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

Candidate or Committee Name
JESSICA MYERS HAYES		 Candidate or Committee's Treasurer
JESSSICA MYERS HAYES
Political Party (for candidates)
Republican		 Treasurer's Mailing Address (Street, Route, or P.O. Box)
311 BOWIE DRIVE  
Office Sought (for Candidates)
Delegate to Republican National Convention -- At Large		 District/Division
0		 City, State, Zip Code
FALLING WATERS, WV 25419		 Daytime Phone #
3048207238

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  $2,600.00
Monetary Contributions from all Fund-Raising Events +$30,020.00
Receipt of a Transfer of Excess Funds +$27,627.00
Total Monetary Contributions: =$60,247.00
In-Kind Contributions +$0.00
Total Contributions: =$60,247.00
 
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)
$0.00
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)		  $0.00
Total Monetary Contributions +$60,247.00
Total Other Income +$0.00
Subtotal: a. =$60,247.00
 
Total Expenditures Paid  $0.00
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$0.00
 
Ending Balance:
(Subtotal a. - Subtotal b.)
*Cannot be negative balance		 =$60,247.00
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$0.00

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
3/29/2012Christopher Hall$50.00
3/29/2012H Dill Battle$50.00
 Subtotal of contributions of $250.00 or less$100.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
3/8/2012 Full Name:  Stephen P. Weir
Address:  Resident
PO Box 59
Glenville, WV 24945
Contributor's Job: (individual contributor only)  Director
Where Contributor Works: (individual contributor only)  Greenbrier Valley Economic Development Authority
Affiliation: (political committee only)  		$1,000.00
3/16/2012 Full Name:  Penelope Stevens
Address:  Resident
PO Box 327
Hamlin, WV 25523
Contributor's Job: (individual contributor only)  Homemaker
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  		$500.00
3/27/2012 Full Name:  Peggy Hawse
Address:  Resident
PO Box 602
Moorefield, WV 26836
Contributor's Job: (individual contributor only)  Homemaker
Where Contributor Works: (individual contributor only)  NA
Affiliation: (political committee only)  NA 		$1,000.00
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:		$2,500.00
$100.00
$2,600.00

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).

Power Alley Grill Fundraiser Event Summary

Date of Event: 3/29/2012 Total Monetary Contributions:  $30,020.00
Type of Event: Fundraiser Kick off Total Expenditures: -$2,838.16
Name of Place Held: Appalachian Power Park - Power Alley Grill NET RECEIPTS: =$27,181.84
Address of Place Held: 601 Morris Street
Charleston, WV 25301		 Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

DATEFULL NAMEAMOUNT
 Subtotal of event contributions of less than $250.00 $8,860.00

