State of West Virginia Campaign Financial Statement
(Long Form) in Relation to the 2010 Election Year

Candidate or Committee Name
Berkeley Co. Democratic Executive Committee
Candidate or Committee's Treasurer
E. Rosalie Bernick
Political Party (for candidates)
Treasurer's Mailing Address (Street, Route, or P.O. Box)
287 Crispin Lane 
Office Sought (for Candidates)
City, State, Zip Code
Falling Waters, WV 25419
Daytime Phone #
(304) 274-9310

Election Cycle Reporting Period (check one):

Primary - First Report
Due Mar 27-Apr 02, 2010
Pre-primary Report
Due Apr 26-Apr 30, 2010
Post-primary Report
Due May 24-Jun 23, 2010
General - First Report
Due Sep 20-Sep 24, 2010
Pre-general Report
Due Oct 18-Oct 22, 2010
Post-general Report
Due Nov 15-Dec 15, 2010

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 2010 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  $400.00
Monetary Contributions from all Fund-Raising Events +$9,703.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$10,103.00
In-Kind Contributions +$0.00
Total Contributions: =$10,103.00
Other Income  $0.00
Loans Received +$0.00
Total Other Income: =$0.00
Unpaid Bills  $0.00
Outstanding Loans +$0.00
Total Debts: =$0.00
(Add total contributions from all reports)
Beginning Balance
(ending balance from previous report)
Total Monetary Contributions +$10,103.00
Total Other Income +$0.00
Subtotal: a. =$14,544.96
Total Expenditures Paid  $4,756.91
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$4,756.91
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
(Add total expenditures from all reports)

$250.00 or LESS

3/13/2010Danny Staggers$50.00
 Subtotal of contributions of $250.00 or less$50.00

More than $250.00

2/23/2010 Full Name:  WV UAW State Community Action Program
Address:  Resident
1005 North Point Blvd
Baltimore, MD 21224

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  UAW Community Action Program
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:

Fund-Raising Events

All monetary contributions received at a fundraiser must be reported in the Event Summary below.
If contributor's name and amount are not listed, the contribution must be turned over to the West Virginia General Revenue Fund. The only exception to this rule may apply to political party executive committees. (WV Code 3-8-5a).

2009 Regional Jackson Jefferson Dinner Event Summary

Date of Event: 8/29/2009 Total Monetary Contributions:  $2,415.00
Type of Event: Dinner Total Expenditures: -$0.00
Name of Place Held: Berkeley Springs, WV NET RECEIPTS: =$2,415.00
Address of Place Held: Country Inn
Berkeley Springs, WV 25411
Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

7/28/2009William Yearout$70.00
7/28/2009Niles Bernick$70.00
7/28/2009Jason Barrett$70.00
7/28/2009Carol Culveyhouse$35.00
8/16/2009Ruth Peyton$35.00
8/16/2009Annie Otto$35.00
8/16/2009Butch Pennington$70.00
8/22/2009Gina Groh$105.00
8/22/2009Sandra Miller$35.00
8/22/2009Sally Jackson$70.00
8/22/2009William Wertman$70.00
8/22/2009Mary Jo Brown$35.00
8/22/2009Terry Britt$140.00
8/22/2009Tony Petrucci$35.00
8/22/2009Joseph Cordell$70.00
8/22/2009Amelia Shepherd$35.00
8/22/2009Kenny Lemaster$35.00
8/22/2009Randy Smith$35.00
8/22/2009Kristin Loken$70.00
8/22/2009Larry Ashton$175.00
8/29/2009Bill Butler$35.00
8/29/2009WV UAW State Community Action Program$175.00
8/29/2009Pam Armstrong$70.00
8/29/2009Robert Stultz$70.00
8/29/2009Robert Barrat$70.00
8/29/2009Barbara Frankenberry$70.00
8/29/2009Gerry Fitzgerald$70.00
8/29/2009William Norris$70.00
9/12/2009Matt Barney$35.00
9/12/2009John Christensen$70.00
9/12/2009Pat Humphreys$70.00
9/12/2009Jennifer Allen$70.00
9/12/2009Pearl Reardon$70.00
8/29/2009Connie Perry$175.00
 Subtotal of event contributions of less than $250.00 $2,415.00

More than $250

 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 

2010 BCDEC Elimination Dinner Event Summary

Date of Event: 3/12/2010 Total Monetary Contributions:  $7,288.00
Type of Event: Dinner Total Expenditures: -$3,368.69
Name of Place Held: Martinsburg Moose Lodge NET RECEIPTS: =$3,919.31
Address of Place Held: 201 Woodbury Avenue
Martinsburg, WV 25401
Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

