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
    
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  $15,625.00
Monetary Contributions from all Fund-Raising Events +$14,200.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$29,825.00
In-Kind Contributions +$0.00
Total Contributions: =$29,825.00
 
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)
$91,485.00
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)		  $47,401.78
Total Monetary Contributions +$29,825.00
Total Other Income +$0.00
Subtotal: a. =$77,226.78
 
Total Expenditures Paid  $9,846.77
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$9,846.77
 
Ending Balance:
(Subtotal a. - Subtotal b.)
*Cannot be negative balance		 =$67,380.01
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$29,104.99

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
10/17/2012Patrick Gorman$25.00
10/17/2012Stuart Smith$50.00
10/17/2012William Morgan$50.00
10/17/2012Gary Swingle$50.00
10/17/2012Barbara Nolan$50.00
10/17/2012Henry Schulhoff$50.00
10/17/2012William Lively$50.00
10/17/2012John Blankenship$50.00
10/17/2012David Haney$50.00
10/17/2012Raymona Kinneberg$50.00
10/17/2012Charles Woody$100.00
10/17/2012Joseph Supcoe$100.00
10/17/2012John Fisher$100.00
10/17/2012Darrell Rolston$100.00
10/17/2012Marion Baer$100.00
10/17/2012Richard Golden$50.00
10/17/2012WV Society of CPA PAC$50.00
10/17/2012Warren Upton$100.00
10/17/2012K Paul Davis$100.00
10/17/2012Jane Shuman$100.00
10/17/2012Allan McVey$100.00
10/17/2012Thomas Wilkerson$100.00
10/17/2012Craig Stilwell$100.00
10/17/2012Larry George$100.00
10/17/2012Community Bankers PAC$150.00
10/17/2012WV Ohio Valley Chapter NECA$150.00
10/17/2012David DeJarnett$200.00
10/17/2012WV Land & Mineral Owners PAC$200.00
10/17/2012Home Builders Assn$200.00
10/17/2012Sara Hobitzell$150.00
10/17/2012Larry Hudson$250.00
10/17/2012Richard Merrill$250.00
10/17/2012John Kuyk$250.00
10/17/2012Glenn Crotty$250.00
10/17/2012James Thomas$250.00
10/17/2012Bradley Pauley$250.00
10/17/2012Ronald Hayhurst$250.00
10/17/2012David Ramsey$250.00
10/17/2012Edward Guanch$250.00
10/17/2012Arch PAC$250.00
10/17/2012WESPAC$200.00
10/17/2012WVBW PAC$200.00
10/17/2012Robert Whitler$250.00
10/17/2012Coke Consol Comm for Govt$250.00
10/17/2012WVSFA PAC$250.00
10/17/2012West Virginians for Coal$250.00
10/17/2012Edward Nelson$250.00
 Subtotal of contributions of $250.00 or less$6,975.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
10/17/2012 Full Name:  Steptoe & Johnson Good Govt Fund
Address:  Resident
P.O. Box 1588
Charleston, WV 25326
Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only)  n/a 		$300.00
10/17/2012 Full Name:  West Virginia Car
Address:  Resident
P.O. Box 2028
Charleston, WV 25327
Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only)  n/a 		$300.00
10/17/2012 Full Name:  MeadWestVaco PAC
Address:  Resident
501 South 5th St
Richmond, VA 23219
Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only)  n/a 		$300.00
10/17/2012 Full Name:  Patriot Coal Corp PAC
Address:  Resident
12312 Olive Blvd
Suite 400
St Louis, MO 63141
Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only)  n/a 		$500.00
10/17/2012 Full Name:  AEP Committee for Responsible Govt
Address:  Resident
1122 Seventh Ave
Huntington, WV 25701
Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only)  n/a 		$500.00
10/17/2012 Full Name:  HUB PAC
Address:  Resident
2114 Kanawha Blvd E
Charleston, WV 25311
Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only)  n/a 		$500.00
10/17/2012 Full Name:  HOSPAC
Address:  Resident
100 Association Dr
Charleston, WV 25311
Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only)  n/a 		$500.00
10/17/2012 Full Name:  Mary Gray
Address:  Resident
347 Baker Ln
Charleston, WV 25302
Contributor's Job: (individual contributor only)  Retired
Where Contributor Works: (individual contributor only)  n/a
Affiliation: (political committee only)  n/a 		$500.00
10/17/2012 Full Name:  Dupont Good Govt Fund
Address:  Resident
1007 Market St
Wilmington, DE 19898
Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only)  n/a 		$500.00
10/17/2012 Full Name:  BB&T of WV PAC
Address:  Resident
150 S. Stratford Rd
Winston Salem, NC 27104
Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only)  n/a 		$1,000.00
10/17/2012 Full Name:  Stephen Walker
Address:  Resident
1410 Connell Rd
Charleston, WV 25314
Contributor's Job: (individual contributor only)  Retired
Where Contributor Works: (individual contributor only)  n/a
Affiliation: (political committee only)  n/a 		$500.00
10/17/2012 Full Name:  Clark Adkins
Address:  Resident
20 Shannon Pl
Charleston, WV 25314
Contributor's Job: (individual contributor only)  Physician
Where Contributor Works: (individual contributor only)  Bone & Joint Surgeons
Affiliation: (political committee only)  n/a 		$500.00
10/17/2012 Full Name:  The Chamber PAC
Address:  Resident
P.O. Box 2789
Charleston, WV 25330
Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only)  n/a 		$750.00
10/17/2012 Full Name:  WV Bankers Asso
Address:  Resident
120 Washington St E
Charleston, WV 25301
Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only)  PAC
Affiliation: (political committee only)  n/a 		$1,000.00
10/17/2012 Full Name:  Brian Glasser
Address:  Resident
1557 Virginia St
Charleston, WV 25311
Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Bailey Glasser
Affiliation: (political committee only)  n/a 		$1,000.00
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:		$8,650.00
$6,975.00
$15,625.00

