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

Candidate or Committee Name
EPP E. CLINE		 Candidate or Committee's Treasurer
TODD KIRBY
Political Party (for candidates)
Republican		 Treasurer's Mailing Address (Street, Route, or P.O. Box)
BOX 5116  
Office Sought (for Candidates)
State Senate		 District/Division
9		 City, State, Zip Code
BECKLEY, WV 		 Daytime Phone #
3042372182

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
 X 
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  $5,165.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$5,165.00
In-Kind Contributions +$0.00
Total Contributions: =$5,165.00
 
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)
$11,540.00
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)		  $3,180.82
Total Monetary Contributions +$5,165.00
Total Other Income +$0.00
Subtotal: a. =$8,345.82
 
Total Expenditures Paid  $7,085.39
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$7,085.39
 
Ending Balance:
(Subtotal a. - Subtotal b.)
*Cannot be negative balance		 =$1,260.43
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$10,279.57

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
6/5/2012Janetta Belcher$50.00
6/5/2012Juanita Fox$50.00
6/5/2012Clyde Step$40.00
6/5/2012Faye Morgan$25.00
6/5/2012Mike Brummett$5.00
6/6/2012Carlton Cox$50.00
6/7/2012James Stewart$50.00
6/13/2012Anthony Dunn$20.00
6/19/2012Karen Toler$100.00
7/24/2012Tom Evans$250.00
6/28/2012Faye Morgan$25.00
6/28/2012Annis Baker$25.00
6/30/2012Phillip Vaught$10.00
7/11/2012Ruth McGuire$30.00
7/29/2012Dale Rife$40.00
7/27/2012Edna L. Green$100.00
7/27/2012Faye Morgan $20.00
8/1/2012Jesse Womack$25.00
8/2/2012Barry Brooks$25.00
7/29/2012Wendell Harless$100.00
8/11/2012Randall Cline$100.00
8/11/2012Patricia Oneal$25.00
8/11/2012David L. Johnson$25.00
8/15/2012Jodi L. Parson$50.00
8/18/2012Stanely West$100.00
8/18/2012Elmo Johnson$150.00
9/7/2012Mike Brimmet$50.00
9/15/2012Angela Mayhew$100.00
9/15/2012Stephen Vaught$50.00
 Subtotal of contributions of $250.00 or less$1,690.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
8/14/2012 Full Name:  Eppie Cline
Address:  Resident
P.O. Box 201
Oceana, WV 24870
Contributor's Job: (individual contributor only)  Retired School Teacher
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Candidate 		$3,475.00
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:		$3,475.00
$1,690.00
$5,165.00

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).

Cline for Senate Fundraiser Event Summary

Date of Event: 6/5/2012 Total Monetary Contributions:  $0.00
Type of Event: Meet the candidate pizza party Total Expenditures: -$0.00
Name of Place Held: Castle Rock NET RECEIPTS: =$0.00
Address of Place Held: Route 10 Jesse, WV, 24849
Jessee, WV 24849		 Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

DATEFULL NAMEAMOUNT
 Subtotal of event contributions of less than $250.00 $0.00

More than $250

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

Pizza Mingo- Cline for Senate Event Summary

Date of Event: 7/24/2012 Total Monetary Contributions:  $0.00
Type of Event: Meet the candidate pizza party Total Expenditures: -$46.59
Name of Place Held: Pizza Mingo NET RECEIPTS: =($46.59)
Address of Place Held: Rout 97
Brenton, WV 24818		 Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

DATEFULL NAMEAMOUNT
 Subtotal of event contributions of less than $250.00 $0.00

More than $250

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

Cline for Senate Fundraiser (2) Event Summary

Date of Event: 8/11/2012 Total Monetary Contributions:  $0.00
Type of Event: Fundraiser Total Expenditures: -$75.00
Name of Place Held: Oceana Gym NET RECEIPTS: =($75.00)
Address of Place Held: 1706 Route 10 Cook Pkwy
Oceana, WV 24870		 Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

DATEFULL NAMEAMOUNT
 Subtotal of event contributions of less than $250.00 $0.00

More than $250

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

Meet the Candidate Event Summary

Date of Event: 8/1/2012 Total Monetary Contributions:  $0.00
Type of Event: Meet the candidate pizza party Total Expenditures: -$105.95
Name of Place Held: Cowshed Restaurant NET RECEIPTS: =($105.95)
Address of Place Held: 2991 Appalachian Trail
Pineville, WV 24874		 Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

DATEFULL NAMEAMOUNT
 Subtotal of event contributions of less than $250.00 $0.00

More than $250

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

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
7/24/2012 Pizza Mingo
Route 97
Brenton
WV, WV 24818 		Pizza for Pizza Mingo Fundraiser$46.59
8/11/2012 Talley Cline
Oceana Gym (Curves)
Oceana, WV 24870 		Gym Rental$75.00
8/1/2012 Cowshed Restaurant
2991 Appalachian Trail Road
Pineville, WV 24874 		Pizza from Cowshed$48.53
6/4/2012 Todd A Kirby
P.O. Box 5116
Beckley, WV 25801 		Services$200.00
7/1/2012 Todd A Kirby
P.O. Box 5116
Beckley, WV 25801 		Services$200.00
7/30/2012 Todd A Kirby
P.O. Box 5116
Beckley, WV 25801 		Services$200.00
8/14/2012 Todd A Kirby
P.O. Box 5116
Beckley, WV 25801 		Services$200.00
9/18/2012 Todd A Kirby
P.O. Box 5116
Beckley, WV 25801 		Services$200.00
5/15/2012 Stuart Ellis Media
Uknown
Mount Hope, WV 25880 		Website Design$500.00
8/24/2012 Political Lawn Signs
914 Byrd Avenue
Neenah, WI 54356 		Signs$245.13
8/24/2012 Political Lawn Signs
914 Byrd Avenue
Neenah, WI 54356 		Signs$705.32
9/18/2012 Votes Unlimited
P.O. Box 188
Ferndale, NY 12734 		Signs$199.00
8/7/2012 Wear’em Out
44 Cook Pkwy
Oceana, WV 24870 		Shirts and Banner$1,086.00
9/20/2012 Beckley Newspaper
801 N. Kanawha St
Beckley, WV 25801 		Advertisement$662.40
8/30/2012 Political Lawn Signs
914 Byrd Avenue
Neenah, WI 54356 		Campaign Supplies$258.01
9/13/2012 Ross Industries
60 State Street
Liberty, NY 12754 		Magnets/ Bumper Stickers$663.81
8/29/2012 Cross and Oberlie
914 Byrd Avenue
Neenah, WI 54356 		Signs$950.45
7/17/2012 United Bank
Main Street
Beckley, WV 25801 		Ordered Checks for Account$41.75
9/21/2012 Chocklett Press
2922 Nicholas Avenue
Roanoke , VA 24012 		Brochures$545.98
6/6/2012 Castle Rock
Route 10
Jesse, WV 24849 		Pizza for Castle Rock Fundraiser$57.42
  Total Expenditures: $7,085.39

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
Monday, October 22, 2012 3:37:06 PM