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
 X 
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  $2,644.58
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$2,644.58
In-Kind Contributions +$0.00
Total Contributions: =$2,644.58
 
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)
$27,914.56
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)		  $73,605.97
Total Monetary Contributions +$2,644.58
Total Other Income +$0.00
Subtotal: a. =$76,250.55
 
Total Expenditures Paid  $13,700.00
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$13,700.00
 
Ending Balance:
(Subtotal a. - Subtotal b.)
*Cannot be negative balance		 =$62,550.55
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$21,501.53

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
5/9/2012Gregory Browning$83.33
5/9/2012James Campbell$30.00
5/9/2012Robert Christen$25.00
5/9/2012T. Engle-LaNeve$50.00
5/14/2012Charles D. Field$250.00
5/9/2012Dennis Hedrick$50.00
5/9/2012Craig Hyre$80.00
5/9/2012Donald G. King$50.00
5/9/2012Melissa Leoni$30.00
5/9/2012Terry S. Mangold$250.00
5/9/2012Greg Moore$100.00
5/9/2012Joe Myers$50.00
5/9/2012John Myers$25.00
5/9/2012John S. Pockl$25.00
5/9/2012Alan Rada$50.00
5/9/2012Chris Ratcliff$20.00
5/9/2012Richard Rebuck$26.25
5/9/2012John Romans$50.00
5/9/2012Montgomery Vickers$100.00
5/14/2012Jeffrey Whittington$250.00
5/14/2012Sandra Whittington$250.00
5/14/2012John F. Wiles$250.00
5/9/2012Steven C. Wilson$50.00
 Subtotal of contributions of $250.00 or less$2,144.58
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
5/14/2012 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
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:		$500.00
$2,144.58
$2,644.58


