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

Candidate or Committee Name
Sportsmen for Tomblin		 Candidate or Committee's Treasurer
Dave Arnold
Political Party (for candidates)
 Treasurer's Mailing Address (Street, Route, or P.O. Box)
405 Capitol Street, Suite 1100 sportsmenfortomblin@gmail.com 
Office Sought (for Candidates)
 District/Division
 City, State, Zip Code
Charleston, WV 25301		 Daytime Phone #
304-673-2618

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
 X 
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:
 X 
 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  $250.00
Monetary Contributions from all Fund-Raising Events +$11,970.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$12,220.00
In-Kind Contributions +$2,383.00
Total Contributions: =$14,603.00
 
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)
$20,053.00
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)		  $4,276.63
Total Monetary Contributions +$12,220.00
Total Other Income +$0.00
Subtotal: a. =$16,496.63
 
Total Expenditures Paid  $11,963.04
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$11,963.04
 
Ending Balance:
(Subtotal a. - Subtotal b.)
*Cannot be negative balance		 =$4,533.59
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$13,136.41

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
6/24/2012Jim Hamrick$250.00
 Subtotal of contributions of $250.00 or less$250.00
 

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
$250.00
$250.00

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).

Sportsmen For Tomblin Fundraising Dinner Event Summary

Date of Event: 8/25/2012 Total Monetary Contributions:  $11,970.00
Type of Event: Fundraising Dinner Total Expenditures: -$3,312.28
Name of Place Held: Days Hotel NET RECEIPTS: =$8,657.72
Address of Place Held: 2000 Sutton Lane
Sutton, WV 26601		 Total In-Kind Contributions Related to the Fundraiser  $2,383.00

$250 or Less

DATEFULL NAMEAMOUNT
8/25/2012Ed Hamrick$200.00
8/25/2012James Midkiff$100.00
8/25/2012William Bailey$50.00
8/25/2012Terilyn Wilson$100.00
8/25/2012Ronald Lemon$100.00
8/25/2012Peter Cuffaro$100.00
8/25/2012Gregory Burnette$50.00
8/25/2012Charles Lewis$50.00
8/25/2012Gregory Smith$200.00
8/25/2012Edward Yates$50.00
8/25/2012Donald Dooley$100.00
8/25/2012Kenny Perdue$200.00
8/25/2012Bryan Elkins$50.00
8/25/2012Larry Lawson$50.00
8/25/2012Joshua Sword$50.00
8/25/2012Kenneth Comer$200.00
8/25/2012Jeff Davis$250.00
8/25/2012Richard Taylor$100.00
8/25/2012Nina Mahone$250.00
8/25/2012Harold Davis$200.00
8/25/2012Bradley Toler$50.00
8/25/2012Byron Chambers$100.00
8/25/2012James Kosowski$50.00
8/25/2012David Milne$100.00
8/25/2012Chuck Boggs$50.00
8/25/2012Daniel Wells$50.00
8/25/2012Robert Campbell$100.00
8/25/2012William Wooton$50.00
8/25/2012Cindy Ray$50.00
8/25/2012Elmo Wiles$100.00
8/25/2012Fredric Wooton$50.00
8/25/2012Larry Gillespie$50.00
8/25/2012Robert Fala$50.00
8/25/2012Wanda Self$50.00
8/25/2012Lane Smith$100.00
8/25/2012Chris Ellis$100.00
8/25/2012Geraldine Roberts$50.00
8/25/2012Mike Johnson$50.00
8/25/2012Thomas Homan$50.00
8/25/2012Boggs for House$200.00
8/25/2012A.E. Carpenter$50.00
8/25/2012Isaac Colvard$50.00
8/25/2012Jeffrey Proctor$50.00
8/25/2012Committee to Elect Daniel Hall$50.00
8/25/2012Mike Pizzino$50.00
8/25/2012Lynn Phillips$250.00
8/25/2012Lisa Hamrick$225.00
8/25/2012Diana Kinder$90.00
8/25/2012Tina Ellis$150.00
8/25/2012Jim Summers$165.00
8/25/2012Mitch Debord$15.00
8/25/2012Todd Mollohan$25.00
8/25/2012Eddie Adkins$50.00
8/25/2012Stan Shaver$50.00
8/25/2012Mike Callahan$50.00
8/25/2012Steve Perdue$50.00
8/25/2012Jim Hamrick$50.00
8/25/2012Mike Hamrick$225.00
8/25/2012Rupie Phillips$100.00
8/25/2012James Fealy$250.00
8/25/2012Philip Reale$200.00
 Subtotal of event contributions of less than $250.00 $6,095.00

