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

Candidate or Committee Name J&K State Legislative PAC (Jackson and Kelly)		Candidate or Committee's Treasurer Louis S. Southworth II
Political Party (for candidates)		Treasurer's Mailing Address (Street, Route, or P.O. Box) PO Box 553
Office Sought (for Candidates)	District/Division	City, State, Zip Code Charleston, WV 25322	Daytime Phone # (304) 340-1231

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	$3,200.00
Monetary Contributions from all Fund-Raising Events	+$0.00
Receipt of a Transfer of Excess Funds	+$0.00
Total Monetary Contributions:	=$3,200.00
In-Kind Contributions	+$0.00
Total Contributions:	=$3,200.00

Other Income	$2,754.60
Loans Received	+$0.00
Total Other Income:	=$2,754.60

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)
$19,200.00

CASH BALANCE SUMMARY
Beginning Balance (ending balance from previous report)		$6,750.74
Total Monetary Contributions		+$3,200.00
Total Other Income		+$2,754.60
Subtotal:	a.	=$12,705.34

Total Expenditures Paid		$10,813.07
Total Disbursements of Excess Funds		+$0.00
Repayment of Loans		+$0.00
Subtotal:	b.	=$10,813.07

Ending Balance: (Subtotal a. - Subtotal b.) *Cannot be negative balance		=$1,892.27

TOTAL EXPENDITURES ELECTION YEAR-TO-DATE (Add total expenditures from all reports)
$35,293.11

Contributions
$250.00 or LESS

DATE	CONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAME	AMOUNT
9/25/2012	Abbitt, Julia Chico	$20.00
9/25/2012	Bennett, A. Stuart	$20.00
9/25/2012	Beverage, Laura	$20.00
9/25/2012	Blalcok, Larry	$40.00
9/25/2012	Busse, Robert	$30.00
9/25/2012	Callas, Christopher L.	$25.00
9/25/2012	Cappellanti, Ellen S.	$55.00
9/25/2012	Cimino, Michael	$10.00
9/25/2012	Crislip, Stephen	$55.00
9/25/2012	Crooks, Charles J.	$20.00
9/25/2012	Dobbs, Jr., William F.	$50.00
9/25/2012	Dunbar, Charles	$55.00
9/25/2012	Emch, Alvin	$55.00
9/25/2012	Flannery, David M.	$55.00
9/25/2012	Fluharty, Robert D.	$55.00
9/25/2012	Foster, MIchael David	$50.00
9/25/2012	Frye, Lynn O.	$30.00
9/25/2012	Gee, Samme L.	$40.00
9/25/2012	Hart, Gary W.	$50.00
9/25/2012	Huffman, Timothy	$50.00
9/25/2012	Hurney, Thomas	$30.00
9/25/2012	LaCagnin, Stephen	$30.00
9/25/2012	Loeb, Jr., Charles	$50.00
9/25/2012	Lord, Elizabeth	$40.00
9/25/2012	Magee, Erin	$20.00
9/25/2012	Mattingly, William	$40.00
9/25/2012	McLusky, Robert	$55.00
9/25/2012	Miller, Taunja Willis	$50.00
9/25/2012	Powell, William	$40.00
9/25/2012	Roeder, George E.	$40.00
9/25/2012	Rubrecht, Gale Lea	$20.00
9/25/2012	Sebok, Albert	$30.00
9/25/2012	Simmons, Lindsay	$55.00
9/25/2012	Synder, James	$55.00
9/25/2012	Southworth, Louis	$55.00
9/25/2012	Stickler, Daniel	$55.00
9/25/2012	Thomas, James	$40.00
9/25/2012	Tweel, Robert	$20.00
9/25/2012	Victorson, Michael	$50.00
9/25/2012	Whytsell, Eric	$20.00
9/25/2012	Wolfe, Roger A.	$20.00
10/5/2012	Abbitt, Julia Chico	$20.00
10/5/2012	Bennett, A. Stuart	$20.00
10/5/2012	Beverage, Laura	$20.00
10/5/2012	Blalock, Larry	$40.00
10/5/2012	Busse, Robert	$30.00
10/5/2012	Callas, Christopher L.	$25.00
10/5/2012	Cappellanti, Ellen S.	$55.00
10/5/2012	Cimino, Michael	$10.00
10/5/2012	Crislip, Stephen	$55.00
10/5/2012	Crooks, Charles J.	$20.00
10/5/2012	Dobbs, Jr., William F.	$50.00
10/5/2012	Dunbar, Charles	$55.00
10/5/2012	Emch, Alvin	$55.00
10/5/2012	Flannery, David M.	$55.00
10/5/2012	Fluharty, Robert D.	$55.00
10/5/2012	Foster, Michael David	$50.00
10/5/2012	Frye, Lynn O.	$30.00
10/5/2012	Gee, Samme L.	$40.00
10/5/2012	Hart, Gary W	$50.00
10/5/2012	Huffman, Timothy	$50.00
10/5/2012	Hurney, Thomas	$30.00
10/5/2012	LaCagnin, Stephen	$30.00
10/5/2012	Loeb, Jr., Charles	$50.00
10/5/2012	Lord, Elizabeth	$40.00
10/5/2012	Magee, Erin	$20.00
10/5/2012	Mattingly, William	$40.00
10/5/2012	McLusky, Robert	$55.00
10/5/2012	Miller, Taunja, Willis	$50.00
10/5/2012	Powell, William	$40.00
10/5/2012	Roeder, George E.	$40.00
10/5/2012	Rubrecht, Gale Lea	$20.00
10/5/2012	Sebok, Albert	$30.00
10/5/2012	Simmons, Lindsay	$55.00
10/5/2012	Synder, James	$55.00
10/5/2012	Southworth, Louis	$55.00
10/5/2012	Stickler, Daniel	$55.00
10/5/2012	Thomas, James	$40.00
10/5/2012	Tweel, Robert	$20.00
10/5/2012	Victorson, Michael	$50.00
10/5/2012	Whytsell, Eric	$20.00
10/5/2012	Wolfe, Roger A.	$20.00
	Subtotal of contributions of $250.00 or less	$3,200.00