More than $250

DATE AMOUNT
3/29/2012 Full Name:  David Hill
Address:  Resident
1954 Parkwood Road
Charleston, WV 25314
Contributor's Job: (individual contributor only)  CPA
Where Contributor Works: (individual contributor only)  Arnett & Foster, PLLC
Affiliation: (political committee only)  		$1,000.00
3/29/2012 Full Name:  Leonard Anderson
Address:  Resident
HC 78 Box 6
Hinton, WV 25951
Contributor's Job: (individual contributor only)  President
Where Contributor Works: (individual contributor only)  Dairy Queen
Affiliation: (political committee only)  		$1,000.00
3/29/2012 Full Name:  Andrew Jordon
Address:  Resident
ONe Norwood Road
Charleston, WV 25314
Contributor's Job: (individual contributor only)  President
Where Contributor Works: (individual contributor only)  Pritchard Mining
Affiliation: (political committee only)  		$500.00
3/29/2012 Full Name:  Michael Castle
Address:  Resident
131 Summitt Ridge Road
Hurricane, WV 25526
Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Strategic Solutions
Affiliation: (political committee only)  NA 		$500.00
3/29/2012 Full Name:  Nick Carter
Address:  Resident
1518 Kentucky Ave
Ashland, WV 41102
Contributor's Job: (individual contributor only)  President
Where Contributor Works: (individual contributor only)  Natural Resources Partners, LP
Affiliation: (political committee only)  		$500.00
3/29/2012 Full Name:  West Virginians for Coal PAC
Address:  Resident
PO Box 682
Charleston, WV 25323
Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  WV Coal Association 		$500.00
3/29/2012 Full Name:  HS Conrad
Address:  Resident
1104 Conrad Road
Brandywine, WV 26802
Contributor's Job: (individual contributor only)  Farmer
Where Contributor Works: (individual contributor only)  Conrad Farms
Affiliation: (political committee only)  		$500.00
3/29/2012 Full Name:  David Ferretti
Address:  Resident
513 Linden Road
Charleston, WV 25314
Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Spilman Thomas
Affiliation: (political committee only)  		$275.00
3/29/2012 Full Name:  Friends of Facemyer
Address:  Resident
Rt1 Box 142
Ripley, WV 25271
Contributor's Job: (individual contributor only)  Campaign Committee
Where Contributor Works: (individual contributor only)  NA
Affiliation: (political committee only)  NA 		$1,000.00
3/29/2012 Full Name:  JoAnna Tabit
Address:  Resident
3703 Virginia Ave SE
Charleston, WV 25304
Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Steptoe & Johnson
Affiliation: (political committee only)  NA 		$300.00
3/29/2012 Full Name:  Meadwestvaco PAC
Address:  Resident
501 Soth 5th STreet
Richmons, VA 23219
Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  Meadwestvaco Corporation 		$750.00
3/29/2012 Full Name:  Michael Wehrle
Address:  Resident
3150 SW Teal Rd
Jackson, WY 83001
Contributor's Job: (individual contributor only)  Chairman
Where Contributor Works: (individual contributor only)  Adventures on the Gorge
Affiliation: (political committee only)  NA 		$500.00
3/29/2012 Full Name:  Steven White
Address:  Resident
378 Knollwood Dr
Charleston, WV 25302
Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Steven Whilte PLLC
Affiliation: (political committee only)  		$1,000.00
3/29/2012 Full Name:  Camden Siegrist
Address:  Resident
15 Carriage Road
Charleston, WV 25325
Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Bowles Rice
Affiliation: (political committee only)  		$500.00
3/29/2012 Full Name:  Thomas Susman
Address:  Resident
118 Capitol Street
Charleston, WV 25301
Contributor's Job: (individual contributor only)  President
Where Contributor Works: (individual contributor only)  TSG Consulting
Affiliation: (political committee only)  		$260.00
3/29/2012 Full Name:  Alexander Macia
Address:  Resident
15274 Va St East
Charleston, WV 25311
Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Spilman Thomas
Affiliation: (political committee only)  		$275.00
3/29/2012 Full Name:  Ralph Ballard
Address:  Resident
403 Quarry Pt
Charleston, WV 25304
Contributor's Job: (individual contributor only)  President
Where Contributor Works: (individual contributor only)  Investment Management Group
Affiliation: (political committee only)  		$500.00
3/29/2012 Full Name:  Patriot Coal Corporation PAC
Address:  Resident
12312 Olive Blvd
Saint Louis, MO 63141
Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  Patriot Coal 		$500.00
3/29/2012 Full Name:  Jane Cline
Address:  Resident
1266 Louden Heights Road
Charleston, WV 25314
Contributor's Job: (individual contributor only)  Dir of Public Policy
Where Contributor Works: (individual contributor only)  Spilman Thomas
Affiliation: (political committee only)  		$300.00
3/29/2012 Full Name:  Bennett Hatfield
Address:  Resident
PO Box 2405
Charleston, WV 25329
Contributor's Job: (individual contributor only)  Manager
Where Contributor Works: (individual contributor only)  Patriot Coal
Affiliation: (political committee only)  		$1,000.00
3/29/2012 Full Name:  Sam Helmick
Address:  Resident
35 Pinnacle Dr
Charleston, WV 25311
Contributor's Job: (individual contributor only)  Medical Consultant
Where Contributor Works: (individual contributor only)  Self Employed
Affiliation: (political committee only)  		$1,000.00
3/29/2012 Full Name:  WV Hopspitality & Travel Assoc PAC
Address:  Resident
PO Box 1347
Charleston, WV 25325
Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  WV Hospitality & Travel Association 		$500.00
3/29/2012 Full Name:  Ron Stollings
Address:  Resident
PO Box 365
Madison, WV 25130
Contributor's Job: (individual contributor only)  Physician
Where Contributor Works: (individual contributor only)  Self Employed
Affiliation: (political committee only)  na 		$500.00
3/29/2012 Full Name:  Campaign Fund to Re-Elect Ed Bowman Campaign
Address:  Resident
243 Milsop De
Weirton, WV 26062
Contributor's Job: (individual contributor only)  Campaign Fund to Re-Elect Ed Bowman Campaign
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  		$500.00
3/29/2012 Full Name:  Robert Person
Address:  Resident
905 7th Ave
Charleston, WV 25302
Contributor's Job: (individual contributor only)  President
Where Contributor Works: (individual contributor only)  Standard Distributing
Affiliation: (political committee only)  		$1,000.00
3/29/2012 Full Name:  Sam Kapourales
Address:  Resident
215 Logan St, Suite 10
Williamson, WV 25661
Contributor's Job: (individual contributor only)  Retired
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  		$1,000.00
3/29/2012 Full Name:  Fanning for State Senate Committee
Address:  Resident
PO Box 682
Iaeger, WV 24844
Contributor's Job: (individual contributor only)  Campaign Committee
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  		$1,000.00
3/29/2012 Full Name:  Teddy Adkins
Address:  Resident
14485 S Calhoun Hwy
Arnoldsburg, WV 25234
Contributor's Job: (individual contributor only)  Self Employed
Where Contributor Works: (individual contributor only)  Oil & Gas
Affiliation: (political committee only)  		$1,000.00
3/29/2012 Full Name:  James Brick
Address:  Resident
79 Cheat Canyon Park Drive
Morgantown, WV 26508
Contributor's Job: (individual contributor only)  Physician
Where Contributor Works: (individual contributor only)  WVU Hospitals
Affiliation: (political committee only)  		$500.00
3/29/2012 Full Name:  Don R Richardson
Address:  Resident
1611 Ridgeview Road
Charleston, WV 25314
Contributor's Job: (individual contributor only)  Retired
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  		$500.00
3/29/2012 Full Name:  First Energy PAC
Address:  Resident
706 S Main St
Akron, OH 44308
Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  First Energy Corp 		$1,000.00
3/29/2012 Full Name:  Frank Deem
Address:  Resident
5518 2nd Ave
Vienna, WV 26105
Contributor's Job: (individual contributor only)  Oil & Gas Producer
Where Contributor Works: (individual contributor only)  Self Employed
Affiliation: (political committee only)  		$1,000.00
 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 		$21,160.00
$8,860.00
$30,020.00

