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

Candidate or Committee Name
ROBIN HOLSTEIN
Candidate or Committee's Treasurer
PATRICIA CANTRELL
Political Party (for candidates)
Republican
Treasurer's Mailing Address (Street, Route, or P.O. Box)
PO BOX 12173  
Office Sought (for Candidates)
House of Delegates
District/Division
36
City, State, Zip Code
CHARLESTON, WV 
Daytime Phone #
3046102939

Election Cycle Reporting Period (check one):

 X 
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:

 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  $1,782.79
Monetary Contributions from all Fund-Raising Events +$250.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$2,032.79
In-Kind Contributions +$53.00
Total Contributions: =$2,085.79
 
Other Income  $0.00
Loans Received +$2,000.00
Total Other Income: =$2,000.00
 
OUTSTANDING LOANS & DEBTS:  
Unpaid Bills  $0.00
Outstanding Loans +$2,000.00
Total Debts: =$2,000.00
 
TOTAL CONTRIBUTIONS ELECTION YEAR-TO-DATE
(Add total contributions from all reports)
$2,085.79
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)
 $0.00
Total Monetary Contributions +$2,032.79
Total Other Income +$2,000.00
Subtotal: a. =$4,032.79
 
Total Expenditures Paid  $2,039.39
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$2,039.39
 
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
=$1,993.40
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$2,039.39

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
10/11/2011Melody Potter$250.00
10/11/2011Michelle Wilshire$50.00
10/31/2011Roman Stauffer$50.00
2/27/2012Wade Caskey$200.00
2/27/2012Suzette Raines$50.00
3/3/2012Diana Brown$50.00
3/6/2012Paul Cantrell$50.00
3/23/2012John Wilshire Sr$50.00
3/26/2012Thomas Dover$200.00
 Subtotal of contributions of $250.00 or less$950.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
3/6/2012 Full Name:  Mike Hall
Address:  Resident
5018 MacCorkle Ave SW
South Charleston, WV 25309

Contributor's Job: (individual contributor only)  Photographer
Where Contributor Works: (individual contributor only)  Photo Grafix
Affiliation: (political committee only)  Owner
$332.79
3/12/2012 Full Name:  Melody Potter
Address:  Resident
105 Newcomer Rd
Charleston, WV 25309

Contributor's Job: (individual contributor only)  Business Owner
Where Contributor Works: (individual contributor only)  Tri-Star Coal Sales Co
Affiliation: (political committee only)  Owner/Vice President
$500.00
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:
$832.79
$950.00
$1,782.79

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).

Meet-the-Candidate 3/1/12 Event Summary

Date of Event: 3/1/2012 Total Monetary Contributions:  $250.00
Type of Event: Candidate Reception Total Expenditures: -$34.72
Name of Place Held: Twin Hills Family Restaurant NET RECEIPTS: =$215.28
Address of Place Held: 3336 DuPont Avenue
Shrewsbury, WV 25015
Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

DATEFULL NAMEAMOUNT
3/2/2012Shirley Keenan$250.00
 Subtotal of event contributions of less than $250.00 $250.00

More than $250

DATE AMOUNT
 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 
$0.00
$250.00
$250.00

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
3/28/2012Patricia CantrellVehicle sign$53.00
  Total In-Kind Contributions: $53.00

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. Robin Holstein
PO Box 395
Belle, WV 25015
2/16/2012 $2,000.00 $2,000.00
Loans Received Repayment of Loans Outstanding Loans
Totals: $2,000.00 $0.00 $2,000.00

Itemized Expenditures

DateName of Person or Vendor And AddressPurposeAmount
11/1/2011 Huntington National Bank
PO Box 1558 EA1W37
Columbus, OH 43216-1558
Checks printed$18.95
1/23/2012 The Printing Press LTD
143 Gaylor Ln
Charleston, WV 25312
Business Cards$82.68
3/1/2012 Twin Hills Restaurant
3336 E DuPont Ave
Shrewsbury, WV 25015
Meet and Greet Fundraiser$34.72
10/26/2011 InMotion Hosting, Inc
4553 Glencoe Ave
Suite #325
Marina Del Rey, CA 90292
Website Launch$166.80
2/11/2012 Harding’s Family Restaurant
2772 Pennsylvania Ave
Charleston, WV 25302
CDL Luncheon$8.39
1/12/2012 Walmart #4278
1001 Warrior Way
Quincy, WV 25015
PR Photo$29.40
2/15/2012 Staples
2810 Mountaineer Blvd
Charleston, WV 25309
Pocket Cards$53.80
12/16/2011 Staples
2810 Mountaineer Blvd
Charleston, WV 25309
Business Cards$38.15
1/6/2012 The UPS Store
3501 MacCorkel Ave SE
Charleston, WV 25304
Notory - Filing Form$2.00
3/6/2012 Piryx, Inc
144 Second Street
San Francisco, CA 94105
Processing Fee$2.25
3/23/2012 Piryx, Inc
144 Second Street
San Francisco, CA 94105
Processing Fee$2.25
12/15/2011 Huntington National Bank
PO Box 1558
Columbus, OH 43216-1558
Bank Service Fee$2.50
1/17/2012 Huntington National Bank
PO Box 1558
Columbus, OH 43216-1558
Bank Service Fee$2.50
2/15/2012 Huntington National Bank
PO Box 1558
Columbus, OH 43216-1558
Bank Service Fee$2.50
3/15/2012 Huntington National Bank
PO Box 1558
Columbus, OH 43216-1558
Bank Service Fee$2.50
2/27/2012 The Printing Press LTD
143 Gaylor Lane
Charleston, WV 25312
Signs, flyers, stickers$1,490.00
1/19/2012 WV Secretary of State
Bldg. 1, Suite 157-K
1900 Kanawha Blvd. East
Charleston, WV 25305-0770
Filing Fee$100.00
  Total Expenditures: $2,039.39

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
Saturday, May 19, 2012 10:48:28 AM