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

Candidate or Committee Name
JOHN REESE MAXEY		 Candidate or Committee's Treasurer
PATTI MULKEEN-CORLEY
Political Party (for candidates)
Democrat		 Treasurer's Mailing Address (Street, Route, or P.O. Box)
PO BOX 847  
Office Sought (for Candidates)
House of Delegates		 District/Division
66		 City, State, Zip Code
CHARLES TOWN, WV 		 Daytime Phone #
3047253148

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:
    
 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  $13,732.00
Monetary Contributions from all Fund-Raising Events +$2,470.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$16,202.00
In-Kind Contributions +$1,650.45
Total Contributions: =$17,852.45
 
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)
$33,763.01
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)		  $13,733.57
Total Monetary Contributions +$16,202.00
Total Other Income +$0.00
Subtotal: a. =$29,935.57
 
Total Expenditures Paid  $7,986.96
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$7,986.96
 
Ending Balance:
(Subtotal a. - Subtotal b.)
*Cannot be negative balance		 =$21,948.61
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$9,578.95

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
7/24/2012Katherine Austin$30.00
7/24/2012Nick Gazunis$200.00
7/24/2012Rebecca Lorenz$100.00
7/24/2012Keith Kruger$250.00
7/24/2012Suzanne Kruger$24.00
7/24/2012Jefferson County Organization of Democratic Women$200.00
8/3/2012Randy Creller$24.00
8/3/2012Charlie Smeal$50.00
8/3/2012Pat Hough$37.00
8/3/2012Martha Ehlman$50.00
8/3/2012Barbara Humes$25.00
8/3/2012Vanessa Stolarski$36.00
8/3/2012Ginny Lahman$24.00
8/7/2012Joe Healey$12.00
8/7/2012Allegra Wright$25.00
8/20/2012Marylois Gannon-Miller$100.00
8/20/2012Kris Loken$25.00
8/20/2012Judi Brunswick$24.00
8/20/2012Alicia Drumgoole$40.00
8/20/2012Vic Marchand$25.00
8/20/2012Debbie Royalty$25.00
8/20/2012Maureen Paccione$12.00
8/30/2012Ellen May$200.00
8/30/2012Jane Rissler$100.00
8/30/2012Cathy Baldau$48.00
8/30/2012Jami Hadden$22.00
8/30/2012Barbara Humes$12.00
9/17/2012Lyn Yellott$100.00
9/17/2012D. Michael Burke$250.00
9/17/2012Friends to Elect Mike Caputo$100.00
 Subtotal of contributions of $250.00 or less$2,170.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
7/24/2012 Full Name:  John Maxey
Address:  Resident
335 Old Shenandoah Trail
Harpers Ferry, WV 25425
Contributor's Job: (individual contributor only)  Programmer
Where Contributor Works: (individual contributor only)  Data Direct, Inc.
Affiliation: (political committee only)  		$1,000.00
7/24/2012 Full Name:  Stephen Skinner
Address:  Resident
PO Box 315
Charles Town, WV 25414
Contributor's Job: (individual contributor only)  Attorney
Where Contributor Works: (individual contributor only)  The Skinner Firm
Affiliation: (political committee only)  		$1,000.00
8/3/2012 Full Name:  Carol Gallant
Address:  Resident
PO Box 734
Harpers Ferry, WV 25425
Contributor's Job: (individual contributor only)  Retired
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  		$262.00
8/3/2012 Full Name:  John Allen
Address:  Resident
PO Box 2006
Shepherdstown, WV 25443
Contributor's Job: (individual contributor only)  Author
Where Contributor Works: (individual contributor only)  Self Employed
Affiliation: (political committee only)  		$500.00
8/7/2012 Full Name:  FMPAC
Address:  Resident
1600 Wilson Blvd
Arlington, VA 22209
Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  Feminist Majority Foundation 		$1,000.00
8/7/2012 Full Name:  Ellie Smeal
Address:  Resident
900 North Stafford Street
Arlington, VA 22203
Contributor's Job: (individual contributor only)  Director
Where Contributor Works: (individual contributor only)  Feminist Majority Foundation
Affiliation: (political committee only)  		$500.00
8/7/2012 Full Name:  Al Van Huyck
Address:  Resident
PO Box 226
Round Hill, VA 20142
Contributor's Job: (individual contributor only)  Retired
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  Friends of the Blue Ridge Mountain 		$500.00
8/20/2012 Full Name:  AFL-CIO COPE
Address:  Resident
501 Leon Sullivan Way
Charleston, WV 25301
Contributor's Job: (individual contributor only)  AFL-CIO COPE
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  West Virginia AFL-CIO 		$1,000.00
8/30/2012 Full Name:  AFT West Virginia
Address:  Resident
1610 Washington Street
Charleston, WV 25311
Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  West Virginia AFT 		$1,000.00
8/30/2012 Full Name:  United Auto Workers
Address:  Resident
1010 Oldham Street
Baltimore, MD 21224
Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  West Virginia UAW 		$500.00
9/10/2012 Full Name:  JCEA Political Action Committee
Address:  Resident
72 McDonald Drive
Shepherdstown, WV 25443
Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  Jefferson County Education Association PAC 		$500.00
9/10/2012 Full Name:  BACT-PAC
Address:  Resident
600 Leon Sullivan Way
Charleston, WV 25301
Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  Building & Construction Trades PAC 		$1,000.00
9/10/2012 Full Name:  WV LAWPAC
Address:  Resident
1614 Kanawha Blvd
Charleston, WV 25311
Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  WV Association for Justice 		$1,000.00
9/10/2012 Full Name:  James Rogers
Address:  Resident
142 Longmarsh Lane
Charles Town, WV 25414
Contributor's Job: (individual contributor only)  Retired
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  		$500.00
9/10/2012 Full Name:  Pat Rissler
Address:  Resident
142 Longmarsh Lane
Charles Town, WV 25414
Contributor's Job: (individual contributor only)  Retired
Where Contributor Works: (individual contributor only)  N/A
Affiliation: (political committee only)  		$500.00
9/17/2012 Full Name:  Jefferson County Democratic Association
Address:  Resident
PO Box 1141
Charles Town, WV 25414
Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  Jefferson County Democratic Association 		$300.00
9/17/2012 Full Name:  Len Frenkil
Address:  Resident
2436 Warm Springs Road
Shepherdstown, WV 25414
Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only)  		$500.00
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:		$11,562.00
$2,170.00
$13,732.00

