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

Candidate or Committee Name
EARL RAY TOMBLIN
Candidate or Committee's Treasurer
TAUNJA WILLIS-MILLER
Political Party (for candidates)
Democrat
Treasurer's Mailing Address (Street, Route, or P.O. Box)
PO BOX 11530  
Office Sought (for Candidates)
Governor
District/Division
0
City, State, Zip Code
CHARLESTON, WV 
Daytime Phone #
2032844109

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:

 X 
Annual Report 2013 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  $1,000.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$1,000.00
In-Kind Contributions +$0.00
Total Contributions: =$1,000.00
 
Other Income  $1,750.00
Loans Received +$0.00
Total Other Income: =$1,750.00
 
OUTSTANDING LOANS & DEBTS:  
Unpaid Bills  $20,000.00
Outstanding Loans +$0.00
Total Debts: =$20,000.00
 
TOTAL CONTRIBUTIONS ELECTION YEAR-TO-DATE
(Add total contributions from all reports)
$3,451,851.61
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)
 $63,730.58
Total Monetary Contributions +$1,000.00
Total Other Income +$1,750.00
Subtotal: a. =$66,480.58
 
Total Expenditures Paid  $35,945.10
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$35,945.10
 
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
=$30,535.48
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$3,412,054.66

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
 Subtotal of contributions of $250.00 or less 
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
1/2/2013 Full Name:  Coca Cola Co. Gen. St. Nonpartisan PAC
Address:  Resident
P.O. Box 1734
Atlanta, GA 30301

Contributor's Job: (individual contributor only)  N/A
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  The Coca-Cola Company
$1,000.00
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:
$1,000.00
$0.00
$1,000.00


Other Income: Interest, Refunds, Miscellaneous Receipts

DateSource of IncomeType of ReceiptAmount
1/2/2013Embros Realty Companyrefund of deposit on headquarters rental$1,750.00
  Total Other Income: $1,750.00

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
11/19/2012 NGP VAN, Inc.
1225 Eye Street, N.W.
Suite 1225
Washington, DC 20005
software lease$300.00
11/23/2012 ADP
10200 SW 72nd St.
Miami, FL 33173-3033
payroll processing fees$67.90
11/30/2012 ADP
10200 SW 72nd St.
Miami, FL 33173-3033
payroll taxes$4,318.25
11/30/2012 Stephanie J. Mathias
700 Showers Lane
Martinsburg, WV 25403
salary$4,504.46
11/30/2012 Joseph M. Shafer
1800 Roundhill Rd
Apt. 807
Charleston, WV 25304
salary$3,642.73
12/4/2012 JP Morgan Chase Bank
707 Virginia St. East
Charleston, WV 25301
Paymentech process fees$243.25
12/7/2012 ADP
10200 SW 72nd St.
Miami, FL 33173-3033
payroll processing fees$60.21
11/26/2012 Office of the Governor of West Virginia
1900 Kanawha Blvd. E
Charleston, WV 25305
reimbursement for mileage$498.50
12/30/2030 Frontier
1398 S Woodland Blvd
Deland, FL 32720-7731
utilities$350.84
12/30/2012 The Chapman Printing
PO Box 2867
Huntington, WV 25728
printing$4,384.49
12/30/2012 Appalachian Electric Power
PO Box 24413
Canton, OH 44701
utilities$139.62
12/30/2012 Mountaineer Gas Company
PO Box 362
Charleston, WV 25322
utilities$117.35
1/3/2013 JP Morgan Chase Bank
707 Virginia St., East
Charleston, WV 25301
Paymentech processing fee$10.00
1/4/2013 ADP
10200 SW 72nd St
Miami, FL 33173-3033
payroll processing fees$60.21
12/30/2012 Remco Sales & SErvice, Inc.
721 Washington St. West
Charleston, WV 25302
copier rental$355.10
11/26/2012 US Postal Service
Washington Street
Charleston, WV 25301
post office box rental$55.00
1/22/2013 ADP
10200
SW 72nd St.
Miami, FL 33173-3033
payroll processing fees$94.34
1/13/2013 Salsa Labs, Inc.
1700 Connecticut Ave NW
Suite 403
Washington, DC 20009
internet fee$200.00
2/5/2013 JP Morgan Chase Bank
707 Virginia St. E.
Charleston, WV 25301
Paymentech processing fee$10.00
3/5/2013 JP Morgan Chase Bank
707 Virginia St East
Charleston, WV 25301
Paymentech processing fee$10.00
3/29/2013 JP Morgan Chase Bank
707 Virginia St., East
Charleston, WV 25301
service fee$15.00
3/19/2013 Intuit
PO Box 1659
Milton, WA 98354-1659
Quickbooks on line$28.57
2/28/2013 JP Morgan Chase Bank
707 Virginia St., East
Charleston, WV 25301
service fee$15.00
2/19/2013 Intuit
PO Box 1659
Milton, WA 98354-1659
Quickbooks on-line$28.57
1/31/2013 JP Morgan Chase Bank
707 Virginia St., East
Charleston, WV 25301
service fee$15.00
1/22/2013 Intuit
PO Box 1659
Milton, WA 98354-1659
Quickbooks on-line$28.57
12/19/2012 JP Morgan Chase Bank
707 Virginia St., East
Charleston, WV 25301
banking fee$34.00
12/19/2012 Intuit
PO Box 1659
Milton, WA 98354-1659
Quickbooks on-line$28.57
12/14/2012 JP Morgan Chase Bank
707 Virginia St., East
Charleston, WV 25301
bank fee$34.00
12/31/2012 AT&T Mobility
PO Box 536216
Atlanta, GA 30353-6216
utilities$197.34
12/7/2012 JP Morgan Chase Bank
707 Virginia St., East
Charleston, WV 25301
bank fee$34.00
12/7/2012 WV State Museum Shop
State Capitol Complex
1900 Kanawha Blvd., East
Charleston, WV 25305
momento$78.44
12/6/2012 United Airlines
PO Box 66100
Chicago, IL 60666
travel$79.00
11/30/2012 JP Morgan Chase Bank
707 Virginia St., East
Charleston, WV 25301
service fee$15.00
11/30/2012 Delta Airlines
PO Box 20706
Atlanta, GA 30320-6001
travel$616.60
11/29/2012 National Travel
707 Virginia St., East
Charleston, WV 25301
travel$28.00
11/29/2012 United Airlines
PO Box 66100
Chicago, IL 60666
travel$199.60
11/20/2012 Wal-Mart
Corrider G
South Charleston, WV 25309
supplies$19.02
11/19/2012 Intuit
PO Box 1659
Milton, WA 98354-1659
Quicken on-line$28.57
  Total Expenditures: $20,945.10

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
11/6/2012 Struble Eichenbaum Communications
700 7th St SE
Washington, DC 20003-2739
compensation $20,000.00
  Total Unpaid Bills: $20,000.00

Office Use Only
Filed With West Virginia Secretary of State
Friday, April 5, 2013 6:56:36 PM