State of West Virginia Campaign Financial Statement
(Long Form) in Relation to the 2011 Election Year

Candidate or Committee Name
Chiropractic Independent Political Committee (CIPCOM)		 Candidate or Committee's Treasurer
Michael R. Condaras
Political Party (for candidates)
 Treasurer's Mailing Address (Street, Route, or P.O. Box)
1202 Virginia St. E. 
Office Sought (for Candidates)
 District/Division
 City, State, Zip Code
Charleston, WV 25301		 Daytime Phone #
(304) 342-3323

Election Cycle Reporting Period (check one):
    
Primary - First Report
Due Mar 26-Apr 01, 2011
    
Pre-primary Report
Due Apr 29-May 03, 2011
    
Post-primary Report
Due May 27-Jun 28, 2011
 X 
General - First Report
Due Aug 22-Aug 26, 2011
    
Pre-general Report
Due Sep 19-Sep 23, 2011
    
Post-general Report
Due Oct 17-Nov 15, 2011

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 2011 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  $7,345.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$7,345.00
In-Kind Contributions +$0.00
Total Contributions: =$7,345.00
 
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)
$9,440.00
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)		  $13,162.97
Total Monetary Contributions +$7,345.00
Total Other Income +$0.00
Subtotal: a. =$20,507.97
 
Total Expenditures Paid  $1,302.53
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$1,302.53
 
Ending Balance:
(Subtotal a. - Subtotal b.)
*Cannot be negative balance		 =$19,205.44
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$1,445.04

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
6/20/2011Robert Akers$250.00
8/3/2011Julian Chipley$245.00
8/3/2011Sandra Cunningham$215.00
8/3/2011Brian Erickson$210.00
6/5/2011Chris Fox$100.00
8/3/2011Kimberly Gambino$120.00
8/3/2011Holly Harvey$245.00
3/23/2011Heather McCarter$100.00
6/27/2011Jay McClanahan$250.00
6/20/2011Kenneth Robinson$100.00
8/3/2011Kevin Trembush$175.00
 Subtotal of contributions of $250.00 or less$2,010.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
5/25/2011 Full Name:  Ryan Carlton
Address:  Resident
PO Box 430
Barboursville, WV 25054
Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only)  		$500.00
8/3/2011 Full Name:  Donald D’Lusky
Address:  Resident
PO Box 495
Farmington, WV 26571
Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only)  		$280.00
8/3/2011 Full Name:  Brad George
Address:  Resident
368 W Main Street
Ripley, WV 25271
Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only)  		$350.00
4/8/2011 Full Name:  Ganim Howard
Address:  Resident
Kanawha Valley Family Chiropractic
Charleston, WV 25304
Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only)  		$750.00
8/3/2011 Full Name:  William Johnson
Address:  Resident
706 Division Street
Parkersburg, WV 26101
Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only)  		$350.00
8/3/2011 Full Name:  Russell Jones
Address:  Resident
100 Westmoreland Office Center
Dunbar, WV 25064
Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only)  		$300.00
8/3/2011 Full Name:  Geoffrey Mohn
Address:  Resident
5187 US Route 60 East
Huntington, WV 25705
Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only)  		$455.00
8/3/2011 Full Name:  Scott Morris
Address:  Resident
100 Westmoreland Office Center
Dunbar, WV 25064
Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only)  		$300.00
8/3/2011 Full Name:  Mathew Nardone
Address:  Resident
117B Three Springs Drive
Weirton, WV 26062
Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only)  		$700.00
6/20/2011 Full Name:  Catherine Silver-Riddell
Address:  Resident
PO Box 340
Inwood, WV 25428
Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only)  		$1,000.00
8/3/2011 Full Name:  Rodney Thompson
Address:  Resident
PO Box 728
Wayne, WV 25570
Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only)  		$350.00
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:		$5,335.00
$2,010.00
$7,345.00


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
  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
7/12/2011 Bob Williams for Senate Comm
PO Box 562
Grafton, WV 26354 		Contribution$250.00
4/25/2011 Comm to Re-Elect Eric Nelson
PO Box 186
Charleston, WV 25321 		Contribution$250.00
2/10/2011 Democratic Legislative Council
PO Box 11035
Charleston, WV 25339 		Contribution$100.00
8/5/2011 Trinity Enterprises
PO BOX 278
Canvas, WV 26662 		Accounting$602.53
3/30/2011 WV Democratic Party
717 Lee Street
Charleston, WV 25301 		Contribution$100.00
  Total Expenditures: $1,302.53

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 4:52:04 PM