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

Candidate or Committee Name
JOHN B. McCUSKEY		 Candidate or Committee's Treasurer
ANDREW BERNSTEIN
Political Party (for candidates)
Republican		 Treasurer's Mailing Address (Street, Route, or P.O. Box)
PO BOX 895  
Office Sought (for Candidates)
House of Delegates		 District/Division
35		 City, State, Zip Code
CHARLESTON, WV 		 Daytime Phone #
3046104690

Election Cycle Reporting Period (check one):
    
Primary - First Report
Due Mar 31-Apr 06, 2012Mar 31-Apr 06, 2012
 X 
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  $5,975.00
Monetary Contributions from all Fund-Raising Events +$8,525.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$14,500.00
In-Kind Contributions +$818.36
Total Contributions: =$15,318.36
 
Other Income  $0.00
Loans Received +$0.00
Total Other Income: =$0.00
 
OUTSTANDING LOANS & DEBTS:  
Unpaid Bills  $0.00
Outstanding Loans +$766.57
Total Debts: =$766.57
 
TOTAL CONTRIBUTIONS ELECTION YEAR-TO-DATE
(Add total contributions from all reports)
$35,898.36
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)		  $14,595.58
Total Monetary Contributions +$14,500.00
Total Other Income +$0.00
Subtotal: a. =$29,095.58
 
Total Expenditures Paid  $12,339.19
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$12,339.19
 
Ending Balance:
(Subtotal a. - Subtotal b.)
*Cannot be negative balance		 =$16,756.39
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$19,090.18

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
4/1/2012Dickinson Gould$50.00
4/2/2012J. Thomas Lane$250.00
4/3/2012Arch PAC$250.00
4/4/2012J&K State Legislative PAC$200.00
4/6/2012WVSFA PAC$250.00
4/9/2012West Virginians For Coal PAC$250.00
4/11/2012Ellen Cappellanti$100.00
4/15/2012Zach Warren$25.00
4/15/2012Matthew Tyree$50.00
4/17/2012Sarah Smith$100.00
4/18/2012Robinson & McElwee PAC$100.00
4/19/2012HUB-PAC$250.00
4/18/2012Thomas Young$250.00
4/18/2012Ruffner Alexander Jr.$50.00
 Subtotal of contributions of $250.00 or less$2,175.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
4/4/2012 Full Name:  The Chamber PAC
Address:  Resident
PO Box 2789
Charleston, WV 25330
Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  Political Action Committee
Affiliation: (political committee only)  West Virginia Chamber of Commerce 		$1,000.00
4/4/2012 Full Name:  HOSPAC
Address:  Resident
100 Association Drive
Charleston, WV 25311
Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  Political Action Committee
Affiliation: (political committee only)  West Virginia Hospital Association 		$300.00
4/6/2012 Full Name:  Vickie McLaughlin
Address:  Resident
728 Myrtle Road
Charleston, WV 25314
Contributor's Job: (individual contributor only)  Realtor
Where Contributor Works: (individual contributor only)  Old Colony
Affiliation: (political committee only)  		$1,000.00
4/13/2012 Full Name:  Realtor PAC
Address:  Resident
2110 Kanawha Boulevard East
Charleston, WV 25311
Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  Political Action Committee
Affiliation: (political committee only)  Political Action Committee 		$500.00
4/17/2012 Full Name:  AEP Commmittee For Responsible Government PAC
Address:  Resident
1 Riverside Plaza
26th Floor
Columbus, OH 43215
Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  Political Action Committee
Affiliation: (political committee only)  American Electric Power 		$500.00
4/19/2012 Full Name:  WESPAC
Address:  Resident
PO Box 4106
Charleston, WV 25364
Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  Political Action Committee
Affiliation: (political committee only)  West Virginia Medical Association 		$500.00
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:		$3,800.00
$2,175.00
$5,975.00

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).

