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	$3,669.58
Monetary Contributions from all Fund-Raising Events	+$0.00
Receipt of a Transfer of Excess Funds	+$0.00
Total Monetary Contributions:	=$3,669.58
In-Kind Contributions	+$0.00
Total Contributions:	=$3,669.58

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)
$39,562.04

CASH BALANCE SUMMARY
Beginning Balance (ending balance from previous report)		$65,680.99
Total Monetary Contributions		+$3,669.58
Total Other Income		+$0.00
Subtotal:	a.	=$69,350.57

Total Expenditures Paid		$16,302.50
Total Disbursements of Excess Funds		+$0.00
Repayment of Loans		+$0.00
Subtotal:	b.	=$16,302.50

Ending Balance: (Subtotal a. - Subtotal b.) *Cannot be negative balance		=$53,048.07

TOTAL EXPENDITURES ELECTION YEAR-TO-DATE (Add total expenditures from all reports)
$42,651.49

Contributions
$250.00 or LESS

DATE	CONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAME	AMOUNT
11/4/2012	Gregory Browning	$83.33
11/4/2012	James Campbell	$30.00
10/26/2012	Martin Carpenter	$250.00
11/4/2012	Robert Christen II	$25.00
11/4/2012	LaNeve Engle	$50.00
11/13/2012	David Harshberger	$100.00
11/4/2012	Dennis Hedrick	$50.00
11/4/2012	Craig Hyre	$80.00
11/4/2012	Donald King	$50.00
11/4/2012	Melissa Leoni	$30.00
11/13/2012	Marty Moore	$20.00
11/4/2012	John Pockl	$25.00
11/4/2012	Alan Rada	$50.00
11/4/2012	William Ratcliff	$50.00
11/4/2012	Richard Rebuck	$26.25
11/4/2012	John Romans	$50.00
11/4/2012	Richard Stender	$50.00
11/13/2012	Philip Wilmoth	$100.00
11/4/2012	Steven Wilson	$50.00
	Subtotal of contributions of $250.00 or less	$1,169.58

Contributions
More than $250.00

DATE	CONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAME	AMOUNT
10/25/2012	Full Name: Byron Nibert Address: Resident 140 Main Street Oak Hill, WV 25901 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$1,000.00
10/26/2012	Full Name: Brett Radow Address: Resident 2700 East Dupont Avenue Belle, WV 25015 Contributor's Job: (individual contributor only) Optometrist Where Contributor Works: (individual contributor only) Self Affiliation: (political committee only)	$500.00
11/14/2012	Full Name: M. E. White, II Address: Resident 113 L. B. & 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
	Subtotal of all contributions of more than $250.00 Subtotal of all contributions of $250 or less Total Contributions:	$2,500.00 $1,169.58 $3,669.58