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).

Bistro Fundraiser Event Summary

Date of Event: 10/3/2012 Total Monetary Contributions:  $14,200.00
Type of Event: Fundraiser Total Expenditures: -$1,498.14
Name of Place Held: Bistro NET RECEIPTS: =$12,701.86
Address of Place Held: Bridge Road
Charleston, WV 25314		 Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

DATEFULL NAMEAMOUNT
10/3/2012H. dill Battle$50.00
10/3/2012Blair Gardner$50.00
10/3/2012Howard Persinger$50.00
10/3/2012Lyle Smith$100.00
10/3/2012Paul White$100.00
10/3/2012Heather Jones$100.00
10/3/2012Steven Robey$100.00
10/3/2012Will Hanna$100.00
10/3/2012John Casto$100.00
10/3/2012David Hunt$100.00
10/3/2012Gordan Lane$100.00
10/3/2012R.B. Tracy$100.00
10/3/2012J Christopher Thomas$100.00
10/3/2012Gregory Rosencrance$100.00
10/3/2012Henry Wehrle$200.00
10/3/2012Muhammad Riaz$200.00
10/3/2012Melissa Harper$200.00
10/3/2012Timothy Gibbons$150.00
10/3/2012Ryan Westerman$250.00
10/3/2012Andrew Payne$250.00
10/3/2012Mary Dinsmore$250.00
10/3/2012Charles Bibbee$250.00
10/3/2012Michael Foster$250.00
10/3/2012P.F. Francke$200.00
10/3/2012J&K Legislative PAC$200.00
10/3/2012James K T Payne$250.00
10/3/2012Richard Bradford$250.00
10/3/2012Steven Doty$250.00
10/3/2012Steven Odekird$250.00
10/3/2012Angus Peyton$250.00
10/3/2012Charles Jones$250.00
10/3/2012Chiropractors Independent PAC$250.00
 Subtotal of event contributions of less than $250.00 $5,400.00