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).

Ginny & Leo Lahman Event Summary

Date of Event: 6/16/2012 Total Monetary Contributions:  $99.00
Type of Event: Picnic Total Expenditures: -$0.00
Name of Place Held: Lahman residence NET RECEIPTS: =$99.00
Address of Place Held: 106 Gray Fox Road
Harpers Ferry, WV 25425		 Total In-Kind Contributions Related to the Fundraiser  $230.45

$250 or Less

DATEFULL NAMEAMOUNT
7/24/2012Martha Rowley$24.00
6/16/2012Chip Randall$50.00
8/3/2012Cheryl Casari$25.00
 Subtotal of event contributions of less than $250.00 $99.00

More than $250

DATE AMOUNT
 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 		$0.00
$99.00
$99.00

Carroll Reception Event Summary

Date of Event: 7/30/2012 Total Monetary Contributions:  $100.00
Type of Event: Meet and Greet Reception Total Expenditures: -$0.00
Name of Place Held: Carroll Residence NET RECEIPTS: =$100.00
Address of Place Held: 20 River Forest Lane
Harpers Ferry, WV 25425		 Total In-Kind Contributions Related to the Fundraiser  $150.00

$250 or Less

DATEFULL NAMEAMOUNT
8/3/2012Nancy Stolipher$100.00
 Subtotal of event contributions of less than $250.00 $100.00

More than $250

DATE AMOUNT
 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 		$0.00
$100.00
$100.00

Bainbridge/Hutton Reception Event Summary

Date of Event: 8/5/2012 Total Monetary Contributions:  $1,486.00
Type of Event: Bainbridge/Hutton Reception Total Expenditures: -$0.00
Name of Place Held: Bainbridge Residence NET RECEIPTS: =$1,486.00
Address of Place Held: 360 Fillmore Street
Harpers Ferry, WV 25425		 Total In-Kind Contributions Related to the Fundraiser  $200.00