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
1/31/2012 Walt Helmick
HC 82, Box 130
Marlinton, WV 24954 		January mileage for campaigning$1,263.18
1/31/2012 AT&T
PO Box 536216
Atlanta, GA 30353 		Cell Phone $187.00
1/31/2012 WV Secreatry of State
State Capitol
Charleston, WV 25305 		Filing Fee$950.00
3/14/2012 Roy’s Sign Shop
6124 US 220 N
Old Fields, WV 26845 		Advertising$18,979.30
3/14/2012 The Pocahantas Times
206 Eigth Street
Marlinton, WV 24954 		Advertising$211.49
3/15/2012 AT&T
PO Box 536216
Atlanta, GA 30353 		Phone usage$177.30
3/29/2012 Kirsten Rhodes
RT 1 Box 92
Poca, WV 25159 		Salary cost$779.50
3/29/2012 State of WV
State Capitol Complex
Charelston, WV 25321 		Business Registration costs$30.00
3/30/2012 Pope Consulting
1401 Mount Vernon Road
Charelston, WV 25314 		Fundraising consulting$3,180.00
3/30/2012 Logan Outdoor Inc.
306 Cedarcrest Drive
Ripley, WV 25271 		Advertising$2,495.00
3/30/2012 Rita Helmick
HC 82, Box 130
Marlinton, WV 24954 		Mileage reimbursement/Web page hosting and addresses$708.51
3/30/2012 Power Alley Grill
601 Morris Street
Charelston, WV 25301 		Rent and food for fundraiser$510.92
3/30/2012 Pay Pal
2211 North 1st Street
San Jose, CA 95131 		Fundraising Expense$3.50
3/30/2012 TSG Consulting
118 Capitol Street
Charleston, WV 25301 		Printing and postage$2,327.24
3/30/2012 TSG Consulting
118 Capitol Street
Charleston, WV 25301 		Advertising$1,554.00
  Total Expenditures: $33,356.94

Receipt of a Transfer of Excess Funds

DateCandidate Committee Name and YearAmount
2/14/2012Helmick for Senate$5,226.82
1/31/2012Helmick for Senate$2,400.18
3/13/2012Helmick for Senate$20,000.00
 Total Receipts of Transfer of Excess Funds: $27,627.00

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, April 7, 2012 11:03:04 AM