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

Candidate or Committee Name West Virginia Optometric Association PAC		Candidate or Committee's Treasurer Dr. Alan Rada
Political Party (for candidates)		Treasurer's Mailing Address (Street, Route, or P.O. Box) 18 California Avenue office@wvcsi.com
Office Sought (for Candidates)	District/Division	City, State, Zip Code Charleston, WV 25311	Daytime Phone # (304) 720-8262

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

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	$24,046.66
Monetary Contributions from all Fund-Raising Events	+$0.00
Receipt of a Transfer of Excess Funds	+$0.00
Total Monetary Contributions:	=$24,046.66
In-Kind Contributions	+$0.00
Total Contributions:	=$24,046.66

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)
$24,046.66

CASH BALANCE SUMMARY
Beginning Balance (ending balance from previous report)		$56,137.52
Total Monetary Contributions		+$24,046.66
Total Other Income		+$0.00
Subtotal:	a.	=$80,184.18

Total Expenditures Paid		$7,717.29
Total Disbursements of Excess Funds		+$0.00
Repayment of Loans		+$0.00
Subtotal:	b.	=$7,717.29

Ending Balance: (Subtotal a. - Subtotal b.) *Cannot be negative balance		=$72,466.89

TOTAL EXPENDITURES ELECTION YEAR-TO-DATE (Add total expenditures from all reports)
$7,717.29

Contributions
$250.00 or LESS

DATE	CONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAME	AMOUNT
12/27/2011	Mathew Berardi	$250.00
12/2/2011	Harry Boggs	$100.00
12/20/2011	Darby Chiasson	$150.00
3/12/2012	La-Neve Engle	$250.00
3/26/2012	Dennis Hedrick	$200.00
9/26/2011	David Laughlin	$150.00
3/12/2012	Chris Radcliff	$240.00
3/12/2012	Richard Rebuck	$50.00
3/12/2012	Charles Waitkus	$250.00
	Subtotal of contributions of $250.00 or less	$1,640.00

Contributions
More than $250.00

DATE	CONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAME	AMOUNT
12/14/2011	Full Name: Gregory Browning Address: Resident 12 Oak Street Kenova, WV 25530 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$266.66
3/12/2012	Full Name: James Campbell Address: Resident 700 Kevin Dr Suite E New Martinsville, WV 26155 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$360.00
4/26/2011	Full Name: John Casto Address: Resident 511 6th Ave St Albans, WV 25177 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$1,000.00
3/12/2012	Full Name: Robert N Christen II Address: Resident 624 Wells Street Sistersville, WV 26175 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$300.00
3/12/2012	Full Name: Mark Cinalli Address: Resident 416 Division Street Parkersburg, WV 26101 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$500.00
3/12/2012	Full Name: Daniel DeMarino Address: Resident 104 E Main Street Suite 2B Clarksburg, WV 26301 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$500.00
4/1/2011	Full Name: Patrick Fleming Address: Resident M 149 Linwood Way Martinsville, WV 25401 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$1,000.00
10/3/2011	Full Name: Martin Gresak Address: Resident 918 Chestnut Ridge Road Morgantown, WV 26505 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$500.00
1/17/2012	Full Name: David Harsberger Address: Resident 1142 S Bridge Street New Martinsville, WV 26155 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$500.00
3/12/2012	Full Name: John Hendrix Address: Resident 1227 Lebanon Street Bluefield, WV 24701 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$540.00
3/12/2012	Full Name: James Herman Address: Resident 3709 Teays Valley Road Hurricane, WV 25526 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$930.00
6/13/2011	Full Name: Karen Hoblitzell Address: Resident 520 N Jefferson Street Lewisburg, WV 24901 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$500.00
9/20/2011	Full Name: David Holliday Address: Resident 1928 Harper Road Beckley, WV 25801 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$500.00
3/12/2012	Full Name: Craig Hyre Address: Resident 1500 Harrison Ave Elkins, WV 26241 Contributor's Job: (individual contributor only) optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$960.00
3/12/2012	Full Name: Donald King Address: Resident 600 S Church Street Ripley, WV 25271 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$300.00
1/11/2012	Full Name: Terry Mangold Address: Resident 1405 Chandell Street Keyser, WV 26726 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$500.00
3/12/2012	Full Name: Greg Moore Address: Resident 50 Riverwalk Mall South Charleston, WV 25303 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$500.00
3/12/2012	Full Name: Joe Myers Address: Resident PO Box 708 Moundsville, WV 26041 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$600.00
3/12/2012	Full Name: John Myers Address: Resident PO BOX 708 Moundsville, WV 26041 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$300.00
2/28/2012	Full Name: Bryon Nibert Address: Resident 408 Fourth Ave Montgomery, WV 25136 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$500.00
3/12/2012	Full Name: Steven Odekirk Address: Resident 10 Druid Place Charleston, WV 25314 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$500.00
3/12/2012	Full Name: John Pockl Address: Resident 2106 Lumber Ave Wheeling, WV 26003 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$300.00
3/12/2012	Full Name: Alan Rada Address: Resident 4202 MacCorkle Ave South Charleston, WV 25304 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$600.00
6/13/2011	Full Name: Brett Radow Address: Resident 149 Main Street Spencer, WV 25276 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$500.00
3/12/2012	Full Name: William Ratcliff Address: Resident 919 fifth ave suite 100 Huntington, WV 25701 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$600.00
3/12/2012	Full Name: John Romans Address: Resident PO BOX 4129 Barboursbille, WV 25504 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$600.00
4/11/2011	Full Name: Rebecca St. Jean Address: Resident 4030 MacCorkle Ave South Charleston, WV 25304 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$1,000.00
1/11/2012	Full Name: Richard Stender Address: Resident Rt#2 Box 427 New Martinsville, WV 26155 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$450.00
4/25/2011	Full Name: Thomas Stout Address: Resident 1390 Brazwell Drive Morgantown , WV 26505 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$500.00
10/28/2011	Full Name: Travis Taylor Address: Resident PO Box 8397 South Charleston, WV 25303 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$750.00
10/28/2011	Full Name: Sarah Taylor Address: Resident PO Box 8397 South Charleston, WV 25303 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$750.00
6/2/2011	Full Name: Gary Veronneau Address: Resident 1102 Main Street Rainelle, WV 25962 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$500.00
3/12/2012	Full Name: Montgomery Vickers Address: Resident PO Box 48 St Albans, WV 25177 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$850.00
9/26/2011	Full Name: Keith Wade Address: Resident 405 Locust Ave fairmont, WV 26554 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$500.00
2/28/2012	Full Name: ME White II Address: Resident 113 BB&T Way Logan, WV 25601 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$1,000.00
4/8/2011	Full Name: Terry Williams Address: Resident 12 Wheeling Ave Glen Dale, WV 26201 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$350.00
3/12/2012	Full Name: Steven Wilson Address: Resident 126 West Second Ave Williamson, WV 25661 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) self Affiliation: (political committee only)	$600.00
12/14/2011	Full Name: S. Glenn Bailey Address: Resident 6010 Route 60 E Barboursville, WV 25504 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$1,000.00
	Subtotal of all contributions of more than $250.00 Subtotal of all contributions of $250 or less Total Contributions:	$22,406.66 $1,640.00 $24,046.66