Contributions
More than $250.00

DATE	CONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAME	AMOUNT
	Subtotal of all contributions of more than $250.00 Subtotal of all contributions of $250 or less Total Contributions:	$0.00 $3,200.00 $3,200.00

Other Income: Interest, Refunds, Miscellaneous Receipts

Date	Source of Income	Type of Receipt	Amount
10/1/2012	Reconciliation of account	Amount credited after reconciliation. Spoke with Lisa Blake 10/24 11:04 am who advised.	$2,754.60
		Total Other Income:	$2,754.60

In-Kind Contributions

Date	Name and Contributor Information	Description of Contribution	Value
		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

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.)
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

Date	Name of Person or Vendor And Address	Purpose	Amount
10/4/2012	Committee to Elect Clark Barnes Rt S Box 12-C Beverly, WV 26253	Contribution	$500.00
10/4/2012	Committee to Elect Roman W. Prezioso, Jr. 1806 Dogwood Dr Fairmont, WV 26554	Contribution	$500.00
10/4/2012	Committee to Elect Craig P. Blair 47 Wasser Dr Martinsburg, WV 25403	Contribution	$250.00
10/4/2012	Committee to Elect Randy Swartzmiller 216 Heartwood Dr. Chester, WV 26034	Contribution	$100.00
10/4/2012	Committee to Elect Ronnie D. Jones 113 Cleveland Ave Weirton, WV 26062	Contribution	$100.00
10/4/2012	Committee to Elect Lynn Davis 444 Woodland Dr Wellsburg, WV 26070	Contribution	$100.00
10/4/2012	Committee to Elect Erikka Storch 5 Edgewood St. Wheeling, WV 26003	Contribution	$100.00
10/4/2012	Committee to Elect David A. Evans 15 Pleasant Dr. Cameron Cameron, WV 26033	Contribution	$100.00
10/4/2012	Committee to Elect Dave Pethtel 44 Rush Run Rd Hundred, WV 266575	Contribution	$100.00
10/4/2012	Committee to Elect WM. Roger Romine 161 Baker Ln. Sistersville, WV 26157	Contribution	$100.00
10/4/2012	Committee to Elect Bill Anderson 1011 Highland Av Williamstown, WV 26187-1623	Contribution	$100.00
10/4/2012	Committee to Elect Tom Azinger 1310 7th St Vienna, WV 26105	Contribution	$100.00
10/4/2012	Committee to Elect Bob Ashley 51 Mallard Dr Spencer, WV 25276	Contribution	$100.00
10/4/2012	Committee to Elect Scott Cadle 5558 Graham Station Rd. Letart , WV 25253	Contribution	$100.00
10/4/2012	Committee to Elect Troy Andes 15 Deer Valley Dr Hurricane, WV 25526	Contribution	$250.00
10/4/2012	Committee to Elect Carol Miller 1316 12th St. Huntington, WV 25701	Contribution	$100.00
10/4/2012	Committee to Elect Jim Morgan 535 13th Ave Huntington, WV 25701	Contribution	$200.00
10/4/2012	Committee to Elect Kevin Craig 34 Chestnut Dr Huntington, WV 25701	Contribution	$200.00
10/4/2012	Committee to Elect Doug Reynolds 219 Briercliff Dr Huntington, WV 25704	Contribution	$100.00
10/4/2012	Committee to Elect Kelli Sobonya 1 May Apple Heights Huntington, WV 25504	Contribution	$100.00