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
10/25/2012	Committee to Elect Chris Morris 619 Churchill Drive Charleston, WV 25314	Political Contribution	$500.00
10/25/2012	Committee to Elect David Sidiropolis 506 Marshall Street McMechen, WV 26040	Political Contribution	$300.00
10/25/2012	Committee to Elect Helen Martin PO Box 513 Poca, WV 25159	Political Contribution	$250.00
10/25/2012	Committee to Elect Issac Sponaugle PO Box 578 Thorny Meadow Road Franklin, WV 26807	Political Contribution	$300.00
10/25/2012	Committee to Elect Joshua Martin PO Box 513 Poca, WV 25159	Political Contribution	$500.00
10/25/2012	Committee to Elect Justin Marcum 179 Buffalo Mountain Williamson, WV 25661	Political Contribution	$300.00
10/25/2012	Committee to Elect Phillip Diserio 623 Wabash Drive Follansbee, WV 26037	Political Contribution	$250.00
10/25/2012	Committee to Elect Stephen Skinner PO Box 366 Shepherdstown, WV 25443	Political Contribution	$300.00
10/25/2012	Committee to Elect Suzette Raines 850 Jonash Lane St. Albans, WV 25177	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Bill Anderson 1011 Highland Avenue Williamstown, WV 26187	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Bill Hartman PO Box 243 Elkins, WV 26241	Political Contribution	$300.00
10/25/2012	Committee to Re-Elect Bob Ashley 51 Mallard Lane Spencer, WV 25276	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Brady Paxton Rt 1, Box 187 Liberty, WV 25142	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Dale Stephens PO Box 9006 Huntington, WV 25704	Political Contribution	$300.00
10/25/2012	Committee to Re-Elect Dan Poling 1007 Star Avenue Parkersburg, WV 26101	Political Contribution	$500.00
10/25/2012	Committee to Re-Elect Danny Wells 34 Bridlewood Road Charleston, WV 25314	Political Contribution	$500.00
10/25/2012	Committee to Re-Elect Daryl Cowles 2612 Martinsburg Road Berkeley Springs, WV 25411	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Dave Perry 330 East Martin Avenue Oak Hill, WV 25901	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Dave Pethel PO Box 990 Hundred, WV 26575	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Denise Campbell Rt 1, Box 330-36 Elkins, WV 26241	Political Contribution	$300.00
10/25/2012	Committee to Re-Elect Don Perdue Rt 1, Box 98 Prichard, WV 25555	Political Contribution	$300.00
10/25/2012	Committee to Re-Elect Doug Reynolds PO Box 4040 Huntington, WV 25729	Political Contribution	$300.00
10/25/2012	Committee to Re-Elect Doug Skaff 3 Joplin Place South Charleston, WV 25303	Political Contribution	$500.00
10/25/2012	Committee to Re-Elect Eric Nelson PO Box 186 Charleston, WV 25321	Political Contribution	$250.00
11/2/2012	Committee to Re-Elect Erikka Storch PO Box 911 Wheeling, WV 26003	Political Contribution	$300.00
10/25/2012	Committee to Re-Elect Harry White PO Box 1985 Gilbert, WV 25621	Political Contribution	$300.00
10/25/2012	Committee to Re-Elect Jeff Eldridge 4754 Coal River Road Alum Creek, WV 25003	Political Contribution	$300.00
10/25/2012	Committee to Re-Elect Joe Ellington 613 Piegon Roost Trail Princeton, WV 24740	Political Contribution	$300.00
10/25/2012	Committee to Re-Elect John Ellem PO Box 322 Parkersburg, WV 26102	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect John Pino 300 Oyler Avenue, East Oak Hill, WV 25901	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Josh Stowers 4293 Coal River Road Alum Creek, WV 25003	Political Contribution	$300.00
11/2/2012	Committee to Re-Elect Kevin Craig 34 Chestnut Drive Huntington, WV 25705	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Larry Barker 252 Madison Avenue Madison, WV 25130	Political Contribution	$300.00
10/25/2012	Committee to Re-Elect Linda Longstreth 804 Ohio Avenue Fairmont, WV 26554	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Margaret Staggers RR3, Box 461-A Fayetteville, WV 25840	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Mark Hunt 901 Edgewood Drive Charleston, WV 25302	Political Contribution	$500.00
10/25/2012	Committee to Re-Elect Mary Poling Rt 1, Box 331 Moatsville, WV 26405	Political Contribution	$300.00
10/25/2012	Committee to Re-Elect Meesha Poore PO Box 75134 Charleston, WV 25375	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Mike Manypenny Rt 3, Box 202 Grafton, WV 26354	Political Contribution	$300.00
10/25/2012	Committee to Re-Elect Randy Swartzmiller 216 Heartwood Drive Chester, WV 26034	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Ray Canterbury Rt 2, Box 288 Ronceverte, WV 24970	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Richard Iaquinta 139 Vermont Avenue Clarksburg, WV 26301	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Richard Thompson 4625 Rt 152 Lavalette, WV 25535	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Ricky Molye 125 Waterbug Lane Crab Orchard, WV 25827	Political Contribution	$300.00
10/25/2012	Committee to Re-Elect Roger Romine 161 Baker Lane Sistersville, WV 26175	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Ron Fragale 503 East Main Street Clarksburg, WV 26301	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Ron Walters PO Box 3665 Charleston, WV 25313	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Ronnie Jones 113 Cleveland Road Weirton, WV 26062	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Ryan Ferns 37 Jenna Way Drive Wheeling, WV 26003	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Stan Shaver 3612 Birch Root Road Tunnelton, WV 26444	Political Contribution	$300.00
10/25/2012	Committee to Re-Elect Tiffany Lawrence 19 Baltic Lane Ranson, WV 25438	Political Contribution	$500.00
10/25/2012	Committee to Re-Elect Tim Manchin 1543 Fairmont Avenue Suite 203 Fairmont, WV 26554	Political Contribution	$250.00
10/25/2012	Committee to Re-Elect Tim Miley 23 Valley View Road Bridgeport, WV 26330	Political Contribution	$300.00
10/25/2012	Committee to Re-Elect Tom Azinger 1310 7th Street Vienna, WV 26105	Political Contribution	$250.00
11/1/2012	Trinity Enterprises, Inc. PO Box 278 Canvas, WV 26662	Accounting Fees	$52.50
		Total Expenditures:	$16,302.50

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
Thursday, November 29, 2012 1:26:24 PM

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