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

Candidate or Committee Name
ROBIN JEAN DAVIS
Candidate or Committee's Treasurer
MARK A FERGUSON
Political Party (for candidates)
Democrat
Treasurer's Mailing Address (Street, Route, or P.O. Box)
230 CAPITAL STREET  SUITE 300 
Office Sought (for Candidates)
Justice of the Supreme Court of Appeals
District/Division
0
City, State, Zip Code
CHARLESTON, WV 
Daytime Phone #
3043450168

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
 X 
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  $14,100.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$14,100.00
In-Kind Contributions +$0.00
Total Contributions: =$14,100.00
 
Other Income  $0.00
Loans Received +$0.00
Total Other Income: =$0.00
 
OUTSTANDING LOANS & DEBTS:  
Unpaid Bills  $0.00
Outstanding Loans +$860,000.00
Total Debts: =$860,000.00
 
TOTAL CONTRIBUTIONS ELECTION YEAR-TO-DATE
(Add total contributions from all reports)
$475,268.18
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)
 $153,368.62
Total Monetary Contributions +$14,100.00
Total Other Income +$0.00
Subtotal: a. =$167,468.62
 
Total Expenditures Paid  $90,270.15
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$90,270.15
 
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
=$77,198.47
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$1,258,429.61

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
10/4/2012Arch Coal Political Action Committee$250.00
10/16/2012Sanford Berland$250.00
10/16/2012Philip Reale$250.00
10/16/2012Financial Assistance for Democrats$250.00
9/25/2012Clifford Kinney$50.00
10/1/2012Carl Beaver$100.00
10/1/2012David Barney$50.00
 Subtotal of contributions of $250.00 or less$1,200.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
10/4/2012 Full Name:  HOSPAC
Address:  Resident
100 Association Dr.
Charleston, WV 25311

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  Hospital Association Political Action Committee
$1,000.00
10/8/2012 Full Name:  James Laurita
Address:  Resident
2367 Grafton Rd
Morgantown, WV 26508

Contributor's Job: (individual contributor only)  Executive
Where Contributor Works: (individual contributor only)  MEPCO Inc.
Affiliation: (political committee only) 
$1,000.00
10/11/2012 Full Name:  Dan Cooperrider
Address:  Resident
5010 Bennington Dr.
Cross Lanes, WV 25313

Contributor's Job: (individual contributor only)  Executive
Where Contributor Works: (individual contributor only)  WV Paving Inc
Affiliation: (political committee only) 
$1,000.00
10/11/2012 Full Name:  United Mine Workers of America PAC
Address:  Resident
18354 Quantico Dr
STE 200
Triangle, VA 22172

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  United Mine Workers Political Action Committee
$900.00
10/11/2012 Full Name:  Charles Piccirillo
Address:  Resident
PO Box 38
Madison , WV 25130

Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Shafer & Shafer
Affiliation: (political committee only) 
$1,000.00
10/16/2012 Full Name:  North Central West Virginia Building Trades
Address:  Resident
1001-A N. 12th St
Clarksburg, WV 26301

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  Building Trades Political Action Committee
$1,000.00
10/16/2012 Full Name:  Steven Harfenist
Address:  Resident
2 Tam-O-Shanter Dr
Purchase, NY 10577

Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Friedman Harfenist Kraut & Perlstein
Affiliation: (political committee only) 
$500.00
10/16/2012 Full Name:  Marc Grossman
Address:  Resident
210 Sands Point Rd
Sands Point , NY 11050

Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  The Sanders Firm
Affiliation: (political committee only) 
$500.00
10/16/2012 Full Name:  Frederick Kuykendall
Address:  Resident
1340 Sledge Dr
Mobile , AL 36606

Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$500.00
10/16/2012 Full Name:  Michael Del Giudice
Address:  Resident
15 W. 53rd St
New York, NY 10019

Contributor's Job: (individual contributor only)  Investment executive
Where Contributor Works: (individual contributor only)  Millenium Capital Markets
Affiliation: (political committee only) 
$1,000.00
10/16/2012 Full Name:  Communications Workers of America
Address:  Resident
9602 D Martin Luther King Jr Highway
Lanham, MD 20706

