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

Candidate or Committee Name AL MARTINE		Candidate or Committee's Treasurer GINA MARTINE
Political Party (for candidates) Democrat		Treasurer's Mailing Address (Street, Route, or P.O. Box) 283 FAR COUNTRY DRIVE
Office Sought (for Candidates) House of Delegates	District/Division 28	City, State, Zip Code DANIELS, WV 9008	Daytime Phone # 3047633020

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

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	$5,375.00
Monetary Contributions from all Fund-Raising Events	+$100.00
Receipt of a Transfer of Excess Funds	+$0.00
Total Monetary Contributions:	=$5,475.00
In-Kind Contributions	+$0.00
Total Contributions:	=$5,475.00

Other Income	$0.00
Loans Received	+$0.00
Total Other Income:	=$0.00

OUTSTANDING LOANS & DEBTS:
Unpaid Bills	$0.00
Outstanding Loans	+$0.00
Total Debts:	=$0.00

TOTAL CONTRIBUTIONS ELECTION YEAR-TO-DATE (Add total contributions from all reports)
$12,725.00

CASH BALANCE SUMMARY
Beginning Balance (ending balance from previous report)		$1,710.98
Total Monetary Contributions		+$5,475.00
Total Other Income		+$0.00
Subtotal:	a.	=$7,185.98

Total Expenditures Paid		$1,168.39
Total Disbursements of Excess Funds		+$0.00
Repayment of Loans		+$0.00
Subtotal:	b.	=$1,168.39

Ending Balance: (Subtotal a. - Subtotal b.) *Cannot be negative balance		=$6,017.59

TOTAL EXPENDITURES ELECTION YEAR-TO-DATE (Add total expenditures from all reports)
$6,707.41

Contributions
$250.00 or LESS

DATE	CONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAME	AMOUNT
8/13/2012	Don Mayle	$50.00
8/31/2012	Herbert and linda todd	$50.00
5/21/2012	David Holliday	$250.00
8/14/2012	James Gailey	$25.00
8/17/2012	Gerald and Glenda Wait	$50.00
6/12/2012	George Orphanos	$200.00
7/26/2012	Boggs for House	$250.00
8/26/2012	Ken and Marcia Dunlap	$100.00
8/14/2012	Mary Kay and Chuck Gillis	$100.00
8/21/2012	Mike and Donna Pedri	$100.00
	Subtotal of contributions of $250.00 or less	$1,175.00

Contributions
More than $250.00

DATE	CONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAME	AMOUNT
8/13/2012	Full Name: Klye Lusk Address: Resident 220 N. Fayette Street Beckley, WV 25801 Contributor's Job: (individual contributor only) Lawyer Where Contributor Works: (individual contributor only) self employed Affiliation: (political committee only)	$300.00
6/4/2012	Full Name: Larry Fox Address: Resident 217 Ballengee Street Hinton, WV 25951 Contributor's Job: (individual contributor only) Printer Where Contributor Works: (individual contributor only) Fox Print Affiliation: (political committee only)	$500.00
8/30/2012	Full Name: LAWPAC Address: Resident PO Box3968 Charleston, WV 25339 Contributor's Job: (individual contributor only) PAC Where Contributor Works: (individual contributor only) WV Association of Justice Affiliation: (political committee only)	$500.00
8/20/2012	Full Name: Adolph Pedri Address: Contributor's Job: (individual contributor only) Retired Where Contributor Works: (individual contributor only) Affiliation: (political committee only)	$400.00
8/1/2012	Full Name: AFL-CIO Cope Address: Resident Leon Sullivan Way Charleston, WV Contributor's Job: (individual contributor only) PAC Where Contributor Works: (individual contributor only) Affiliation: (political committee only)	$1,000.00
8/17/2012	Full Name: BACTERIA-PAC Address: Resident 600 Leon Sullivan Way Charleston, WV 25301 Contributor's Job: (individual contributor only) PAC Where Contributor Works: (individual contributor only) Affiliation: (political committee only) BACT-PAC	$1,000.00
8/2/2012	Full Name: AFT Address: Contributor's Job: (individual contributor only) PAC Where Contributor Works: (individual contributor only) Affiliation: (political committee only) American Federation of Teachers	$500.00
	Subtotal of all contributions of more than $250.00 Subtotal of all contributions of $250 or less Total Contributions:	$4,200.00 $1,175.00 $5,375.00

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).

Friends of Al Martine Event Summary

Date of Event:	8/23/2012	Total Monetary Contributions:	$100.00
Type of Event:	Reception	Total Expenditures:	-$528.39
Name of Place Held:	Pasquale’s Restuarant	NET RECEIPTS:	=($428.39)
Address of Place Held:	224 Harper Park Beckley, WV 25801	Total In-Kind Contributions Related to the Fundraiser	$0.00

$250 or Less

DATE	FULL NAME	AMOUNT
8/23/2012	Purdue for WV Future	$100.00
	Subtotal of event contributions of less than $250.00	$100.00

More than $250

DATE		AMOUNT
	Event contributions of $250 or more: Event contributions of less than $250: Total Contributions:	$0.00 $100.00 $100.00

Other Income: Interest, Refunds, Miscellaneous Receipts

Date	Source of Income	Type of Receipt	Amount
		Total Other Income:	$0.00

In-Kind Contributions

Date	Name and Contributor Information	Description of Contribution	Value
		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

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.)
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

Date	Name of Person or Vendor And Address	Purpose	Amount
9/16/2012	Staples Route 212 Beckley, WV 25801	Printing	$125.00
8/6/2012	Staples Route 21 Beckley, WV 25801	Envelops	$10.99
8/22/2012	SHIFOTO PO Box605 Coal City, WV 25823	Photos	$42.40
8/21/2012	Pascale’s Harper Park Beckley, WV 25801	Food	$350.00
8/1/2012	BJW Printing Robert C Byrd Drive Beckley, WV 25801	Printing	$550.00
8/10/2012	Post Office Beckley Post Office Beckley, WV 25801	Postage stamps	$90.00
		Total Expenditures:	$1,168.39

Receipt of a Transfer of Excess Funds

Date	Candidate Committee Name and Year	Amount
	Total Receipts of Transfer of Excess Funds:	$0.00

Disbursement of Excess Funds

Date	Name of candidate committee and election year disbursing excess funds	Purpose of Disbursement	Amount
		Total Disbursement of Excess Funds:	$0

Unpaid Bills

Date	Group or Firm Affiliation	Purpose	Amount
		Total Unpaid Bills:	$0.00

Office Use Only
Filed With West Virginia Secretary of State
Friday, September 28, 2012 9:25:24 AM

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