State of West Virginia Campaign Financial Statement
(Long Form) in Relation to the 2011 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 26-Apr 01, 2011
Pre-primary Report
Due Apr 29-May 03, 2011
Post-primary Report
Due May 27-Jun 28, 2011
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  $0.00
Monetary Contributions from all Fund-Raising Events +$4,755.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$4,755.00
In-Kind Contributions +$0.00
Total Contributions: =$4,755.00
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 +$4,755.00
Total Other Income +$0.00
Subtotal: a. =$7,392.14
Total Expenditures Paid  $2,176.50
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$2,176.50
Ending Balance:
(Subtotal a. - Subtotal b.)

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

$250.00 or LESS

 Subtotal of contributions of $250.00 or less 

More than $250.00

 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).

April 29th Reception and Fundraiser Event Summary

Date of Event: 4/28/2011 Total Monetary Contributions:  $4,755.00
Type of Event: Reception for Gubernatorial Candidates Total Expenditures: -$2,176.50
Name of Place Held: Historic McFarland House NET RECEIPTS: =$2,578.50
Address of Place Held: 409 South Queen Street
Martinsburg, WV 25401
Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

4/28/2011John Sine$60.00
4/28/2011Mike Roberts$60.00
4/28/2011Jim Humphreys$60.00
4/28/2011Butch Pennington$195.00
4/28/2011Allen Ashton$120.00
4/28/2011Kevin Jackson$120.00
4/28/2011Gerald Fitzgerald$60.00
4/28/2011Daniel Vanbelleghem$60.00
4/28/2011Lynn Yellott$30.00
4/28/2011Terri Miskovsky$30.00
4/28/2011Sandy Stith$60.00
4/28/2011David Robinson$60.00
4/28/2011Kenyo Dauie$60.00
4/28/2011Matt Blaine$30.00
4/28/2011Rick Cogswell$30.00
4/28/2011Hushel Ricks$60.00
4/28/2011Sandy Miller$30.00
4/28/2011Gray Silver III$105.00
4/28/2011Herb Snyder$30.00
4/28/2011Pat Murphy$30.00
4/28/2011Homer Speaker$60.00
4/28/2011Mike Lorensen$60.00
4/28/2011Tammy Cooper$30.00
4/28/2011Russell McClatchey$60.00
4/28/2011Herb Kreinik$60.00
4/28/2011Kenny Lemaster$30.00
4/28/2011Byron Simpson$60.00
4/28/2011Garry Geffert$60.00
4/28/2011Terry Walker$60.00
4/28/2011Everett Boober$60.00
4/28/2011Daryl Glenney$30.00
4/28/2011Marilyn Connant$30.00
4/28/2011Barbara Frankenberry$60.00
4/28/2011Kit Thornton$60.00
4/28/2011John Christensen$30.00
4/28/2011Ricardo Stith$30.00
4/28/2011Chris Ross$60.00
4/28/2011Michael King$40.00
4/28/2011Richard Hackney$30.00
4/28/2011Diana Eldridge$30.00
4/28/2011Wendy Bird$30.00
4/28/2011Selina Meehleib$30.00
4/28/2011Ryan Frankenberry$90.00
4/28/2011Bill Yearout$150.00
4/28/2011Niles Bernick$150.00
4/28/2011Sally Jackson$150.00
4/28/2011Danny Staggers$100.00
4/28/2011Terry Britt$100.00
4/28/2011Jeffrey Molenda$150.00
4/28/2011Donn Marshall$150.00
4/28/2011George Karos$150.00
4/28/2011Max Parkinson$75.00
4/28/2011Derek Scarbro$75.00
4/28/2011Bill Butler$130.00
4/28/2011Robert Johnson$150.00
4/28/2011Robert Wertman$75.00
4/28/2011Mike Burke$250.00
4/28/2011Stephen Groh$200.00
 Subtotal of event contributions of less than $250.00 $4,435.00

More than $250

4/28/2011 Full Name:  WV State UAW Cap Council
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
 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
3/26/2011 Historic McFarland House
409 South Queen St
Martinsburg, WV 25401
Deposit for Reception Venue$300.00
4/27/2011 Historic McFarland House
409 South Queen St
Martinsburg, WV 25401
Reception Services$1,575.00
4/11/2011 The Journal
207 W. King St
Martinsburg, WV 25401
  Total Expenditures: $2,176.50

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, May 2, 2011 11:16:56 AM