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

Candidate or Committee Name
Boone Co. Democratic Executive Committee
Candidate or Committee's Treasurer
Susan Baisden
Political Party (for candidates)
Treasurer's Mailing Address (Street, Route, or P.O. Box)
2981 Chap Road 
Office Sought (for Candidates)
City, State, Zip Code
Gordon, WV 25093
Daytime Phone #
(304) 369-7308

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  $0.00
Monetary Contributions from all Fund-Raising Events +$1,057.42
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$1,057.42
In-Kind Contributions +$0.00
Total Contributions: =$1,057.42
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 +$1,057.42
Total Other Income +$0.00
Subtotal: a. =$6,692.88
Total Expenditures Paid  $1,303.81
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$1,303.81
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).

Summer Picnic Event Summary

Date of Event: 8/16/2009 Total Monetary Contributions:  $450.00
Type of Event: Picnic Total Expenditures: -$352.12
Name of Place Held: Waterways Park NET RECEIPTS: =$97.88
Address of Place Held: Danville, WV
Danville, WV 25053
Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

8/16/2009committee To Elect Josh Stowers$50.00
8/16/2009House Of Delegate Fund For Jeffrey A Eldridge$100.00
8/16/2009Ron Stollings For Senate$200.00
9/15/2009Butcher For House$100.00
 Subtotal of event contributions of less than $250.00 $450.00

More than $250

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

Labor Day Rally Event Summary

Date of Event: 9/6/2009 Total Monetary Contributions:  $607.42
Type of Event: Labor Day Rally Total Expenditures: -$45.61
Name of Place Held: Racine Park NET RECEIPTS: =$561.81
Address of Place Held: Racine Park
Racine, WV 25165
Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

 Subtotal of event contributions of less than $250.00 $0.00

More than $250

9/6/2009 Full Name:  Various
Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
 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
4/9/2009 WVDYLA
Campaign Headquarters
Charleston, WV, WV 25305
Young Democrat To Convention$150.00
6/5/2009 Michelle Flowers
PO Box 275
Danville, WV 25053
Hunter Service $18.00
6/12/2009 Sue Ann Zickefoose
339 Second St
Madison, WV 25130
Reimbursement for Pam White Father Service$40.07
7/9/2009 Sue Ann Zickefoose
339 Second St
Madison, WV 25130
Party Chair Conference @ Stonewall Jackson Resort$50.00
8/4/2009 Sam’s Club
2500 Mountaineer Blvd.
Charleston, WV 25309
Supplies for Summer Picnic$86.54
8/15/2009 Heiners Bakery
5005 Raven Dr
Charleston, WV 25306
Buns For Picnic$22.92
8/15/2009 Madison Foodland
700 S Main St
Madison, WV 25130
Supplies for Picnic$6.90
8/16/2009 Gary Brown
108 Summit Ave
Madison, WV 25130
Pop for Summer Picnic$57.15
8/16/2009 Atholl Halstead
185 Pine Dr
Seth, WV 25181
Staples for Picnic (Chili & Slaw)$79.61
8/16/2009 Jim Gore
Gen Del
Uneeda, WV 25205
Charcoal for Summer Picnic$24.00
8/16/2009 Waterways
Julian Rd
Julian, WV 25529
Rental of Waterways Shelter$75.00
9/3/2009 Sue Ann Zickefoose
339 Second St
Madison, WV 25130
Staples for Labor Day Rally$27.00
9/6/2009 Sam’s Club
2500 Mountaineer Blvd.
Charleston, WV 25309
Supplies for Labor Day Rally$18.61
12/10/2009 Park Avenue Restaurant
PO Box 76
Danville, WV 25053
Christmas Committee Member Dinner$185.00
9/10/2009 Clarke American Check Order (Boone County Bank)
300 State St
Madison, WV 25130
New Checks$16.14
12/11/2009 VFW
379 Second St
Madison, WV 25130
3/4/2010 Madison-Finley Floral
Phipps Ave
Danville, WV 25053
Flowers for Larry Barker (Member)$40.28
3/11/2010 Boone County Clerk
200 State Street
Madison, WV 25130
Voters Registration List$151.08
3/12/2010 Harold Green
PO Box 75
Foster, WV 25081
10/1/2009 Susan Baisden
2981 Chap Rd
Gordon, WV 25093
Hot Dogs For Committee Member Meeting$34.39
  Total Expenditures: $1,303.81

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, April 8, 2010 12:09:14 PM