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

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
5/7/2012 Comm to Elect Walt Helmick Agriculture
HC 82, Box 130
Marlinton, WV 24954 		Contribution$250.00
5/1/2012 Comm to Elect Art Kirkendoll
PO BOX 1227
Chapmanville, WV 25508 		Contribution$500.00
5/7/2012 Comm to Elect Helen Martin
PO BOX 513
Poca, WV 25159 		Contribution$250.00
5/7/2012 Comm to Elect Justin Marcum
PO BOX 2531
Williamson, WV 25661 		Contribution$300.00
5/7/2012 Comm to Elect Bill Hartman
PO BOX 243
Elkins, WV 26241 		Contribution$300.00
5/7/2012 Comm to Re-Elect Brady Paxton
Route 1, Box 187
Liberty, WV 25124 		Contribution$250.00
5/7/2012 Comm to Re-Elect Dale Stephens
PO Box 9006
Huntington, WV 25704 		Contribution$250.00
5/7/2012 Comm to Re-Elect Dan Poling
1007 Star Avenue
Parkersburg, WV 26101 		Contribution$500.00
5/7/2012 Comm to Re-Elect Danny Wells
2210 Washington St. East
Charleston, WV 25311 		Contribution$500.00
5/7/2012 Comm to Re-Elect Darryl Cowles
2612 Martinsburg Road
Berkeley Springs, WV 25411 		Contribution$250.00
5/7/2012 Comm to Re-Elect Dave Perry
330 East Martin Avenue
Oak Hill, WV 25901 		Contribution$300.00
5/7/2012 Comm to Re-Elect Dave Pethel
PO Box 990
Hundred, WV 26575 		Contribution$250.00
5/7/2012 Comm to Re-Elect David Walker
1056 Elk River Road
Clendenin, WV 25045 		Contribution$300.00
5/7/2012 Comm to Re-Elect Denise Campbell
Route 1 Box 330-36
Elkins, WV 26241 		Contribution$300.00
5/7/2012 Comm to Re-Elect Doug Reynolds
703 Fifth Avenue
Huntington, WV 25701 		Contribution$250.00
5/7/2012 Comm to Re-Elect Eric Nelson
PO Box 186
Charleston, WV 25321 		Contribution$300.00
5/7/2012 Comm to Re-Elect Joe Talbott
148 Webster Avenue
Webster Springs, WV 26288 		Contribution$500.00
5/7/2012 Comm to Re-Elect John Pino
300 Oyler Avenue East
Oak Hill, WV 25901 		Contribution$300.00
5/7/2012 Comm to Re-Elect Josh Stowers
4293 Coal River Road
Alum Creek, WV 25003 		Contribution$300.00
5/7/2012 Comm to Re-Elect Linda Longstreth
804 Ohio Avenue
Fairmont, WV 26554 		Contribution$300.00
5/7/2012 Comm to Re-Elect Linda Phillips
PO Box 505
Pineville, WV 24874 		Contribution$300.00
5/7/2012 Comm to Re-Elect Margaret Staggers
36 Barrington Hill Road
Fayetteville, WV 25840 		Contribution$300.00
5/7/2012 Comm to Re-Elect Mark Hunt
901 Edgewood Drive
Charleston, WV 25302 		Contribution$500.00
5/7/2012 Comm to Re-Elect Mark Wills
218 Hale Street
Princeton, WV 24740 		Contribution$500.00
5/7/2012 Comm to Re-Elect Meshea Poore
PO Box 11319
Charleston, WV 25339 		Contribution$250.00
5/7/2012 Comm to Re-Elect Mike Caputo
310 Gaston Avenue
Fairmont, WV 26554 		Contribution$300.00
5/7/2012 Comm to Re-Elect Mike Manypenny
Route 3 Box 202
Grafton, WV 26354 		Contribution$300.00
5/7/2012 Comm to Re-Elect Randy Swartzmiller
216 Heartwood Drive
Chester, WV 26034 		Contribution$250.00
5/7/2012 Comm to Re-Elect Ray Canterbury
Route 2 Box 288
Ronceverte, WV 24970 		Contribution$250.00
5/7/2012 Comm to Re-Elect Richard Iaquinta
139 Vermont Avenue
Clarksburg, WV 26301 		Contribution$300.00
5/7/2012 Comm to Re-Elect Ricky Moye
125 Waterbug Lane
Crab Orchard, WV 25827 		Contribution$250.00
5/7/2012 Comm to Re-Elect Ron Fragale
503 East Main Street
Clarksburg, WV 26301 		Contribution$300.00
5/7/2012 Comm to Re-Elect Ronnie Jones
141 June Street
Wierton, WV 26062 		Contribution$250.00
5/7/2012 Comm to Re-Elect Tiffany Lawrence
652 Sawgrass Drive
Charles Town, WV 25414 		Contribution$500.00
5/7/2012 Comm to Re-Elect Tim Manchin
1543 Fairmont Ave., Suite 203
Fairmont, WV 26554 		Contribution$300.00
5/7/2012 Comm to Re-Elect Tim Miley
23 Valley View Road
Bridgeport, WV 26330 		Contribution$300.00
5/7/2012 Comm to Re-Elect Troy Andes
15 Deer Valley Drive
Hurricane, WV 25526 		Contribution$300.00
5/7/2012 Comm to Elect Bob Johns
216 Brooks Street, Ste 200
Charleston, WV 25301 		Contribution$250.00
5/7/2012 Comm to Elect Chris Morris
PO Box 1906
Charleston, WV 25327 		Contribution$500.00
5/7/2012 Comm to Elect Jeff Eldridge
PO Box 348
Harts, WV 25524 		Contribution$300.00
5/7/2012 Comm to Elect John Treadway
PO Box 434
Moorefield, WV 26836 		Contribution$250.00
5/7/2012 Comm to Elect Larry W. Faircloth
186 Diamante Drive
Inwood, WV 25428 		Contribution$250.00
5/7/2012 Comm to Elect Tad Tomblin
PO Box 191
Logan, WV 25601 		Contribution$250.00
  Total Expenditures: $13,700.00

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
Tuesday, July 31, 2012 3:29:58 PM