Reception at Jarrett Construction Event Summary

Date of Event: 4/11/2012 Total Monetary Contributions:  $6,425.00
Type of Event: Fundraiser Total Expenditures: -$870.28
Name of Place Held: Jarrett Construction NET RECEIPTS: =$5,554.72
Address of Place Held: 1605 Virginia Street East
Charleston, WV 25311		 Total In-Kind Contributions Related to the Fundraiser  $0.00

$250 or Less

DATEFULL NAMEAMOUNT
4/11/2012Robert Moses$250.00
4/11/2012Roger Nicholson$200.00
4/11/2012Ronald Mallory$200.00
4/11/2012George Beck$100.00
4/11/2012Marion Lane$200.00
4/11/2012West Virginia CAR PAC$250.00
4/11/2012Peter Uthe$100.00
4/11/2012JC Gould$150.00
4/11/2012Forrest Roles$100.00
4/11/2012Laura Myers$200.00
4/11/2012Elizabeth Lord$150.00
4/11/2012Michelle Wooton$100.00
4/11/2012Christina Brumley$100.00
4/11/2012Blair Gardner$50.00
4/11/2012M.David Griffith$75.00
4/11/2012Cindy Thomas$100.00
4/11/2012Howard Persinger$100.00
4/11/2012Gerald Titus$100.00
4/11/2012Paul White$150.00
4/11/2012Christopher Dodrill$100.00
4/11/2012H. Randolph Neville$150.00
 Subtotal of event contributions of less than $250.00 $2,925.00

More than $250

DATE AMOUNT
4/11/2012 Full Name:  Patriot Coal Corporation PAC
Address:  Resident
12312 Olive Boulevard
Suite 400
St. Louis, MO 63141
Contributor's Job: (individual contributor only)  Political Action Committee
Where Contributor Works: (individual contributor only)  Political Action Committee
Affiliation: (political committee only)  Patriot Coal 		$500.00
4/11/2012 Full Name:  Chandler Swope
Address:  Resident
702 Three Springs Drive
Bluefield, WV 24701
Contributor's Job: (individual contributor only)  Owner
Where Contributor Works: (individual contributor only)  Swope Construction
Affiliation: (political committee only)  		$500.00
4/11/2012 Full Name:  William F. Dobbs
Address:  Resident
PO Box 553
Charleston, WV 25322
Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Jackson Kelly
Affiliation: (political committee only)  		$500.00
4/11/2012 Full Name:  Donald Gatewood
Address:  Resident
1415 Robinhood Road
Charleston, WV 25314
Contributor's Job: (individual contributor only)  President
Where Contributor Works: (individual contributor only)  TAG Equity Construction
Affiliation: (political committee only)  		$1,000.00
4/11/2012 Full Name:  David Rader
Address:  Resident
PO Box 2426
Charleston, WV 25329
Contributor's Job: (individual contributor only)  Retired
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  		$500.00
4/11/2012 Full Name:  Governeur Graney
Address:  Resident
6 Gat Creek Road
Charleston, WV 25314
Contributor's Job: (individual contributor only)  Vice President
Where Contributor Works: (individual contributor only)  Petroleum Products, Inc.
Affiliation: (political committee only)  N/A 		$500.00
 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 		$3,500.00
$2,925.00
$6,425.00

Reception at Offices of Steptoe & Johnson Event Summary

Date of Event: 4/12/2012 Total Monetary Contributions:  $1,400.00
Type of Event: Fundraiser Total Expenditures: -$195.97
Name of Place Held: Steptoe & Johnson NET RECEIPTS: =$1,204.03
Address of Place Held: 707 Virginia Street East
Charleston, WV 25301		 Total In-Kind Contributions Related to the Fundraiser  $343.15

