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):

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	$735.00
Monetary Contributions from all Fund-Raising Events	+$0.00
Receipt of a Transfer of Excess Funds	+$0.00
Total Monetary Contributions:	=$735.00
In-Kind Contributions	+$0.00
Total Contributions:	=$735.00

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)
$25,070.00

CASH BALANCE SUMMARY
Beginning Balance (ending balance from previous report)		$24,420.59
Total Monetary Contributions		+$735.00
Total Other Income		+$0.00
Subtotal:	a.	=$25,155.59

Total Expenditures Paid		$6,050.00
Total Disbursements of Excess Funds		+$0.00
Repayment of Loans		+$0.00
Subtotal:	b.	=$6,050.00

Ending Balance: (Subtotal a. - Subtotal b.) *Cannot be negative balance		=$19,105.59

TOTAL EXPENDITURES ELECTION YEAR-TO-DATE (Add total expenditures from all reports)
$26,344.85

Contributions
$250.00 or LESS

DATE	CONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAME	AMOUNT
11/4/2012	Robert Akers	$50.00
11/4/2012	Terry Chambers	$50.00
11/4/2012	Sandra Cunningham	$30.00
11/4/2012	Brian Erickson	$30.00
11/12/2012	Kimberly Gambino	$30.00
11/4/2012	Brad George	$50.00
11/4/2012	Holly Harvey	$35.00
11/14/2012	Michael Ielapi	$120.00
11/4/2012	William Z Johnson	$50.00
11/12/2012	Randy Maxwell	$85.00
11/4/2012	Geoffrey Mohn	$130.00
11/4/2012	Rodney Thompson	$50.00
11/4/2012	Kevin Trembush	$25.00
	Subtotal of contributions of $250.00 or less	$735.00

Contributions
More than $250.00

DATE	CONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAME	AMOUNT
	Subtotal of all contributions of more than $250.00 Subtotal of all contributions of $250 or less Total Contributions:	$0.00 $735.00 $735.00

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
10/29/2012	Committee to Elect Mary Poling RT 1 Box 331 Moatsville, WV 26405	Political Contribution	$100.00
11/1/2012	Committee to Re-Elect Barbara Flesichauer 851 Bakers Ridge Road Morgantown, WV 26505	Political Contribution	$100.00
10/29/2012	Committee to Re-Elect Bradley Paxton PO Box 106 Poca, WV 25159	Political Contribution	$200.00
11/1/2012	Committee to Re-Elect Charlene Marshall 1010 Ashton Drive Morgantown, WV 26508	Political Contribution	$100.00
10/29/2012	Committee to Re-Elect Jeff Eldridge 4754 Coal River Road Alum Creek, WV 25003	Political Contribution	$200.00
10/29/2012	Committee to Re-Elect Mark Hunt 901 Edgewood Drive Charleston, WV 25302	Political Contribution	$250.00
10/29/2012	Committee to Re-Elect Stan Shaver 3612 Birch Root Road Tunnelton, WV 26444	Political Contribution	$100.00
11/1/2012	Committee to Elect Amanda Pasdon PO Box 106 Morgantown, WV 26505	Political Contribution	$100.00
10/29/2012	Committee to Elect Roger Romine 161 Baker Lane Sistersville, WV 26175	Political Contribution	$100.00
11/1/2012	Committee to Elect Anthony Bariel 937 Garrison Avenue Morgantown, WV 26501	Political Contribution	$100.00
10/29/2012	Committee to Elect Issac Sponaugle PO Box 578 Thorny Meadow Road Franklin, WV 26807	Political Contribution	$200.00
10/29/2012	Committee to Elect John Ellen PO Box 322 Parkersburg, WV 26102	Political Contribution	$100.00
10/29/2012	Committee to Elect Justin Marcum 179 Buffalo Mountain Williamson, WV 25661	Political Contribution	$100.00
10/29/2012	Committee to Elect Steve Hunter 653 East Washington Street Lewisburg, WV 24901	Political Contribution	$200.00
10/29/2012	Committee to Elect Chris Morris 619 Churchill Drive Charleston, WV 25314	Political Contribution	$500.00
10/29/2012	Committee to Elect Clark Barnes RT 2 Box 12-C Beverly, WV 26253	Political Contribution	$250.00
10/29/2012	Committee to Elect Cliff Moore PO Box 67 Thorpe, WV 24888	Political Contribution	$200.00
10/29/2012	Committee to Elect David Sidiropolis 506 Marshall Street McMechen, WV 26040	Political Contribution	$250.00
10/29/2012	Committee to Elect Helen Martin PO Box 513 Poca, WV 25159	Political Contribution	$100.00
10/29/2012	Committee to Elect Herb Snyder PO Box 400 Shenandoah Junction, WV 25442	Political Contribution	$250.00
10/29/2012	Committee to Elect Jo Boggess Phillips 346 Crown Drive Ripley, WV 25271	Political Contribution	$100.00
10/29/2012	Committee to Elect Josh Stowers 4293 Coal River Road Alum Creek, WV 25003	Political Contribution	$500.00
10/29/2012	Committee to Elect Linda Longstreth 804 Ohio Avenue Fairmont, WV 26554	Political Contribution	$100.00
10/29/2012	Committee to Elect Mike Manypenny Rt 3, Box 202 Grafton, WV 26354	Political Contribution	$100.00
10/29/2012	Committee to Elect Phil Diserio 623 Wabash Drive Follansbee, WV 26037	Political Contribution	$100.00
10/29/2012	Committee to Elect Richard Iaquinta 139 Vermont Avenue Clarksburg, WV 26301	Political Contribution	$100.00
10/29/2012	Committee to Elect Ron Fragale 503 East Main Street Clarksburg, WV 26301	Political Contribution	$100.00
10/29/2012	Committee to Elect Ronnie Jones 113 Cleveland Road Weirton, WV 26062	Political Contribution	$100.00
10/29/2012	Committee to Elect Stephen Skinner PO Box 366 Shepherdstown, WV 25443	Political Contribution	$200.00
10/29/2012	Committee to Elect Suzette Raines 850 Jonash Lane St. Albans, WV 25177	Political Contribution	$250.00
10/29/2012	Committee to Elect Tiffany Lawrence 19 Baltic Lane Ranson, WV 25438	Political Contribution	$200.00
10/29/2012	Committee to Elect Tim Miley 23 Valley View Road Bridgeport, WV 26330	Political Contribution	$200.00
10/29/2012	Committee to Elect Denise Campbell Rt 1, Box 330-36 Elkins, WV 26241	Political Contribution	$200.00
10/29/2012	Committee to Elect Erikka Storck PO Box 911 Wheeling, WV 26003	Political Contribution	$100.00
10/29/2012	Committee to Elect Sean Hornbuckle 1802 Doulton Avenue Huntington, WV 25701	Political Contribution	$200.00
		Total Expenditures:	$6,050.00

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 10:58:32 AM

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