10/4/2012	Committee to Elect Don Perdue 635 White’s Creek Rd Prichard, WV 25555-9709	Contribution	$100.00
10/4/2012	Committee to Elect Rick Thompson 5432 Dunkle Branch Rd LaValette, WV 25535	Contribution	$500.00
10/4/2012	Committee to Elect Justin J. Marcum 179 Buffalo Mt. Williamson, WV 25661	Contribution	$200.00
10/4/2012	Committee to Elect Harry Keith White James Street Gilbert, WV 25621	Contribution	$500.00
10/4/2012	Committee to Elect Josh Stowers 4293 Coal River Rd Alum Creek, WV 25003	Contribution	$100.00
10/4/2012	Committee to Elect Joshua Nelson 3712 Lick Cr Danville, WV 25053	Contribution	$100.00
10/4/2012	Committee to Elect Joe Ellington 613 Pigeon Roost Trail Princeton, WV 24740	Contribution	$100.00
10/4/2012	Committee to Elect John H. Shott 422 Oakhurst Ave. Bluefield, WV 24701	Contribution	$100.00
10/4/2012	Committee to Elect Marty Gearheart 131 Henderson Dr. Bluefield, WV 24701	Contribution	$100.00
10/4/2012	Committee to Elect John D. O’Neal IV 8 Oriole Pl Beckley, WV 25801	Contribution	$100.00
10/4/2012	Committee to Elect Roy G. Cooper HC 65 Box 112 Wayside, WV 24985	Contribution	$100.00
10/4/2012	Committee to Elect Ron Hendrik 332 Boyd Crawford Dr. Cool Ridge, WV 25825	Contribution	$100.00
10/4/2012	Committee to Elect Linda Sumner 155 Oak Run Rd Beckley, WV 25801	Contribution	$100.00
10/4/2012	Committee to Elect William R. "Bill" Wooton 1004 Dogwood Ln Beckley, WV 25801	Contribution	$100.00
10/4/2012	Committee to Elect Karen "Lynne" Arvon 101 Triangle Ln. Beckley, WV 25801	Contribution	$100.00
10/4/2012	Committee to Elect Dave Perry 330 E. Martin Ave Oak Hill, WV 25901	Contribution	$100.00
10/4/2012	Committee to Elect John Pino 300 Oyler Ave Oak Hill, WV 25901-2641	Contribution	$100.00
10/4/2012	Committee to Elect Margaret Anne Staggers 36 Barrington Hill Rd Fayetteville, WV 25840	Contribution	$100.00
10/4/2012	Committee to Elect Brent Boggs 151 Park St Gassaway, WV 26624-0254	Contribution	$500.00
10/4/2012	Committee to Elect Eric Nelson 103 Abney Circle Charleston, WV 25314	Contribution	$200.00
10/4/2012	Committee to Elect John B. McCuskey 649 Holly Rd Charleston, WV 25314	Contribution	$200.00
10/4/2012	Committee to Elect Suzette Raines 850 Jonash Ln Saint Albans, WV 25177	Contribution	$200.00
10/4/2012	Committee to Elect Bonnie Brown 2328 Woodland Ave South Charleston, WV 25303	Contribution	$100.00
10/4/2012	Committee to Elect Christopher "Chris" Morris 619 Churchill Dr. Charleston, WV 25314	Contribution	$200.00
10/4/2012	Committee to Elect Doug Skaff, Jr. 3 Joplin Place South Charleston, WV 25303	Contribution	$200.00
10/4/2012	Committee to Elect Patrick Lane 5113 Briar Meadow Dr Cross Lanes, WV 25313	Contribution	$100.00
10/4/2012	Committee to Elect Ron Walters 1308 Vienna Pt Cross Lanes, WV 25313	Contribution	$100.00
10/4/2012	Committee to Elect Jordan C. Hill 40 Weeping Willow Ln Mount Nebo, WV 26679	Contribution	$100.00
