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
    
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  $17,820.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$17,820.00
In-Kind Contributions +$0.00
Total Contributions: =$17,820.00
 
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)
$85,401.69
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)
 $30,565.45
Total Monetary Contributions +$17,820.00
Total Other Income +$0.00
Subtotal: a. =$48,385.45
 
Total Expenditures Paid  $12,748.54
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$12,748.54
 
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
=$35,636.91
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$49,764.78

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
10/11/2012WV Oil Marketers & Grocers Omega PAC$250.00
10/4/2012WVBW PAC$200.00
9/24/2012George Bsharah, Sr.$150.00
10/8/2012GO PAC$200.00
10/10/2012West Virginians for Coal$250.00
10/11/2012WV Trucking Association$250.00
10/17/2012Robinson & McElwee PAC$100.00
10/8/2012Paul Hardesty$250.00
10/10/2012Robert Whitler$200.00
10/8/2012David Ramsey$200.00
10/8/2012Larry Hudson$200.00
10/17/2012Highmark PAC$250.00
9/24/2012Dr Pepper Snapple PAC$250.00
10/10/2012WV ArchiPAC$100.00
10/19/2012Troy Giatras$250.00
10/16/2012Water for West Virginians PAC$100.00
10/2/2012Property Casualty Insurers PAC$250.00
9/26/2012A. Megan Skaff Adkins$100.00
9/29/2012WESPAC$200.00
9/26/2012WV Society of CPAs PAC$50.00
9/28/2012Tim Miley$250.00
9/25/2012WV Regional Council of Carpenters$250.00
10/1/2012WV Dental Association PAC$250.00
10/10/2012WV Ohio Valley Chapter NECA$150.00
9/25/2012WILLCO PAC$200.00
9/24/2012AT&T Inc. Federal PAC$250.00
10/2/2012HMS Holdings Corp. PAC$250.00
10/2/2012J&K State Legislative PAC$200.00
9/24/2012Nicholas Cassis$100.00
10/2/2012John Stansbury$100.00
10/4/2012Marvin Darrell Rolston$100.00
10/12/2012Communications Workers of America$200.00
10/15/2012Nationwide WV Political Participation Fund$250.00
10/19/2012Richard Rashid$25.00
10/1/2012Jack Yeager$25.00
10/15/2012United Steelworkers$250.00
9/24/2012Community Bankers PAC$100.00
9/28/2012Jack Rossi$250.00
9/27/2012Eugenie Taylor$20.00
 Subtotal of contributions of $250.00 or less$7,020.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
10/1/2012 Full Name:  WV LAWPAC
Address:  Resident
PO Box 3968
Charleston, WV 25339

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  Legal
$1,000.00
10/1/2012 Full Name:  Robert Berthold, Jr.
Address:  Resident
208 Capitol Street
Charleston, WV 25301

Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$1,000.00
10/10/2012 Full Name:  Contractors Association of WV
Address:  Resident
2114 Kanawha Blvd., East
Charleston, WV 25311

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Construction
$500.00
10/10/2012 Full Name:  The Chamber PAC
Address:  Resident
PO Box 2789
Charleston, WV 25330

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Business
$500.00
10/1/2012 Full Name:  BB&T WV PAC
Address:  Resident
150 S. Stratford Rd.
Winston-Salem, NC 27104

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Banking
$1,000.00
10/14/2012 Full Name:  Byron Black
Address:  Resident
1215 Virginia St., East
Charleston, WV 25301

Contributor's Job: (individual contributor only)  Dentist
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$1,000.00
10/18/2012 Full Name:  Leonard Allen
Address:  Resident
303 Georgetown Circle
Charleston, WV 25314

Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$300.00
10/17/2012 Full Name:  Alpha Natural Resources PAC
Address:  Resident
1301 Pennsylvanis Ave, NW
Suite 404
Washington, DC 20004

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Natural Resources
$400.00
10/1/2012 Full Name:  WV Bankers Association BANKPAC
Address:  Resident
120 Washington Street, East
Charleston, WV 25301

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only) 
$500.00
10/2/2012 Full Name:  AEP Committee for Responsible Govt.
Address:  Resident
1122 Seventh Avenue
Huntington, WV 25701

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Energy
$500.00
9/27/2012 Full Name:  J D. Stricklen
Address:  Resident
PO Box 106
Blue Creek, WV 25026

Contributor's Job: (individual contributor only)  Builder
Where Contributor Works: (individual contributor only)  Self
Affiliation: (political committee only) 
$1,000.00
9/27/2012 Full Name:  Home Builders Assn. of WV Build PAC
Address:  Resident
2220 Washington Street, East
Suite 1
Charleston, WV 25311

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Housing Construction
$500.00
10/1/2012 Full Name:  Coal Miners PAC
Address:  Resident
1300 Kanawha Blvd., East
Charleston, WV 25301

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Labor
$500.00
9/25/2012 Full Name:  DuPont Good Gov’t Fund
Address:  Resident
1007 Market Street
Wilmington, DE 19898

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Industry
$500.00
9/24/2012 Full Name:  West Virginia Car
Address:  Resident
PO Box 2028
Charleston, WV 25327

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Automotive Dealers
$300.00
9/26/2012 Full Name:  Steptoe & Johnson Good Govt Fund
Address:  Resident
PO Box 1588
Charleston, WV 25326

Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Legal Services
$300.00
10/3/2012 Full Name:  Terry Webber
Address:  Resident
3501 MacCorkle Avenue, S.E. #101
Charleston, WV 25304

Contributor's Job: (individual contributor only)  Construction
Where Contributor Works: (individual contributor only)  Austin Construction Co.
Affiliation: (political committee only) 
$500.00
9/27/2012 Full Name:  Committee to Re-Elect Joe Manchin
Address:  Resident
PO Box 5202
Charleston, WV 25361

Contributor's Job: (individual contributor only)  Senate Candidate
Where Contributor Works: (individual contributor only) 
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:
$10,800.00
$7,020.00
$17,820.00


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
10/13/2012 Sam’s Club
2500 Mountaineer Blvd.
South Charleston, WV 25309
Promotional Materials$97.28
10/10/2012 Tri-State’s CW
400 Capitol Street
Charleston, WV 25301
Advertising$1,078.00
10/2/2012 Inside-Out Creative
PO Box 2821
Charleston, WV 25330
Promotional Materials$127.20
10/4/2012 C&H Taxi
PO Box 166
Charleston, WV 25321
Advertising$225.00
10/11/2012 Suddenlink Media
1003 Charleston Town Center
Charleston, WV 25301
Advertising$2,970.00
10/1/2012 Fast Signs
5137 MacCorkle Avenue, SW
South Charleston, WV 25309
Advertising$451.56
10/1/2012 WVAH TV
1301 Piedmont Road
Charleston, WV 25301
Advertising$2,800.75
10/1/2012 WCHS TV
1301 Piedmont Road
Charleston, WV 25301
Advertising$3,973.75
10/1/2012 Ribfest
2940 Pence Street
South Charleston, WV 25303
Promotional$275.00
9/25/2012 Clay Center
1 Clay Square
Charleston, WV 25301
Promotional Sponshorship$750.00
  Total Expenditures: $12,748.54

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 11:18:57 PM