$250 or Less

DATEFULL NAMEAMOUNT
8/5/2012Tish Appignani$100.00
8/5/2012Warren McKimmie$100.00
8/5/2012Jerry Hutton$24.00
8/5/2012Richard Cunningham$25.00
8/5/2012Cindy Dunn$25.00
8/5/2012Greg Vaughn$25.00
8/5/2012Gene Taylor$37.00
8/5/2012Joe Anderson$50.00
8/5/2012Allison Alsdorf$100.00
8/5/2012Vicky Hilton$100.00
8/5/2012Bill McGinnis$100.00
8/5/2012Elizabeth Blake$100.00
8/5/2012Sarah Orrick$50.00
8/5/2012Don Burgess$100.00
8/5/2012Ed Wheeless$50.00
8/5/2012Michael Reardon$150.00
8/5/2012Mark Shields$100.00
8/5/2012Betsy Bainbridge$100.00
8/5/2012Carrie Gauthier$50.00
8/5/2012Lawton Rogers$100.00
 Subtotal of event contributions of less than $250.00 $1,486.00

More than $250

DATE AMOUNT
 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 		$0.00
$1,486.00
$1,486.00

Hammer/Kallas Reception Event Summary

Date of Event: 8/15/2012 Total Monetary Contributions:  $785.00
Type of Event: Hammer/Kallas Reception Total Expenditures: -$0.00
Name of Place Held: Hammer Residence NET RECEIPTS: =$785.00
Address of Place Held: 206 New Street
Shepherdstown, WV 25443		 Total In-Kind Contributions Related to the Fundraiser  $450.00

$250 or Less

DATEFULL NAMEAMOUNT
8/15/2012Mary Stanley$50.00
8/15/2012Rachel Sharp$75.00
8/15/2012Bernard Demartini$40.00
8/15/2012Nathaniel Hitt$50.00
8/15/2012Martha Ehlman$50.00
8/15/2012Renny Smith$50.00
8/15/2012Rod Snyder$100.00
8/15/2012Terry Thorson$100.00
8/15/2012Paul Brubaker$200.00
8/15/2012John Lacey$25.00
8/15/2012Andy Arnold$25.00
8/15/2012Neil Martineau$20.00
 Subtotal of event contributions of less than $250.00 $785.00

More than $250

DATE AMOUNT
 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 		$0.00
$785.00
$785.00

Mountain Lake Club Event Summary

Date of Event: 9/22/2012 Total Monetary Contributions:  $0.00
Type of Event: Mountain Lake Club Reception Total Expenditures: -$0.00
Name of Place Held: Shannondale NET RECEIPTS: =$0.00
Address of Place Held: Lower Clubhouse Drive
Harpers Ferry, WV 25425		 Total In-Kind Contributions Related to the Fundraiser  $620.00

$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
6/16/2012Ginny LahmanFood and refreshments for meet & greet reception$230.45
7/30/2012Cissey CarrollFood and refreshments for meet & greet reception$150.00
8/5/2012Betsy BainbridgeFood and refreshments for meet & greet reception$100.00
8/5/2012Jerry HuttonFood and refreshments for meet & greet reception$100.00
8/15/2012Effie KallasFood and refreshments for meet & greet reception$450.00
9/22/2012M.J. FirestoneClub House - 6.5 hours and staff$400.00
9/22/2012Martha RowleyFood and refreshments for meet & greet reception$150.00
9/22/2012Theresa ChiotosBeer & wine$70.00
  Total In-Kind Contributions: $1,650.45