More than $250

DATE AMOUNT
8/25/2012 Full Name:  I.L. Morris
Address:  Resident
1297 N. Lewis St.
Glenville, WV 26351
Contributor's Job: (individual contributor only)  President
Where Contributor Works: (individual contributor only)  Waco Oil and Gas
Affiliation: (political committee only)  n/a 		$500.00
8/25/2012 Full Name:  Rick Grimett
Address:  Resident
P.O. Box 455
Lyburn, WV 25632
Contributor's Job: (individual contributor only)  Assessor
Where Contributor Works: (individual contributor only)  Logan County
Affiliation: (political committee only)  N/A 		$300.00
8/25/2012 Full Name:  Christine Justice
Address:  Resident
50 Caney Branch road
Chapmanville, WV 25508
Contributor's Job: (individual contributor only)  Owner
Where Contributor Works: (individual contributor only)  Compliance Monitoring Lab
Affiliation: (political committee only)  		$500.00
8/25/2012 Full Name:  Greg Skidmore
Address:  Resident
455 Fox Den Road
Sutton, WV 26601
Contributor's Job: (individual contributor only)  Entrepreneur
Where Contributor Works: (individual contributor only)  John Skidmore Development
Affiliation: (political committee only)  N/A 		$500.00
8/25/2012 Full Name:  Committee to Elect Daniel Hall
Address:  Resident
PO Box 339
Oceana, WV 24870
Contributor's Job: (individual contributor only)  Member, House of Delegates
Where Contributor Works: (individual contributor only)  WV House of Delegates
Affiliation: (political committee only)  N/A 		$525.00
8/25/2012 Full Name:  Jeffrey Bowers
Address:  Resident
17 Chestnut St.
Franklin, WV 26807
Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only)  		$375.00
8/25/2012 Full Name:  Jerry McCauley
Address:  Resident
1601 S. Main St
Burnsville, WV 26335
Contributor's Job: (individual contributor only)  Owner
Where Contributor Works: (individual contributor only)  J&J Outdoors
Affiliation: (political committee only)  		$400.00
8/25/2012 Full Name:  Dave Arnold
Address:  Resident
1396 Gaymont Mountain Road
Victor, WV 25938
Contributor's Job: (individual contributor only)  Entrepreneur
Where Contributor Works: (individual contributor only)  Adventures on the Gorge
Affiliation: (political committee only)  		$775.00
8/25/2012 Full Name:  Rodney Lerose II
Address:  Resident
P.O. Box 632
Summersville, WV 26651
Contributor's Job: (individual contributor only)  Sales
Where Contributor Works: (individual contributor only)  Mid-State Chevrolet
Affiliation: (political committee only)  N/A 		$1,000.00
8/25/2012 Full Name:  Rodney Lerose
Address:  Resident
400 Woodlawn Drive
Summersville, WV 26651
Contributor's Job: (individual contributor only)  Business man
Where Contributor Works: (individual contributor only)  Mid-State Chevy
Affiliation: (political committee only)  N/A 		$1,000.00
 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 		$5,875.00
$6,095.00
$11,970.00

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
8/25/2012Matt HigginsAuction item$89.00
8/25/2012Ed HamrickAuction Item$44.00
8/25/2012Terilynn WilsonScope for Auction$150.00
8/25/2012Eric LawrenceAuction items$100.00
8/25/2012Brian SwigerArchery Equipment for Auction$509.00
8/25/2012Tim LeroseAuction Item$250.00
8/25/2012Bernie DowlerAuction item$25.00
8/25/2012Jeff ProctorItems for Auction$436.00
8/25/2012Ken Watkinsauction items$780.00
  Total In-Kind Contributions: $2,383.00

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
8/24/2012 Custom Signs and Graphics
408 US Highway 19 S
Weston, WV 26452 		Banner$95.40
6/8/2012 Ellis Communications
2167 Court St.
Fayetteville, WV 25840 		Door prizes for dinner$806.62
9/12/2012 Dave Arnold
1396 Gaymont Mountain Rd
Victor, WV 25938 		Re-imbursement$502.00
9/14/2012 ADMIX Broadcast Service
960 Woodward Dr.
Charleston, WV 25312 		Radio Ad Production$169.60
8/19/2012 J&J Outdoors
1601 South Main St.
Burnsville, WV 26335 		TV Commercial$999.96
9/12/2012 Braxton Citizen News
501 Main St.
Sutton, WV 26601 		Newspaper Ad$150.00
9/14/2012 Shirt Tales
409 31st St.
Vienna, WV 26105 		Bumper Stickers$1,208.40
9/20/2012 MetroNews
1111 Virginia St. E
Charleston, WV 25301 		Radio spots$6,048.00
8/21/2012 BB&T
Summers St
Charleston, WV 25301 		Service charge$12.00
5/24/2012 Quality Printng
501 Main St.
Sutton, WV 26601 		Printing costs$62.80
8/26/2012 Skidmore Development
2000 Sutton Lane
Sutton, WV 26601 		Sportsmen for Tomblin Dinner$1,908.26
  Total Expenditures: $11,963.04

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, December 20, 2012 1:47:36 PM