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

Candidate or Committee Name
RALPH WILLIAM CLARK
Candidate or Committee's Treasurer
SUZANNE M CLARK
Political Party (for candidates)
Republican
Treasurer's Mailing Address (Street, Route, or P.O. Box)
PO BOX 485  
Office Sought (for Candidates)
Governor
District/Division
0
City, State, Zip Code
MORGANTOWN, WV 
Daytime Phone #
3042925335

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  $0.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$0.00
In-Kind Contributions +$0.00
Total Contributions: =$0.00
 
Other Income  $0.00
Loans Received +$5,000.00
Total Other Income: =$5,000.00
 
OUTSTANDING LOANS & DEBTS:  
Unpaid Bills  $0.00
Outstanding Loans +$5,000.00
Total Debts: =$5,000.00
 
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 +$0.00
Total Other Income +$5,000.00
Subtotal: a. =$5,000.00
 
Total Expenditures Paid  $4,736.81
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$4,736.81
 
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
=$263.19
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$4,736.81

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
 Subtotal of contributions of $250.00 or less 
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
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
1. Ralph W. Clark
485 Wilson Ave.
morgantown, WV 26501
2/9/2012 $5,000.00 $5,000.00
Loans Received Repayment of Loans Outstanding Loans
Totals: $5,000.00 $0.00 $5,000.00

Itemized Expenditures

DateName of Person or Vendor And AddressPurposeAmount
1/16/2012 Office Depot Store
733 Chestnut Ridge Road
Morgantown, WV 26505
Printing Supplies$126.24
12/22/2011 Morgantown Printing and Binding
915 Greenbag Rd
Morgantown, WV 26508
Printing Services$156.35
3/2/2012 Ralph W. Clark
485 Wilson Ave.
Morgantown, WV 26501
Mileage roundtrip to Charleston$152.00
3/30/2011 Dunbar Printing Company
1310 Ohio Ave.
Dunbar, WV 25064
Printing Services$2,639.40
3/16/2012 USPS - Morgantown Post Office
High Street
Morgantown, WV 26505
Postage$18.00
2/22/2012 USPS - Morgantown Post Office
High Street
Morgantown, WV 26505
Postage$27.00
3/3/2012 Holiday Inn & Suites
4000 2nd Ave. SW
Charleston, WV 25303
Overnight Stay on Campaign Trip$99.68
3/30/2012 Ralph W. Clark
485 Wilson Ave.
Morgantown, WV 26501
Mileage to Arden, WV$41.80
2/9/2012 USPS - Morgantown Post Office
High Street
Morgantown, WV 26505
Postage$18.00
3/3/2012 Jane Lew Restaurant
1000 Hackers Creek Road
Jane Lew, WV 26378
Meal on Campaign Trip$20.64
2/23/2012 Office Depot Store
733 Chestnut Ridge Road
Morgantown, WV 26505
Printing Supplies$72.68
3/12/2012 USPS
High Street
Morgantown, WV 26505
Postage$90.00
2/7/2012 USPS - Morgantown Post Office
High Street
Morgantown, WV 26505
Renew P.O. Box for Candidate Mail$24.00
3/1/2012 USPS - Morgantown Post Office
High Street
Morgantown, WV 26505
Postage$13.00
3/2/2012 Hardees
624 MacCorkle Ave.
S. Charleston, WV 25303
Meal on Campaign Trip$12.99
1/9/2012 Morgantown Printing and Binding
915 Greenbag Rd
Morgantown, WV 26508
Printing Services$26.13
2/21/2012 Morgantown Printing and Binding
915 Greenbag Rd
Morgantown, WV 26508
Printing Services$163.24
3/28/2012 Morgantown Printing and Binding
915 Greenbag Rd
Morgantown, WV 26508
Printing and Mailing Services$650.00
2/15/2012 Morgantown Printing and Binding
915 Greenbag Rd
Morgantown, WV 26508
Printing Services$163.24
3/3/2012 WVGOP
P.O. Box 2711
Charleston, WV 25330
Lunch at Candidate Training Event$40.00
3/19/2012 Morgantown Public Library
373 Spruce Street
Morgantown, WV 26505
Copying$3.50
3/22/2012 Office Depot Store
733 Chestnut Ridge Road
Morgantown, WV 26505
Printing and Mailing Supplies$70.47
2/17/2012 Office Depot Store
733 Chestnut Ridge Road
Morgantown, WV 26505
Printing Supplies$9.00
2/24/2012 USPS - Morgantown Post Office
High Street
Morgantown, WV 26505
Postage$48.00
3/19/2012 Ralph W. Clark
485 Wilson Ave
Morgantown, WV 26501
Mileage to attend Candidate Forum at Westchester Villagein Fairmont$10.45
2/23/2012 USPS - Morgantown Post Office
High Street
Morgantown, WV 26505
Postage$14.00
3/24/2012 USPS - Morgantown Post Office
High Street
Morgantown, WV 26505
Postage$27.00
  Total Expenditures: $4,736.81

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
Friday, April 6, 2012 3:47:57 PM