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
7/18/2012 Victory Store
5200 SW 30th Street
Davenport, IA 52802 		T Shirts$576.62
8/24/2012 Jake Lichtman
114 South Market Street
Frederick, MD 21701 		Graphic Design - Business cards$125.00
8/29/2012 The Observer
PO Box 3088
Shepherdstown, WV 25433 		WV Observer$272.00
9/21/2012 Staples
24 Charles Town Plaza
Charles Town, WV 25414 		Printing - Rippon$85.83
8/20/2012 Staples
24 Charles Town Plaza
Charles Town, WV 25414 		Map printing and mount (Fair Booth)$77.26
8/15/2012 Home Depot
230 Oak Lee Drive
Ranson, WV 25438 		Sign materials (zip ties)$25.38
6/1/2012 Jefferson County Fair Association
PO Box 653
Ranson, WV 25438 		Fair Booth Rental$250.00
7/10/2012 U.S. Postal Service
Washington Street
Harpers Ferry, WV 25425 		Postage$90.00
7/16/2012 Sonic Print
5018 Tampa West Blvd
Tampa, FL 33634 		Printing - Post Cards$80.34
9/14/2012 U.S. Postal Service
Washington Street
Harpers Ferry, WV 25425 		Postage$18.00
9/17/2012 Spirit of Jefferson
George Street
Charles Town, WV 25414 		Newspaper Advertising$156.00
8/20/2012 Home Depot
230 Oak Lee Drive
Ranson, WV 25438 		Sign Materials (posts & plywood)$233.98
5/31/2012 Jake Lichtman
114 South Market Street
Frederick, MD 21701 		Graphic Design$120.00
6/5/2012 U.S. Postal Service
Washington Street
Harpers Ferry, WV 25425 		Postage$90.00
6/15/2012 Golf Headquarters
2236 Ashley Crossing Drive
Charleston, SC 29414 		Fair Booth - Golf game$34.96
7/5/2012 Victory Store
5200 SW 30th Street
Davenport, IA 52802 		Business card printing$112.10
7/6/2012 Jake Lichtman
114 South Market Street
Frederick, MD 21701 		Graphic Design - Business cards$60.00
7/16/2012 Staples
24 Charles Town Plaza
Charles Town , WV 25414 		Stationary - invitations$34.97
8/31/2012 Paul Maxey
82 Spring Street
Frostburg, MD 21532 		Web Design$228.25
9/20/2012 Jake Lichtman
114 South Market Street
Frederick, MD 21701 		Graphic Design $200.00
8/22/2012 Staples
24 Charles Town Plaza
Charles Town, WV 25414 		Copies$44.51
8/7/2012 Home Depot
230 Oak Lee Drive
Ranson, WV 25438 		Fair booth materials$64.86
9/4/2012 Home Depot
230 Oak Lee Drive
Ranson, WV 25438 		Sign Materials (posts & plywood)$106.96
6/29/2012 Jake Lichtman
114 South Market Street
Frederick, MD 21701 		Graphic Design - T Shirts$50.00
8/2/2012 Home Depot
230 Oak Lee Drive
Ranson, WV 25438 		Fair Booth materials$167.08
8/7/2012 Victory Store
5200 SW 30th Street
Davenport, IA 52802 		Fair hand outs - fans$426.12
9/10/2012 Jefferson Rentals
Mildred Street
Ranson, WV 25438 		Equipment rental$83.85
5/22/2012 Sonic Print
5018 Tampa West Blvd
Tampa, FL 33634 		Post Card Printing$81.35
8/31/2012 Spirit of Jefferson
George Street
Charles Town, WV 25414 		Newspaper Advertising$312.00
9/11/2012 Home Depot
230 Oak Lee Drive
Ranson, WV 25438 		Sign materials$204.68
9/18/2012 Victory Store
5200 SW 30th Street
Davenport, IA 52802 		Signs$594.96
9/20/2012 U.S. Postal Service
Washington Street
Harpers Ferry, WV 25425 		Postage$57.28
9/17/2012 Staples
24 Charles Town Plaza
Charles Town, WV 25414 		Copies$55.10
8/22/2012 Southern States
222 N Mildred` Street
Ranson, WV 25438 		"T" Posts $190.48
7/30/2012 Victory Store
5200 SW 30th Street
Davenport, IA 52802 		Signs$2,014.27
8/9/2012 Spirit of Jefferson
George Street
Charles Town , WV 25414 		Newspaper Advertising$434.00
9/4/2012 United Mine Workers
1300 Kanawha Blvd
Charleston, WV 25301 		UMWA Picnic Advertising$80.00
9/12/2012 Jefferson Rentals
Mildred Street
Ranson, WV 25438 		Equipment Rental$53.17
8/20/2012 Staples
24 Charles Town Plaza
Charles Town, WV 25414 		Poster printing (Fair Booth)$47.07
8/14/2012 Home Depot
230 Oak Lee Drive
Ranson, WV 25438 		Fair Booth Materials$48.53
  Total Expenditures: $7,986.96

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, September 28, 2012 3:50:20 PM