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

Candidate or Committee Name
PETER E. BOSTIC		 Candidate or Committee's Treasurer
PHILLIP BOSTIC
Political Party (for candidates)
Democrat		 Treasurer's Mailing Address (Street, Route, or P.O. Box)
PO BOX 807  
Office Sought (for Candidates)
House of Delegates		 District/Division
42		 City, State, Zip Code
WHITE SULPHUR SPRINGS, WV 		 Daytime Phone #
3045363922

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:
    
 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  $7,228.18
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$7,228.18
In-Kind Contributions +$0.00
Total Contributions: =$7,228.18
 
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)
$7,228.18
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)		  $0.00
Total Monetary Contributions +$7,228.18
Total Other Income +$0.00
Subtotal: a. =$7,228.18
 
Total Expenditures Paid  $3,037.32
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$3,037.32
 
Ending Balance:
(Subtotal a. - Subtotal b.)
*Cannot be negative balance		 =$4,190.86
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$3,037.32

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
1/19/2012Peter Bostic$100.00
1/19/2012Peter Bostic$37.18
1/24/2012Steve Cook$200.00
2/7/2012Gregory Sizemore$200.00
2/7/2012Dan Doyle$100.00
3/6/2012Melissa Sexton$100.00
3/6/2012Patrick Gray$100.00
3/6/2012Patrick Forth$100.00
3/20/2012Teresa Engleman$100.00
3/20/2012Walter Reynolds Jr.$50.00
3/20/2012Oscar Clark$100.00
3/26/2012Brooke-Hancock Labor Council -PAC$250.00
3/30/2012Beckley Area COPE$250.00
3/30/2012Vote Campbell$250.00
1/19/2012Peter Bostic$41.00
 Subtotal of contributions of $250.00 or less$1,978.18
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
3/6/2012 Full Name:  Harold Bock
Address:  Resident
1507 Ball School Road
Parkersburg, WV 26101
Contributor's Job: (individual contributor only)  Director
Where Contributor Works: (individual contributor only)  MARJB Workers United
Affiliation: (political committee only)  		$500.00
3/7/2012 Full Name:  West Virginia AFL-CIO, COPE
Address:  Resident
501 Leon Sullivan Way
Charleston, WV 25301
Contributor's Job: (individual contributor only)  N/A
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  West Virginia AFL-CIO 		$1,000.00
3/12/2012 Full Name:  WV App. Laborers Dist. Council - PAC
Address:  Resident
One Union Square - Suite 5
Charleston, WV 25302
Contributor's Job: (individual contributor only)  N/A
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  WV Appalachin Laborers District Council 		$1,000.00
3/20/2012 Full Name:  AFT - West Virginia COPE
Address:  Resident
1610 Washington Street East, Suite 200
Charleston, WV 25311
Contributor's Job: (individual contributor only)  N/A - COPE
Where Contributor Works: (individual contributor only)  N/A - COPE
Affiliation: (political committee only)  AFT - West Virginia 		$1,000.00
3/26/2012 Full Name:  Southeastern Central Labor Council - PAC
Address:  Resident
65 West Main Street
White Sulphur Springs, WV 24986
Contributor's Job: (individual contributor only)  N/A
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Southeastern Central Labor Council, AFL-CIO 		$1,000.00
3/30/2012 Full Name:  UMWA COMPAC
Address:  Resident
18354 Quantico Gateway Drive, Suite 200
Triangle, VA 22172
Contributor's Job: (individual contributor only)  N/A
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  United Mine Workers of America COMPAC 		$750.00
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:		$5,250.00
$1,978.18
$7,228.18


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
1/19/2012 West Virginia Secretary of State
1900 Kanawha Blvd. East
Charleston, WV 25305 		Filing Fee$100.00
1/19/2012 United States Post Office
Main Street
White Sulphur Springs, WV 24986 		P.O. Box Rental $41.00
2/7/2012 Clark American - First Citizens Bank
Main Street
White Sulphur Springs, WV 24986 		Purchase Checks for Committee$23.00
2/23/2012 Stop-In
Main Street
White Sulphur Springs, WV 24986 		Purchase Gas - Monroe Co. Dem. Exec. Mtg.$30.00
3/12/2012 My Election Connection
1700 Tenyson Drive
Clarksville, IN 47129 		Advertising -Yard Signs and Magnets$1,658.15
3/19/2012 Stop-In
Main Street
White Sulphur Springs, WV 24986 		Purchase Gas - Pick up Campaign Materials - Charleston WV$40.00
3/23/2012 LIFEWEAR INC.
1280 Laurel Wood Road
Pottstown, WV 19465 		Advertising - 50 Plain White T’s - Assorted Sizes American Made$238.45
3/19/2012 Jones Printing Company, Inc.
611 Pennslyvania Avenue
Charleston, WV 25302 		Advertising - Campaign Cards, Stationary and Envelopes$348.74
3/28/2012 Ink and Essence, Inc
241 E. High Street
P.O. Box 1083
Pottstown, PA 19464 		Advertising - Silk Screen T-Shirts$234.98
3/14/2012 Greenbrier County Democratic Executive Committee
P.O. Box
Lewisburg, WV 24901 		Advertising - Tickets to Democrat Spring Rally$75.00
3/30/2012 GV4-H / FFA HBE
P.O. Box 586
Lewisburg, WV 24901 		Advertising - Donation$248.00
  Total Expenditures: $3,037.32

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
Wednesday, April 4, 2012 11:58:08 AM