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

Candidate or Committee Name
Potomac Highlands Patriots
Candidate or Committee's Treasurer
Gloria Howell
Political Party (for candidates)
Treasurer's Mailing Address (Street, Route, or P.O. Box)
PO Box 39 
Office Sought (for Candidates)
City, State, Zip Code
Keyser, WV 26726
Daytime Phone #

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  $3,703.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$3,703.00
In-Kind Contributions +$0.00
Total Contributions: =$3,703.00
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 +$3,703.00
Total Other Income +$0.00
Subtotal: a. =$3,703.00
Total Expenditures Paid  $3,163.56
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$3,163.56
Ending Balance:
(Subtotal a. - Subtotal b.)

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

$250.00 or LESS

6/10/2010Ruth O’Connor$100.00
6/14/2010Nancy Knight$20.00
6/14/2010Charles Knight$50.00
6/21/2010Charles Knight$70.00
6/19/2010Mitch Spatz$13.00
6/19/2010David Layton$20.00
6/19/2010Elma Layton$5.00
6/19/2010Kathy Kimble$20.00
6/19/2010Gordon Brubaker$10.00
6/19/2010Wayne Skipper$20.00
6/19/2010Esther Shockey$5.00
6/19/2010Carl Saville$20.00
6/19/2010Terry Courtney$20.00
7/8/2010Gloria Howell$50.00
7/8/2010Monroe Johnson$250.00
7/15/2010Clyde Broadwater$50.00
7/15/2010Jay Riegel$20.00
7/28/2010Rose Ann$45.00
7/28/2010Skip Lottie$50.00
7/30/2010Andy Agnew$50.00
7/30/2010Leon Amtower$75.00
7/30/2010Dish Niland$25.00
7/30/2010Clyde Broadwater$50.00
7/30/2010Eugene Tasker$50.00
7/30/2010Roger Shockey$50.00
7/30/2010Richie Parsons$25.00
7/30/2010Scott Williams$85.00
7/30/2010Bill Athey$50.00
7/30/2010Chas Price$50.00
7/30/2010James Courrier$50.00
7/30/2010Dorothy Malkie$50.00
7/30/2010Melinda Chaney$25.00
7/30/2010Gary Howell$25.00
7/30/2010Helen Smith$50.00
7/30/2010Andy Agnew$50.00
8/6/2010Richie Parsons$25.00
8/6/2010James Riegel$20.00
8/6/2010Scott Williams$35.00
8/6/2010Dr. Lechliter$50.00
8/6/2010Bill Athey$50.00
8/6/2010James Courrier$50.00
8/6/2010Charles Price$50.00
8/6/2010Dorothy Malkie$50.00
8/6/2010Terry Craver$50.00
8/6/2010Melinda Chaney$25.00
8/6/2010Gary Howell$25.00
8/6/2010Helen Smith$50.00
8/6/2010Andy Agnew$50.00
8/12/2010Ruth O’Connor$50.00
8/12/2010Gene Chiaverini$25.00
8/12/2010Gary Howell$125.00
8/16/2010Michael Stewart$25.00
8/16/2010Clark Barnes$25.00
8/16/2010Monroe Johnson$50.00
8/16/2010David Sypolt$50.00
8/16/2010David McKinley$50.00
8/16/2010Charles Knight$50.00
8/16/2010Nancy Knight$50.00
8/16/2010Monroe Johnson$100.00
8/16/2010Peggy Agnew$20.00
8/26/2010Debra Weasenforth$50.00
8/30/2010David Sypolt$100.00
8/30/2010Slenoy Suratkol$100.00
8/30/2010Gary Howell$100.00
9/7/2010Eddy Durs$25.00
9/7/2010Cty Conservative Foltn$30.00
9/7/2010Charles Knight$50.00
9/7/2010Gloria Howell$100.00
9/7/2010Monroe Johnson$200.00
 Subtotal of contributions of $250.00 or less$3,703.00

More than $250.00

 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
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
6/22/2010 Mineral Tribune
24 Armstrong St
Keyser, WV 26726
Keyser Paper$145.08
6/11/2010 Cumberland Paper
PO Box 1662
Cumberland , MD 26753
Cumberland Paper$311.90
6/14/2010 American Rent All
219 N Mechanic St
Cumberland, MD 26753
American Rent All$121.90
7/30/2010 Potomac State College
101 Fort Avenue
Keyser, WV 26726
Social Dinner$301.65
7/30/2010 Gary Howell
3 Mopar Place
keyser, WV 26726
Printer Ink$150.00
8/27/2010 Lamar Signs
po box 549
Ducansville, PA 16635
8/31/2010 Allegheny poster
po box 30
Terra alta, WV 26764
9/8/2010 Allegheny Poster
po box 30
terra alta, WV 26764
9/8/2010 lamar posters
po box 549
ducansville, PA 16635
lamar poster$150.00
9/17/2010 Ruth O’Connor
325 Baker Street
Keyser, WV 26726
Reimburse of expenses paid by member$850.53
  Total Expenditures: $3,163.56

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
Saturday, May 26, 2012 7:20:15 PM