State of West Virginia Campaign Financial Statement
(Long Form) in Relation to the 2011 Election Year

Candidate or Committee Name
Kanawha Valley Young Democrats
Candidate or Committee's Treasurer
Gretchen Grove-DeJarnett
Political Party (for candidates)
Treasurer's Mailing Address (Street, Route, or P.O. Box)
PO Box 1294 
Office Sought (for Candidates)
City, State, Zip Code
Charleston, WV 25325
Daytime Phone #

Election Cycle Reporting Period (check one):

Primary - First Report
Due Mar 26-Apr 01, 2011
Pre-primary Report
Due Apr 29-May 03, 2011
Post-primary Report
Due May 27-Jun 28, 2011
General - First Report
Due Aug 22-Aug 26, 2011
Pre-general Report
Due Sep 19-Sep 23, 2011
Post-general Report
Due Oct 17-Nov 15, 2011

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 2011 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 +$1,720.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$1,720.00
In-Kind Contributions +$0.00
Total Contributions: =$1,720.00
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 +$1,720.00
Total Other Income +$0.00
Subtotal: a. =$3,658.94
Total Expenditures Paid  $1,667.00
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$1,667.00
Ending Balance:
(Subtotal a. - Subtotal b.)

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

$250.00 or LESS

 Subtotal of contributions of $250.00 or less 

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).

Jefferson/Jackson Dinner After Party Fundraiser Event Summary

Date of Event: 8/6/2011 Total Monetary Contributions:  $1,720.00
Type of Event: Fundraiser for KVYD Total Expenditures: -$1,200.00
Name of Place Held: Vandalia Grill NET RECEIPTS: =$520.00
Address of Place Held: 212 Hale Street
Charl, WV 25301
Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

8/6/2011Danny Poling$100.00
7/28/2011Anne Barth$100.00
7/29/2011Belinda Biafore$200.00
7/27/2011Tish Chafin$100.00
8/6/2011Nancy Guthrie$100.00
8/5/2011Daniel Hall$100.00
8/6/2011Frank Hartman$50.00
8/6/2011Greg Hoyer$50.00
8/5/2011Clif Moore$35.00
8/6/2011Cory Palumbo$100.00
8/5/2011Rupie Phillips$50.00
8/5/2011Doug Reynolds$50.00
8/6/2011Rod Snyder$100.00
8/6/2011Josh Stowers$50.00
8/4/2011Ryan Thorn$20.00
8/6/2011Erik Wells$100.00
8/6/2011Joshua Austin$25.00
8/6/2011Scott Lavigne$10.00
8/6/2011Megan Richey$10.00
8/6/2011Jay Roudebush$10.00
8/6/2011Ryan Jackson$10.00
8/6/2011Elizabeth Cruikshank$10.00
8/6/2011Clint Carte$30.00
8/6/2011Cory Dennison$40.00
8/6/2011Justin Southern$10.00
8/6/2011Eric Manning$10.00
8/20/2011Tim Miley$100.00
8/20/2011Nick Casey$100.00
8/20/2011Andy Richardson$50.00
 Subtotal of event contributions of less than $250.00 $1,720.00

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
  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
7/15/2011 Democratic Youth Leadership Academy
c/o Sandy Shaw
124 Sue Lane
Daniels, WV 25832
Contribution to the Democratic Youth Leadership Academy$150.00
7/18/2011 Young Democrats of America
Post Office Box 77496
Washington, DC 20013
Registration fee for Young Democrats of America Convention$85.00
8/3/2011 Jennifer Underwood
11 Briar Hill Road
Charleston, WV 25314
Reimbursement for Young Democrats of America Convention Travel Expenses$232.00
8/6/2011 Vandalia Grille
212 Hale Street
Charleston, WV 25301
Payment for Rental of Vandalia Grill for Fundraiser$1,200.00
  Total Expenditures: $1,667.00

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
Thursday, August 25, 2011 1:16:23 PM