2/3/2010Virginia Graf$70.00
2/3/2010Joseph Cordell$70.00
2/3/2010Russell McClatchey$70.00
2/3/2010William Yearout$70.00
2/3/2010Niles Bernick$70.00
2/3/2010Gina Groh$70.00
2/3/2010Pat Murphy$35.00
2/3/2010Butch Pennington$140.00
2/3/2010Daniel Miller$70.00
2/3/2010Ruth Donaldson$70.00
2/3/2010Max Parkinson$35.00
2/3/2010Tammy Cooper$35.00
3/12/2010Mary Sue Catlett$70.00
2/3/2010Gray Silver$35.00
2/3/2010Danny Staggers$35.00
2/3/2010Shannon Bittner$140.00
2/3/2010William Wertman$70.00
2/23/2010Stephanie Grove$70.00
2/23/2010Gerry Fitzgerald$70.00
2/23/2010Gail Boober$70.00
2/23/2010Laura Rattenni$70.00
2/23/2010Ruth Peyton$35.00
2/24/2010Sandra Miller$35.00
2/24/2010Michael Barrett$70.00
2/24/2010Michael Burke$140.00
2/24/2010Charlotte Norris$70.00
2/24/2010Chris Ross$140.00
2/24/2010Donn Marshall$70.00
2/24/2010Kenny Lemaster$35.00
2/24/2010Gary Geffert$35.00
2/24/2010Robert Barrat$70.00
3/5/2010Ryan Unger$70.00
3/5/2010Terry Britt$140.00
3/10/2010Frank Hill$70.00
3/12/2010Bryan Simpson$70.00
3/12/2010Robert Burkhart$70.00
3/12/2010Richard Wachtel$70.00
3/12/2010Cody Ford$35.00
3/12/2010Joyce Youngblood$35.00
3/12/2010Margie Allgyer$70.00
3/12/2010Nancy Sostaric$70.00
3/12/2010Mark Jenkinson$70.00
3/12/2010James Miller$70.00
3/12/2010Dennis Barron$35.00
3/12/2010Betty Hutsler$35.00
3/12/2010Jamilee Unger$35.00
3/12/2010Fran Ross$35.00
3/12/2010Bill Butler$35.00
3/12/2010Pearl Reardon$70.00
3/12/2010Loraine Rea$70.00
3/12/2010Pam Brush$70.00
3/15/2010Roger Lewis$70.00
3/15/2010Larry Schultz$70.00
3/12/2010Michael Santabarbra$70.00
3/15/2010Ardyth Fosaaen$35.00
3/15/2010David Camilletti$35.00
3/15/2010Helen Altman$70.00
3/15/2010John Sine$70.00
3/15/2010Tony Petrucci$70.00
3/23/2010Belinda Biafore$140.00
3/24/2010Paul Taylor$70.00
3/24/2010Kirk Bottner$70.00
3/24/2010Michael Lorensen$70.00
3/2/2010Matt Barney$35.00
3/2/2010Consuelo Newman$35.00
3/2/2010Sally Jackson$70.00
3/2/2010Amelia Shepherd$35.00
3/2/2010Larry Ashton$140.00
3/2/2010Kevin Jackson$140.00
3/2/2010Kim Sencindiver$70.00
3/2/2010Mike Roberts$70.00
3/2/2010Reva Mickey$70.00
3/2/2010John Fink$35.00
3/2/2010Erin Fink$35.00
3/2/2010Ronald Harmon$70.00
3/2/2010Sherman Lambert$70.00
3/12/2010Paul Rossario$35.00
3/2/2010Katrina Rossario$35.00
3/2/2010Tommy Weatherholt$70.00
3/2/2010Bill Allgyer$35.00
3/2/2010Norwood Bentley$35.00
3/2/2010Doug Copenhaver$35.00
3/2/2010Kim Crockett$35.00
3/12/2010Loretta Holmes$35.00
3/12/2010Tanya Holmes$35.00
3/12/2010Stephen Holmes$35.00
3/12/2010Monica Holmes$35.00
3/12/2010Margaret Holmes$35.00
3/12/2010Cindy Hovermale$35.00
3/12/2010Francine Kidrich$35.00
3/12/2010Patsy Kilmer$35.00
3/12/2010Moose Lodge #120$35.00
3/12/2010Ken Mattson$35.00
3/12/2010Jimmy Saville$35.00
3/12/2010Randy Smith$35.00
3/12/2010Proceeds from tip jars$229.00
3/12/2010Richard Pill$35.00
3/12/2010Jim Humphrey$70.00
 Subtotal of event contributions of less than $250.00 $6,109.00

