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

 X 
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  $14,195.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$14,195.00
In-Kind Contributions +$0.00
Total Contributions: =$14,195.00
 
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)
$14,195.00
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)
 $20,380.44
Total Monetary Contributions +$14,195.00
Total Other Income +$0.00
Subtotal: a. =$34,575.44
 
Total Expenditures Paid  $7,230.23
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$7,230.23
 
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
=$27,345.21
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$7,230.23

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
10/13/2011Tammy Burns$250.00
10/3/2011Mark Calfee$200.00
3/14/2012Terry Chambers$100.00
3/6/2012Donald Creek$100.00
6/5/2011Chris Fox$100.00
10/17/2011T Marion Geary$200.00
3/6/2012Randy Maxwell$100.00
6/27/2011Jay McClanahan$250.00
10/17/2011William McDonald$120.00
9/22/2011Duane Miller$200.00
3/6/2012Stephen Piniti$100.00
6/20/2011Kenneth Robinson$100.00
 Subtotal of contributions of $250.00 or less$1,820.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
3/12/2012 Full Name:  Robert Akers
Address:  Resident
1706 Blizzard Drive
Suite 1
Parkersburg, WV 26101

Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$450.00
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
3/12/2012 Full Name:  Julian Chipley
Address:  Resident
409 North Kanawha St
Beckley, WV 25801

Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$420.00
3/12/2012 Full Name:  Sandra Cunningham
Address:  Resident
226 Middletown Road
Whitehall, WV 26554

Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$365.00
3/12/2012 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) 
$480.00
3/12/2012 Full Name:  Brian Erickson
Address:  Resident
7486 Martinsburg Pike
Shepherdstown, WV 25443

Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$360.00
2/27/2012 Full Name:  Kimberly Gambino
Address:  Resident
217 N 27th Street
Clarksburg, WV 26301

Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$300.00
3/12/2012 Full Name:  Brad George
Address:  Resident
368 W Main Street
Ripley, WV 26301

Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$600.00
3/12/2012 Full Name:  Holly Harvey
Address:  Resident
16 Greenville School Road
Greenville, WV 24945

Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$420.00
3/12/2012 Full Name:  Ganim Howard
Address:  Resident
4216 Maccorkle Avenue
Charleston, WV 25304

Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$1,000.00
3/12/2012 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) 
$600.00
1/11/2012 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) 
$400.00
3/14/2012 Full Name:  Clare McDaniel
Address:  Resident
1137 VanVoorhis Road
Suite 3
Morgantown, WV 26505

Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$400.00
9/20/2011 Full Name:  David Miljour
Address: 
Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$1,000.00
3/12/2012 Full Name:  Geoffrey Mohn
Address:  Resident
5187 US Route 60 East
Suite 9A
Huntington, WV 25705

Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$780.00
1/11/2012 Full Name:  Scott Morris
Address:  Resident
15 Tennacle Drive
Charleston, WV 25311

Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$400.00
1/11/2012 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) 
$1,000.00
6/20/2011 Full Name:  Catherine Silver-Riddell
Address:  Resident
PO Box 340
Inwood, WV 25248

Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$1,000.00
3/6/2012 Full Name:  Barry Stowers
Address:  Resident
111 Lewsis Street
Oak Hill, WV 25801

Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$1,000.00
3/12/2012 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) 
$600.00
3/12/2012 Full Name:  Kevin Trembush
Address:  Resident
699 Burroughs Stree
Morgantown, WV 26901

Contributor's Job: (individual contributor only)  Chiropractor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$300.00
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:
$12,375.00
$1,820.00
$14,195.00


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
11/15/2011 Comm to Re-Elect Brent Boggs
151 Park Street
Gassaway, WV 26624
Contribution$250.00
11/10/2011 Comm to Re-Elect Darrell McGraw
PO Box 3715
Charleston, WV 25337
Contribution$500.00
11/14/2011 Comm to Re-Elect Mike Caputo
310 Gaston Avenue
Fairmont, WV 26554
Contribution$200.00
1/9/2012 Comm to Re-Elect Rick Thompson
4625 Rt. 152
Lavalette, WV 25535
Contribution$500.00
4/25/2011 Comm to Re-Elect Eric Nelson
PO Box 186
Charleston, WV 25321
Contribution$250.00
11/15/2011 Comm to Re-Elect Herb Snyder
PO Box 400
Shenandoah Jct, WV 25442
Contribution$500.00
3/8/2012 Comm to Elect Rupie Phillips
PO Box 194
Lorado, WV 25630
Contribution$250.00
9/12/2011 Comm to Re-Elect Earl Ray Tomblin
PO Box 116
Chapmanville, WV 25508
Contribution$1,000.00
9/13/2011 Comm to Re-Elect Doug Facemire
PO Box 215
Sutton, WV 26601
Contribution$500.00
1/1/2012 Compensation Strategies
2210 Washington St. East
Charleston, WV 25311
Postage$42.64
3/29/2012 Comm to Re-Elect Doug Skaff
3 Joplin Place
South Charleston, WV 25303
Contribution$200.00
3/29/2012 Comm to Re-Elect Harry Keith White
PO Box 1985
Gilbert, WV 25621
Contribution$250.00
1/25/2012 Kessler for Senate 2012
607 Wheeling Avenue
Glen Dale, WV 26038
Contribution$500.00
3/12/2012 Tomblin for Governor 2012
PO Box 116
Chapmanville, WV 25508
Contribution$1,000.00
3/6/2012 Trinity Enterprises
PO BOX 278
Canvas, WV 26662
Accounting$737.59
2/28/2012 WV Democratic Party
717 Lee Street
Charleston, WV 25301
Contribution$300.00
  Total Expenditures: $7,230.23

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, August 2, 2012 10:35:44 AM