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

Candidate or Committee Name
Candidate or Committee's Treasurer
Political Party (for candidates)
Treasurer's Mailing Address (Street, Route, or P.O. Box)
Office Sought (for Candidates)
House of Delegates
City, State, Zip Code
MAYSEL, WV 25133
Daytime Phone #

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:

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  $1,350.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$1,350.00
In-Kind Contributions +$0.00
Total Contributions: =$1,350.00
Other Income  $0.00
Loans Received +$0.00
Total Other Income: =$0.00
Unpaid Bills  $0.00
Outstanding Loans +$0.00
Total Debts: =$0.00
(Add total contributions from all reports)
Beginning Balance
(ending balance from previous report)
Total Monetary Contributions +$1,350.00
Total Other Income +$0.00
Subtotal: a. =$2,835.11
Total Expenditures Paid  $2,835.11
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$2,835.11
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
(Add total expenditures from all reports)

$250.00 or LESS

4/24/2012Steve Stalnaker$100.00
4/24/2012HUB PAC$200.00
5/5/2012Consol Energy$250.00
 Subtotal of contributions of $250.00 or less$550.00

More than $250.00

4/23/2012 Full Name:  WESPAC
Address:  Resident
4307 McCorckle Avenue, SE
Charleston, WV 25364

Contributor's Job: (individual contributor only)  PAC
Where Contributor Works: (individual contributor only)  WESPAC
Affiliation: (political committee only) 
4/30/2012 Full Name:  Alpha Natural Resources PAC
Address:  Resident
929 Corporate Blvd. Suite 300
Linthicum Heights, MD 21090

Contributor's Job: (individual contributor only)  MIning Power
Where Contributor Works: (individual contributor only)  Alpha Natural Resources
Affiliation: (political committee only) 
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:

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


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. Dan Sizemore
4253 Procious Maysel Road
Maysel, WV 25133
$0.00 $0.00
Loans Received Repayment of Loans Outstanding Loans
Totals: $0.00 $0.00 $0.00

Itemized Expenditures

DateName of Person or Vendor And AddressPurposeAmount
4/25/2012 The Calhoun Chronicle
PO Box 400
Grantsville, WV 26147
newspaper ad$96.00
4/26/2012 Delta Communications
2278 Main Street
Clay, WV 25043
newspaper advertinsig$250.00
4/26/2012 Summit Media Broadcasting
180 Main Street
Sutton, WV 26601
radio advertising$740.00
4/27/2012 Clay Foodland
PO Box 609
Clay, WV 25043
meet the candidate picnic food$33.04
4/25/2012 Sams Club
at the mall
South Charleston, WV 25033
meet the candidate picnic$157.30
4/26/2012 Wal-Mart
200 Wal Street
Summersville, WV 26651
4/26/2012 Dollar tree
1032 Wal Street
Summersville, WV 26651
4/25/2012 Calhoun County Athletic Boosters
1Red Devil Drive
Mt Zion, WV 22234
4/28/2004 Exxon
rt 16 I 79
Ivydale, WV 25311
ice for meet the candidate picnic$13.13
4/28/2004 Family Dollar
main street
Clay, WV 25043
supplies for meet the candidate picnic$64.02
4/28/2012 Rite aid
main street
Clay, WV 25043
supplies for picnic$90.00
4/29/2012 Go-Mart
rt 4 and rt 16
Clay, WV 25043
4/30/2012 The Glenville Democrat
main street
Glenville, WV 22222
newspaper ad$202.50
5/3/2012 USPS
main street
Clay, WV 25043
5/3/2012 Rite-aid
main street
Clay, WV 25043
mailing labels$33.88
5/7/2012 Frog Pond Printery
PO Box 135
Maysel, WV 25133
postcards and labels for mailing$200.00
5/7/2012 Delta Communications
2278 Main Street
Clay, WV 25043
newspaper ad$90.00
5/10/2012 Big Otter Exxon
Rt 16
Ivydale, WV 25311
fuel for truck to go pick up signs$93.00
5/11/2012 Clay Go-mart
Rt 4
Clay, WV 25043
fuel for car to go finish getting signs$52.00
5/11/2012 Clay Go-mart
Rt 4
Clay, WV 25043
fuel for car to go finish getting signs$1.00
5/8/2012 Clay Foodland
main street
Clay, WV 25043
food for election day$42.84
  Total Expenditures: $2,835.11

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, May 21, 2012 10:35:43 AM