$250 or Less

DATEFULL NAMEAMOUNT
4/12/2012Robert Pollitt$200.00
4/12/2012Mary Payne$250.00
4/12/2012Tom Kleeh$50.00
4/12/2012Jace Goins$150.00
4/12/2012Margaret Bush$50.00
4/12/2012Joanna Tabit$100.00
4/12/2012Michael Mullins$100.00
 Subtotal of event contributions of less than $250.00 $900.00

More than $250

DATE AMOUNT
4/12/2012 Full Name:  Jan Fox
Address:  Resident
114 Pine Trace
South Charleston, WV 25309
Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  Steptoe & Johnson
Affiliation: (political committee only)  		$500.00
 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 		$500.00
$900.00
$1,400.00

Reception at Home of Dr. Ghassan and Alexandra Dagher Event Summary

Date of Event: 4/19/2012 Total Monetary Contributions:  $700.00
Type of Event: Fundraiser Total Expenditures: -$0.00
Name of Place Held: Home of Dr. Ghassan and Alexandra Dagher NET RECEIPTS: =$700.00
Address of Place Held: 4010 Kanawha Avenue SE
Charleston, WV 25304		 Total In-Kind Contributions Related to the Fundraiser  $345.94

$250 or Less

DATEFULL NAMEAMOUNT
4/19/2012Francie Freeman$100.00
4/19/2012Varesh Vaghela$100.00
4/19/2012Diane Doty$150.00
4/19/2012Ellen Mohler$50.00
4/19/2012Dr. M.M. Boustany$200.00
4/19/2012Virginia George$100.00
 Subtotal of event contributions of less than $250.00 $700.00

More than $250

DATE AMOUNT
 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 		$0.00
$700.00
$700.00

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
4/19/2012Alexandra DagherFood and Refreshments$241.00
4/12/2012Steptoe & Johnson Good Government Fund PACFood and Refreshments$343.15
4/14/2012John B McCuskeySign Materials$129.27
4/19/2012John B McCuskeyInvitations for Reception$104.94
  Total In-Kind Contributions: $818.36

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. JB and Wendy McCuskey Total Loans
649 Holy Road
Charleston, WV 25314		 $766.57 $766.57
Loans Received Repayment of Loans Outstanding Loans
Totals: $0.00 $0.00 $766.57

Itemized Expenditures

DateName of Person or Vendor And AddressPurposeAmount
4/2/2012 United States Postal Service
1002 Lee Street East
Charleston, WV 25301 		Stamps$157.50
4/3/2012 West Virginia Young Republicans
Unknown
Unknown, WV Unknown 		Event Registration$75.00
4/3/2012 Charleston Newspapers
1001 Virginia Street East
Charleston, WV 25301 		Newspaper Advertising$2,790.00
4/11/2012 Kroger
1100 Fledderjohn Road
Charleston, WV 25314 		Refreshments$135.42
4/11/2012 Cheyenne Nobles
625 Washington Street
St. Albans, WV 25177 		Photography$250.00
4/11/2012 Summit Catering
129 Summers Street
Charleston, WV 25301 		Catering$484.86
4/12/2012 Les Bagyi
Unknown
Unknown, WV Unknown 		Bartending$195.97
4/19/2012 United States Postal Service
1002 Lee Street East
Charleston, WV 25301 		Stamps$90.00
4/16/2012 Strategic Media Placement
7669 Stagers Loop
Delaware, OH 43215 		Radio Advertising$5,000.00
4/20/2012 Artisitic Promotions
2306 Charles Avenue
Dunbar, WV 25064 		Postcards$1,750.00
4/20/2012 Artisitic Promotions
2306 Charles Avenue
Dunbar, WV 25064 		4’x8’ Signs$1,267.75
4/22/2012 Piryx, Inc.
144 Second Street
San Francisco, CA 94105 		Online Fundraising$61.88
4/22/2012 Facebook
1601 Willow Road
Menlo Park, CA 94025 		Facebook Advertising$80.81
  Total Expenditures: $12,339.19

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
Thursday, April 26, 2012 1:53:59 PM