Clarksburg, WV 26301
Supplies for fund raiser$122.72
11/5/2007 USPS
Emily Drive
Clarksburg, WV 26301
Postage for newsletter$24.60
11/7/2007 Young and Stout
Rt. 1 Box 47
Bridgeport, WV 26330
Food for fundraiser$102.39
11/7/2007 Hadorns Distributing Co.
232 East Main Street
Bridgeport, WV 26330
Food for fund raiser$49.90
11/7/2007 Wal Mart
Emily Drive
Clarksburg, WV 26301
Food for fund raiser$28.00
11/9/2007 Julie Rea
131 Euclid Avenue
Clarksburg, WV 26301
Reinburse for fund raiser supplies$60.00
12/6/2007 Jerry McKeen
Rt. 2 Box 54
Bristol, WV 26426
Reinbursement for Food preparation for fund raiser$200.00
12/9/2007 J C Penney
Meadowbrook Mall
Bridgeport, WV 26330
Public relations materials$57.58
12/9/2007 Target
Meadowbrook Mall
Bridgeport, WV 26330
Public Relations materials$49.05
12/12/2007 Rite Aid
Rt. 19 South
Clarksburg, WV 26301
Materials for fund raiser$21.56
12/20/2007 Harrison County Democratic Party
Main Street
Clarksburg, WV 26301
1/18/2008 Harrison County Parks and Recreation
43 Recreation Drive
Clarksburg, WV 26301
Deposit on facilities for future fund raiser$350.00
3/14/2008 Harrison County Parks and Recreation
43 Recreation Drive
Clarksburg, WV 26301
Rental for facilities for future fund raiser$500.00
  Total Expenditures: $2,786.10

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
Friday, April 4, 2008 7:51:33 PM