More than $250

3/10/2010 Full Name:  Connie Perry
Address:  Resident
71 North Washington Street
Berkeley Springs, WV 25411

Contributor's Job: (individual contributor only)  Realtor
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
3/12/2010 Full Name:  David Robinson
Address:  Resident
71 Currituck Court
Bunker Hill, WV 25413

Contributor's Job: (individual contributor only)  Retired
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
3/12/2010 Full Name:  Proceeds from 50/50 and Drawing
Address:  Resident
Martinsburg, WV 25401

Contributor's Job: (individual contributor only)  Various contributors
Where Contributor Works: (individual contributor only)  n/a
Affiliation: (political committee only)  n/a
 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 

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


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
3/13/2010 Bob Burkhart
7468 Arden Nollville Rd
Martinsburg, WV 25404
Elimination Dinner Prize$50.00
3/13/2010 Joe Ferretti
2005 Redcrest Dr
Martinsburg, WV 25401
Elimination Dinner Prize$50.00
3/13/2010 Danny Staggers
133 E. John St.
Martinsburg, WV 25401
Elimination Dinner Prize$50.00
3/13/2010 Gray Silver
137 Horizon Way
Martinsburg, WV 25401
Elimination Dinner Prize$50.00
3/13/2010 Bill Norris
2255 Nadenboush Lane
Inwood, WV 25428
Elimination Dinner Prize$50.00
3/13/2010 Stephanie Grove
28 Standish Court
Charles Town, WV 25414
Elimination Dinner Prize$200.00
3/13/2010 Helen Altman
3006 Blue Ridge Ave
Silver Spring, MD 20902
Elimination Dinner Prize$200.00
3/13/2010 Lorraine Rea
412 Fernbank Dr
Shepherdstown, WV 25443
Elimination Dinner Prize$200.00
3/13/2010 Gail Boober
PO Box 1125
Charles Town, WV 25414
Elimination Dinner Prize$200.00
3/13/2010 Mike Roberts
PO Box 693
Hedgesville, WV 25427
Elimination Dinner Prize$50.00
7/28/2009 WV Federation of Democratic Women
1006 Gaston Ave
Fairmont, WV 26554
8/26/2009 Trophies Plus
3790 Hedgesville Rd
Hedgesville, WV 25427
3/20/2010 BB&T
148 S. Queen St
Martinsburg, WV 25401
Bank service charge - Returned check$45.00
7/28/2009 Berkeley County Youth Fair
PO Box 1302 Martinsburg
Martinsburg, WV 25402
Youth Fair Booth$500.00
10/5/2009 WV Democratic Chairs Assn - Truman Chafin
2 W 2nd Avenue, # 2
Williamson, WV 25661
WV Democratic Chairs Assn Dues$100.00
4/18/2009 WV Democratic Party
717 Lee St, Suite 214
Charleston, WV 25301
Meeting registration$20.00
4/18/2009 Niles Bernick
287 Crispin Lane
Falling Waters, WV 25419
Reimbursement - website$65.27
8/8/2009 Matt Barney
108 Lindale Farm Ln
Inwood, WV 25428
Reimbursement - supplies$45.67
8/8/2009 Kim Sencindiver
92 Opequon Lane
Kearneysville, WV 25430
Reimbursement - supplies$73.90
11/4/2009 BCDA
PO Box 1516
Martinsburg, WV 25402
Bulk mail permit share$92.50
11/4/2009 Niles Bernick
287 Crispin Lane
Falling Waters, WV 25419
Reimbursement - supplies$27.83
2/1/2010 Berkeley County Democratic Womens Club
19 Myriah Drive
Martinsburg , WV 25405
Reimbursement - supplies$19.17
3/20/2010 Niles Bernick
287 Crispin Lane
Falling Waters, WV 25419
Reimbursement - website$59.88
3/13/2010 Doris Griffin
419 E. Burke St
Martinsburg, WV 25401
Elimination Dinner Prize$250.00
3/13/2010 Mountaineer at the Moose
201 Woodbury Ave
Martinsburg, WV 25401
Food service$1,958.69
3/13/2010 Moose Lodge #120
201 Woodbury Ave
Martinsburg, WV 25401
Rental of Hall$300.00
3/26/2010 BB&T
148 S. Queen St
Martinsburg, WV 25401
Bank service charge - Returned check$10.00
  Total Expenditures: $4,756.91

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
Monday, March 29, 2010 5:18:34 PM