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  Communications Workers Political Action Committee
$500.00
9/25/2012 Full Name:  Geoffrey Brown
Address:  Resident
27 Barrington Dr.
Wheeling, WV 26003

Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Bordas & Bordas
Affiliation: (political committee only) 
$1,000.00
10/1/2012 Full Name:  RJ Bolen
Address:  Resident
PO Box 2185
Huntington, WV 25722

Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Huddleston Bolen
Affiliation: (political committee only) 
$1,000.00
10/1/2012 Full Name:  West Virginia Regional Council of Carpenters
Address:  Resident
1812 Garfield Ave.
Parkersburg, WV 26101

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  Trade union Political Action Committee
$1,000.00
10/8/2012 Full Name:  WESPAC
Address:  Resident
PO Box 4106
Charleston, WV 25364

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  West Virginia Medical Political Action Committee
$1,000.00
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:
$12,900.00
$1,200.00
$14,100.00


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
1. Robin Jean Davis
230 Quarry Ridge East
Charleston , WV 25304
$10,000.00 $10,000.00
2. Robin Jean Davis
230 Quarry Ridge East
Charleston, WV 25304
$50,000.00 $50,000.00
3. Robin Jean Davis
230 Quarry Ridge East
Charleston, WV 25304
$150,000.00 $150,000.00
4. Robin Jean Davis
230 Quarry Ridge East
Charleston, WV 25304
$150,000.00 $150,000.00
5. Robin Jean Davis
230 Quarry Ridge East
Charleston, WV 25304
$500,000.00 $500,000.00
Loans Received Repayment of Loans Outstanding Loans
Totals: $0.00 $0.00 $860,000.00

Itemized Expenditures

DateName of Person or Vendor And AddressPurposeAmount
9/28/2012 WTOV
9 Red Donley Plaza
Steubenville, OH 43952
Television advertising$10,038.50
9/28/2012 Lisa Duvall
PO box 11868
Charleston, WV 25339
Salary$2,500.00
9/28/2012 WOAY
7113 Legends Highway
Oak Hill, WV 25901
Television advertising$9,073.75
9/28/2012 WJAL
262 Swamp Fox Road
#190
Chambersburg, PA 17202
Television advertising$1,170.00
10/3/2012 Logan County Democratic Executive Committee
PO Box 365
Verdunville, WV 25649
Advertising$300.00
10/3/2012 The Printing Press
143 Gaylor Lane
Charleston, WV 25312
Campaign materials$2,279.00
10/3/2012 Fayette County R.E.A.C.T
PO Box 1173
Oak Hill, WV 25901
Donation$100.00
10/3/2012 Oak Hill Vo-Tech ROTC
PO Box 1173
Oak Hill, WV 25901
Donation$100.00
10/3/2012 The Segal Law Firm
810 Kanawha Blvd East
Charleston, WV 25301
Air travel$2,875.00
10/4/2012 WV MetroNews
1111 Virginia St. East
Charleston, WV 25312
radio advertising$12,716.00
10/4/2012 Allegheny Mountain Radio
Rt. 1
Box 139
Dunmore, WV 24934
radio advertising$280.00
10/4/2012 The Segal Law Firm
810 Kanawha Blvd East
Charleston, WV 25301
Air travel$2,860.00
10/9/2012 Comcast Spotlight
7501 Wisconsin Ave
STE 650-E
Bethesda, MD 20814
Television advertising$13,654.40
10/9/2012 Lincoln Journal
PO Box 308
Hamlin, WV 25523
newspaper advertising$150.00
10/12/2012 WHAG
301 East Patrick St
STE 200
Frederick, MD 21701
Television advertising$29,673.50
10/15/2012 Lisa Duvall
PO box 11868
Charleston, WV 25339
Salary$2,500.00
  Total Expenditures: $90,270.15

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
Friday, October 26, 2012 8:10:10 PM