More than $250

DATE AMOUNT
10/3/2012 Full Name:  Stephen Roberts
Address:  Resident
1326 Morningside Dr
Charleston, WV 25314
Contributor's Job: (individual contributor only)  Executive
Where Contributor Works: (individual contributor only)  WV Chamber
Affiliation: (political committee only)  n/a 		$300.00
10/3/2012 Full Name:  Robert Goldsmith
Address:  Resident
P.O. Box 11104
Charleston, WV 25339
Contributor's Job: (individual contributor only)  Owner
Where Contributor Works: (individual contributor only)  Cascade Coal
Affiliation: (political committee only)  n/a 		$500.00
10/3/2012 Full Name:  Kishore Challa
Address:  Resident
123 E Ridge Rd
Charleston, WV
Contributor's Job: (individual contributor only)  Physician
Where Contributor Works: (individual contributor only)  South Charleston Cardiology
Affiliation: (political committee only)  n/a 		$500.00
10/3/2012 Full Name:  Charles Loeb
Address:  Resident
1502 Hampton Rd
Charleston, WV 25314
Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Jackson & Kelly
Affiliation: (political committee only)  n/a 		$500.00
10/3/2012 Full Name:  Walter Dial
Address:  Resident
1578 Kanawha Blvd
Charleston, WV 25311
Contributor's Job: (individual contributor only)  Executive
Where Contributor Works: (individual contributor only)  Appalachian Tire
Affiliation: (political committee only)  n/a 		$500.00
10/3/2012 Full Name:  John L Payne
Address:  Resident
5 Gats Creek Rd
Charleston, WV 25314
Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Payne Gallatin Mining
Affiliation: (political committee only)  n/a 		$500.00
10/3/2012 Full Name:  Brian Miller
Address:  Resident
1520 Thomas Circle
Charleston, WV 25314
Contributor's Job: (individual contributor only)  Executive
Where Contributor Works: (individual contributor only)  Executive Air
Affiliation: (political committee only)  n/a 		$1,000.00
10/3/2012 Full Name:  D. H. Wallace
Address:  Resident
P.O. Box 787
Charleston, WV 25323
Contributor's Job: (individual contributor only)  Business Owner
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only)  n/a 		$1,000.00
10/3/2012 Full Name:  Andrew Jordan
Address:  Resident
1 Norwood Rd
Charleston, WV 25314
Contributor's Job: (individual contributor only)  Mining
Where Contributor Works: (individual contributor only)  Pritchard Mining
Affiliation: (political committee only)  n/a 		$1,000.00
10/3/2012 Full Name:  Becky Jordon
Address:  Resident
1 Norwood Rd
Charleston, WV 25314
Contributor's Job: (individual contributor only)  Housewife
Where Contributor Works: (individual contributor only)  self
Affiliation: (political committee only)  n/a 		$1,000.00
10/3/2012 Full Name:  James Bunn
Address:  Resident
4600 Kanawha Blvd
Charleston, WV 25304
Contributor's Job: (individual contributor only)  mining
Where Contributor Works: (individual contributor only)  Coal River Energy
Affiliation: (political committee only)  n/a 		$1,000.00
10/3/2012 Full Name:  Brooke Bunn
Address:  Resident
4600 Kanawha Blvd
Charleston, WV 25304
Contributor's Job: (individual contributor only)  Housewife
Where Contributor Works: (individual contributor only)  self
Affiliation: (political committee only)  n/a 		$1,000.00
 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 		$8,800.00
$5,400.00
$14,200.00

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
9/26/2012 Kick It
1 Bridge Place
Charleston, WV 25301 		Web Site$500.00
9/27/2012 Clay Center
1 Clay Square
Charleston, WV 25301 		Event Sponsorship$750.00
9/27/2012 Charleston Newspapers
1001 Virginia St E
Charleston, WV 25301 		Advertising$1,172.50
9/27/2012 St Albans Monthly
P.O. Box 707
St Albans, WV 25177 		Advertising$329.13
10/1/2012 GWHS Cheerleaders
5025 Westfall Ave
Charleston, WV 25304 		Advertising$100.00
10/5/2012 Design Works
311 1/2 Washington St W
Charleston, WV 25302 		Advertising Design$58.30
10/8/2012 The Printing Press
143 Gaylor Ln
Charleston, WV 25312 		Printing - stationary, envelopes, postage$816.96
10/16/2012 WV Radio
1111 Virginia St E
Charleston, WV 25301 		Radio Advertising$978.00
10/16/2012 Charleston Newspapers
1001 Virginia St E
Charleston, WV 25301 		Advertising$1,488.24
10/18/2012 WCHS
1301 Piedmont Rd
Charleston, WV 25301 		TV Advertising$1,572.50
10/18/2012 Screen Graphics
P.O. Box 565
Nitro, WV 25143 		Yard Signs$583.00
10/3/2012 Bridge Road Bistro
915 Bridge Rd
Charleston, WV 25314 		Food and Drink$1,498.14
  Total Expenditures: $9,846.77

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 2:27:44 PM