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

Candidate or Committee Name
DOUG SKAFF, JR.
Candidate or Committee's Treasurer
STEPHEN HASTINGS
Political Party (for candidates)
Democrat
Treasurer's Mailing Address (Street, Route, or P.O. Box)
PO BOX 11070  
Office Sought (for Candidates)
House of Delegates
District/Division
35
City, State, Zip Code
CHARLESTON, WV 
Daytime Phone #
3044144350

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:

 X 
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  $7,425.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$7,425.00
In-Kind Contributions +$0.00
Total Contributions: =$7,425.00
 
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)
$49,556.69
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)
 $18,948.40
Total Monetary Contributions +$7,425.00
Total Other Income +$0.00
Subtotal: a. =$26,373.40
 
Total Expenditures Paid  $6,766.09
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$6,766.09
 
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
=$19,607.31
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$29,949.38

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
4/23/2012EQT Corp. PAC$250.00
5/1/2012Troy Giatras$200.00
5/2/2012Suddenlink WV PAC$250.00
4/23/2012Reynolds American PAC$200.00
4/23/2012B.J. Nibert$100.00
4/23/2012Steven Odekirk$100.00
4/23/2012Travis Taylor$100.00
5/1/2012Michael McKechnie$100.00
5/1/2012Oshel Craigo$250.00
4/26/2012WVRPAC$25.00
4/23/2012John R. Hodges$250.00
4/23/2012Christina Cameron$250.00
5/10/2012Ethan Poole$250.00
4/23/2012WV Society of CPA PAC$50.00
4/25/2012Fifth Third Bancorp PAC$250.00
 Subtotal of contributions of $250.00 or less$2,625.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
4/27/2012 Full Name:  Builders Assn of WV Build PAC
Address:  Resident
P.O. Box 6250
Charleston, WV 25362

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Home Builders
$500.00
4/26/2012 Full Name:  Jeremy Jacobs
Address:  Resident
1300 N. Davis Road
East Aurora, NY 14052

Contributor's Job: (individual contributor only)  Chairman
Where Contributor Works: (individual contributor only)  Delaware North Companies
Affiliation: (political committee only) 
$500.00
4/27/2012 Full Name:  EPIC WV PharmPac
Address:  Resident
Route 50, HC 61 Box 301
Capon Bridge, WV 26711

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Pharmacy
$300.00
4/30/2012 Full Name:  Consol Energy PAC
Address:  Resident
1000 Consol Energy Drive
Canonsburg, PA 15317

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Energy and Natural Resources
$500.00
5/3/2012 Full Name:  Terry Rusin
Address:  Resident
P.O. Box 9569
South Charleston , WV 25309

Contributor's Job: (individual contributor only)  Optometrist
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$500.00
4/23/2012 Full Name:  Friend of the Track PAC
Address:  Resident
P.O. Box 551
Charles Town, WV 25414

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Gaming
$500.00
4/23/2012 Full Name:  Bernard Hartman
Address:  Resident
831 N. Federal Highway
Hallandale, FL 33022

Contributor's Job: (individual contributor only)  Developer
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$500.00
4/23/2012 Full Name:  Coca-Coal Employee PAC
Address:  Resident
P.O. Box 31487
Charlotte, NC 28231

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Soft Drinks and other beverages
$500.00
5/10/2012 Full Name:  WV Appalachian Laborers PAC
Address:  Resident
One Union Square, Suite 5
Charleston, WV 25302

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Labor
$1,000.00
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:
$4,800.00
$2,625.00
$7,425.00


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
Loans Received Repayment of Loans Outstanding Loans
Totals: $0.00 $0.00 $0.00

Itemized Expenditures

DateName of Person or Vendor And AddressPurposeAmount
5/3/2012 Charleston Newspapers
1001 Virginia St., E.
Charleston, WV 25301
Advertising$2,443.90
5/4/2012 Richard Hazelwood
200 Smith Road
Nitro, WV 25143
Election Worker$50.00
5/4/2012 Joshua White
454 17th Street
Dunbar, WV 25064
Election Worker$50.00
5/4/2012 Lisa Garrett
1301 Moore Avenue
Dunbar, WV 25064
Election Worker$50.00
5/4/2012 Jessica Hunter
108 Kentucky Avenue
St. Albans, WV 25177
Election Worker$50.00
5/4/2012 Dreama Lewis
325 Hudson Street
St. Albans, WV 25177
Election Worker$50.00
5/4/2012 Jennifer Miller
200 Atlas Road
South Charleston, WV 25309
Election Worker$50.00
5/4/2012 Vicki Belcher
2 Natalie Drive
South Charleston, WV 25309
Election Worker$50.00
5/4/2012 Frank Carter
558 Robinson Road
St. Albans, WV 25177
Election Worker$50.00
5/4/2012 Debbie Carter
558 Robinson Road
St. Albans, WV 25177
Election Worker$50.00
5/4/2012 Art Ramsey
930 Park St.
St. Albans, WV 25177
Election Worker$50.00
5/4/2012 Jane Miller
327A Second Avenue
South Charleston, WV 25303
Election Worker$50.00
5/4/2012 Gordon Thomas
105 Luck Road
South Charleston, WV 25309
Election Worker$50.00
5/4/2012 Jean Collins
1202 Crown Drive
South Charleston, WV 25309
Election Worker$50.00
5/4/2012 Wade Crouch
P.O. Box 130
Dry Branch, WV 25061
Election Worker$50.00
5/4/2012 Brian Russell
1020 10th Street
Nitro, WV 25143
Election Worker$50.00
5/8/2012 West Virginia University Rifle Team
West Virginia University
Morgantown, WV 26505
Promotion$350.00
5/8/2012 Inside Out Creative
PO Box 2821
Charleston, WV 25330
Promotional Materials$1,389.13
4/30/2012 Sharon Spencer for House
412 Midland Avenue
Belle, WV 25015
Contribution/Sponsorship$500.00
5/8/2012 Sam’s Club
2500 Mountaineer Blvd.
South Charleston, WV 25309
Promotional Materials$421.06
4/27/2012 Suddenlink
3 Eagle Drive
Charleston, WV 25309
Advertising Costs$912.00
  Total Expenditures: $6,766.09

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, October 4, 2012 11:05:40 AM