10/4/2012	Committee to Elect George "Boogie" Ambler Rt. 1 Box 315 Fort Spring, WV 24936	Contribution	$100.00
10/4/2012	Committee to Elect Ray Canterbury Rt. 2 Box 288 Ronceverte, WV 24970	Contribution	$100.00
10/4/2012	Committee to Elect Bill Hartman 222 Harpertown Rd. Elkins, WV 26241	Contribution	$100.00
10/4/2012	Committee to Elect Denise L. Campbell Rt. 1 Box 330-36 Elkins, WV 26241	Contribution	$100.00
10/4/2012	Committee to Elect Samuel J. "Sam" Cann 21 Maple Lake Rd. Bridgeport, WV 26330	Contribution	$100.00
10/4/2012	Committee to Elect Tim Miley 23 Valley View Rd Bridgeport, WV 26330	Contribution	$500.00
10/4/2012	Committee to Elect Jeff Tansill 1037 West Main St Grafton, WV 26354	Contribution	$100.00
10/4/2012	Committee to Elect Amanda Pasdon 2058 Pinecrest Dr Morgantown, WV 26505	Contribution	$200.00
10/4/2012	Committee to Elect Cindy Frich 1248 Bakers Ridge Rd. Morgantown, WV 26505-9999	Contribution	$100.00
10/4/2012	Committee to Elect John P. Woods 5 Bayberry Terrace Morgantown, WV 26508	Contribution	$100.00
10/4/2012	Committee to Elect Kevin Scott Poe 3016 Fairmont Rd. Morgantown, WV 26501-9999	Contribution	$100.00
10/4/2012	Committee to Elect Larry A. Willaims 6163 S. Preston Hwy. Tunnelton, WV 26444	Contribution	$100.00
10/4/2012	Committee to Elect Randy E. Smith 442 Freeland Crosscut Rd. Terra Alta, WV 26764	Contribution	$100.00
10/4/2012	Committee to Elect Ruth Rowan HC 60, Box 113-A Points, WV 25437	Contribution	$100.00
10/4/2012	Committee to Elect Walter E. Duke 112 Tavern Rd. Martinsburg, WV 25401	Contribution	$100.00
10/4/2012	Committee to Elect John Overington 491 Hoffman Rd. Martinsburg, WV 25404	Contribution	$100.00
10/4/2012	Committee to Elect Michael "Mike" Folk 1346 Swan Pond Rd. Martinsburg, WV 25404	Contribution	$100.00
10/4/2012	Committee to Elect Tiffany Lawrence 652 Sawgrass Dr Charles Town, WV 25414	Contribution	$100.00
10/4/2012	Committee to Elect Paul Esopinosa 107 Hancock Ct Charles Town, WV 25414	Contribution	$100.00
10/4/2012	Committee to Elect Elliot Simon 21 Chestnut Place Harper’s Ferry, WV 25425	Contribution	$100.00
10/1/2012	BB&T 300 Summers Street Charleston, WV 25301	New Checks	$213.07
10/19/2012	Committee to Elect Dana Lynch 176 WOODPLANT ROAD WEBSTER SPRINGS , WV 26288	Contribution	$200.00
		Total Expenditures:	$10,813.07

Receipt of a Transfer of Excess Funds

Date	Candidate Committee Name and Year	Amount
	Total Receipts of Transfer of Excess Funds:	$0.00

Disbursement of Excess Funds

Date	Name of candidate committee and election year disbursing excess funds	Purpose of Disbursement	Amount
		Total Disbursement of Excess Funds:	$0

Unpaid Bills

Date	Group or Firm Affiliation	Purpose	Amount
		Total Unpaid Bills:	$0.00

Office Use Only
Filed With West Virginia Secretary of State
Thursday, October 25, 2012 2:48:50 PM

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