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

Candidate or Committee Name
ERIC NELSON
Candidate or Committee's Treasurer
SCOTT PHILLIPS
Political Party (for candidates)
Republican
Treasurer's Mailing Address (Street, Route, or P.O. Box)
707 VIRGINIA STREET, EAST  SUITE 400 
Office Sought (for Candidates)
House of Delegates
District/Division
35
City, State, Zip Code
CHARLESTON, WV 
Daytime Phone #
3043435156

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
 X 
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  $12,985.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$12,985.00
In-Kind Contributions +$0.00
Total Contributions: =$12,985.00
 
Other Income  $0.00
Loans Received +$0.00
Total Other Income: =$0.00
 
OUTSTANDING LOANS & DEBTS:  
Unpaid Bills  $0.00
Outstanding Loans +$5,000.00
Total Debts: =$5,000.00
 
TOTAL CONTRIBUTIONS ELECTION YEAR-TO-DATE
(Add total contributions from all reports)
$47,510.00
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)
 $33,075.77
Total Monetary Contributions +$12,985.00
Total Other Income +$0.00
Subtotal: a. =$46,060.77
 
Total Expenditures Paid  $5,396.63
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$5,396.63
 
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
=$40,664.14
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$11,845.86

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
5/4/2012Tom Pearcy$100.00
5/4/2012Wade Caskey$100.00
5/4/2012John Blankenship$100.00
5/4/2012William Lively$25.00
5/4/2012Reynolds American PAC$200.00
5/4/2012WV Build PAC$100.00
5/4/2012Gerald Titus$100.00
5/4/2012Robert Shay$100.00
5/4/2012EQT PAC$250.00
5/4/2012Pete White$250.00
5/5/2012James Shuman$200.00
5/4/2012William Davis$250.00
5/18/2012Robert Withrow$50.00
5/18/2012Stephen Roberts$200.00
5/18/2012Tim Spears$200.00
5/18/2012Lawrence Pack$250.00
5/18/2012Fifth Third Bancorp PAC$250.00
5/18/2012Consol Energy PAC$250.00
5/20/2012Rodger Nicholson$250.00
5/20/2012Pam Nelson$200.00
5/20/2012Michael Williams$10.00
5/20/2012Muhammad Riaz$250.00
 Subtotal of contributions of $250.00 or less$3,685.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
5/4/2012 Full Name:  EPIC PAC
Address:  Resident
600 Quarrier St
Charleston, WV 25301

Contributor's Job: (individual contributor only)  Pharmacy
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only) 
$300.00
5/4/2012 Full Name:  WV Car PAC
Address:  Resident
P.O. Box 2028
Charleston, WV 25327

Contributor's Job: (individual contributor only)  Auto Dealers
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only) 
$300.00
5/4/2012 Full Name:  MeadWestvaco PAC
Address:  Resident
501 South 5th St
Richmond, VA 23219

Contributor's Job: (individual contributor only)  Timber
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only) 
$300.00
5/4/2012 Full Name:  John Payne
Address:  Resident
5 Gats Creek
Charleston, WV 25314

Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Payne Gallatin Mining
Affiliation: (political committee only) 
$500.00
5/4/2012 Full Name:  James Bunn
Address:  Resident
4600 Kanawha Ave
Charleston, WV 25304

Contributor's Job: (individual contributor only)  Mining
Where Contributor Works: (individual contributor only)  Coal River Energy
Affiliation: (political committee only) 
$1,000.00
5/4/2012 Full Name:  Paul Skaff
Address:  Resident
28 Norwood Rd
Charleston, WV 25314

Contributor's Job: (individual contributor only)  Physician
Where Contributor Works: (individual contributor only)  GAS
Affiliation: (political committee only) 
$500.00
5/4/2012 Full Name:  Jeremy Jacobs
Address:  Resident
1300 N. Davis Rd
East Aurora, NY 14052

Contributor's Job: (individual contributor only)  CEO
Where Contributor Works: (individual contributor only)  Delaware North Companies
Affiliation: (political committee only) 
$500.00
5/4/2012 Full Name:  First Energy PAC
Address:  Resident
76 S Main St
Akron, OH 44308

Contributor's Job: (individual contributor only)  Energy
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only) 
$500.00
5/4/2012 Full Name:  Coca-Cola Committee for Good Govt
Address:  Resident
P.O. Box 31487
Charlotte, NC 28231

Contributor's Job: (individual contributor only)  Beverages
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only) 
$500.00
5/4/2012 Full Name:  ANR PAC
Address:  Resident
999 Corporate Blvd
Suite 300
Linthicum Heights, MD 21090

Contributor's Job: (individual contributor only)  Coal
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only) 
$300.00
5/4/2012 Full Name:  Vicki Marshall
Address:  Resident
10 Tannehill Trail
Barboursville, WV 25504

Contributor's Job: (individual contributor only)  Owner
Where Contributor Works: (individual contributor only)  BBM Management
Affiliation: (political committee only) 
$1,000.00
5/4/2012 Full Name:  Anna Marie Barnes
Address:  Resident
310 Charmian Rd
Richmond, VA 23226

Contributor's Job: (individual contributor only)  Student
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$1,000.00
5/4/2012 Full Name:  Bo Barnes
Address:  Resident
310 Charmian Rd
Richmond, VA 23226

Contributor's Job: (individual contributor only)  Student
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$1,000.00
5/18/2012 Full Name:  J. Holmes Morrison
Address:  Resident
650 Cherry Meadow Ln
Charleston, WV 25314

Contributor's Job: (individual contributor only)  retired
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$300.00
5/18/2012 Full Name:  WVOA PAC
Address:  Resident
2210 Washington St E
Charleston, WV 25311

Contributor's Job: (individual contributor only)  Physicians
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only) 
$300.00
5/18/2012 Full Name:  Tommy Clay
Address:  Resident
P.O. Box 396
Belle, WV 25015

Contributor's Job: (individual contributor only)  Owner
Where Contributor Works: (individual contributor only)  Clay Music Company
Affiliation: (political committee only) 
$500.00
5/20/2012 Full Name:  Christopher Brumley
Address:  Resident
304 Georgetown Circle
Charleston, WV 25314

Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Flaherty & Sensibaugh
Affiliation: (political committee only) 
$500.00
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:
$9,300.00
$3,685.00
$12,985.00


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. Eric Nelson
P.O. Box 186
Charleston, WV 25321
$5,000.00 $5,000.00
Loans Received Repayment of Loans Outstanding Loans
Totals: $0.00 $0.00 $5,000.00

Itemized Expenditures

DateName of Person or Vendor And AddressPurposeAmount
4/30/2012 Charleston Newspapers
1001 Virginia St E
Charleston, WV 25301
Advertisment$1,315.24
5/1/2012 The Printing Press
143 Gaylor Ln
Charleston, WV 25312
Postage$1,236.70
5/1/2012 The Printing Press
143 Gaylor Ln
Charleston, WV 25312
Mailing$2,125.30
5/4/2012 The Alzheimer’s Asso
1601 2nd Ave
Charleston, WV 25387
luncheon sponsorship$250.00
5/4/2012 FLS Connect
7300 Hudson Blvd
Suite 270
St. Paul, MN 55128
phone calls$300.00
5/14/2012 Design Works
511 1/2 Washington St W
Charleston, WV 25302
Design work$132.50
5/20/2012 PayPal
1840 Embarcadero Rd
Palo Alto, CA 94303
web activity$36.89
  Total Expenditures: $5,396.63

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
Tuesday, June 19, 2012 7:19:50 PM