Other Income: Interest, Refunds, Miscellaneous Receipts

Date	Source of Income	Type of Receipt	Amount
		Total Other Income:	$0.00

In-Kind Contributions

Date	Name and Contributor Information	Description of Contribution	Value
		Total In-Kind Contributions:	$0

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

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.)
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

Date	Name of Person or Vendor And Address	Purpose	Amount
11/15/2011	Comm to Elect Brent Boggs 151 Park Street Gassaway, WV 26624	Contribution	$250.00
9/13/2011	Comm to Elect Doug Facemire PO Box 215 Sutton, WV 26601	Contribution	$500.00
9/12/2011	Comm to Elect Earl Ray Tomblin PO Box 116 Chapmanville, WV 25508	Contribution	$1,000.00
4/25/2011	Comm to Elect Eric Nelson PO Box Charleston, WV 25314	Contribution	$250.00
3/13/2012	Comm to Elect Harry Keith White PO Box 1985 Gilbert, WV 25621	Contribution	$750.00
11/15/2011	Comm to Elect Herb Snyder PO Box 400 Shenandoah Jct., WV 25442	Contribution	$500.00
3/13/2012	Comm. to Elect DougbSkaff 3 Joplin Place South Charleston, WV 25304	Contribution	$500.00
1/9/2012	Comm to Elect Richard Thompson 4625 Rt. 152 Lavalette, WV 25535	Contribution	$500.00
3/1/2012	Compensation Strategies 2210 Washington St East Charleston, WV 25311	Postage	$267.19
3/8/2012	Friends of Rupert Rupie Phillips PO BOX 194 Lorado, WV 25630	Contribution	$250.00
1/25/2012	Kessler for Senate 2012 607 Wheeling Avenue Glen Dale, WV 26038	Contribution	$1,000.00
3/12/2012	Tomblin for Governor 2012 Greenbrier Street Charleston, WV 25311	Contribution	$1,000.00
3/16/2012	Trinity Enterprises PO BOX 278 Canvas, WV 26662	Accounting	$750.10
2/28/2012	WV Democratic Party 717 Lee Street Charleston, WV 25301	Contribution	$200.00
		Total Expenditures:	$7,717.29

Receipt of a Transfer of Excess Funds

Date	Candidate Committee Name and Year	Amount
	Total Receipts of Transfer of Excess Funds:	$0.00

Disbursement of Excess Funds

Date	Name of candidate committee and election year disbursing excess funds	Purpose of Disbursement	Amount
		Total Disbursement of Excess Funds:	$0

Unpaid Bills

Date	Group or Firm Affiliation	Purpose	Amount
		Total Unpaid Bills:	$0.00

Office Use Only
Filed With West Virginia Secretary of State
Tuesday, July 31, 2012 2:01:48 PM

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