State of West Virginia Campaign Financial Statement
(Long Form) in Relation to the 2004 Election Year

Candidate or Committee Name
Friends of the Track PAC
Candidate or Committee's Treasurer
Richard Moore
Political Party (for candidates)
Treasurer's Mailing Address (Street, Route, or P.O. Box)
P.O. Box 346 
Office Sought (for Candidates)
District/Division
City, State, Zip Code
Summit Point, WV 25446
Daytime Phone #
(304) 724-4235

Election Cycle Reporting Period (check one):

    
Primary - First Report
Due Mar 27-Apr 02, 2004
    
Pre-primary Report
Due Apr 24-May 03, 2004
    
Post-primary Report
Due Jun 05-Jun 11, 2004
    
General - First Report
Due Sep 04-Sep 10, 2004
    
Pre-general Report
Due Oct 16-Oct 25, 2004
 X 
Post-general Report
Due Nov 27-Dec 03, 2004

Check if Applicable:

 X 
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 2004 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  $14,150.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$14,150.00
In-Kind Contributions +$0.00
Total Contributions: =$14,150.00
 
Other Income  $11.41
Loans Received +$0.00
Total Other Income: =$11.41
 
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)
$24,700.00
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)
 $10,279.88
Total Monetary Contributions +$14,150.00
Total Other Income +$11.41
Subtotal: a. =$24,441.29
 
Total Expenditures Paid  $16,975.69
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$16,975.69
 
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
=$7,465.60
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$17,438.07

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
10/29/2004Brian Shaw$100.00
11/5/2004Robert E. Lee$250.00
11/5/2004Shaun Gallagher$250.00
11/2/2004David Bird$250.00
11/1/2004Gregory Martin$100.00
11/1/2004Andrea$100.00
11/1/2004Carol Kolich$100.00
11/1/2004David Martin$125.00
11/1/2004Craig Martin$125.00
11/1/2004Vladimir Shapiro$250.00
11/1/2004Richard Orlando$250.00
11/1/2004Marco Nicholas Gulotta, Jr.$250.00
11/1/2004Joan Hale$250.00
10/29/2004Thomas Potero$250.00
 Subtotal of contributions of $250.00 or less$2,650.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
10/18/2004 Full Name:  William F. Simmons
Address:  Resident
935 Breckinridge Lane
Winchester, VA 22601-6712

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$1,000.00
10/18/2004 Full Name:  Howard T Whitbred
Address:  Resident
PO Box 1636
Middleburg, VA 20118

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$1,000.00
10/18/2004 Full Name:  Bryon R. Maghan, Jr.
Address:  Resident
73 Appomattox Lane
Shepherdstown, WV 25443

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$500.00
10/18/2004 Full Name:  James R. Davis
Address:  Resident
25426 Vacation Place
Aldie, VA 20105

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$500.00
10/18/2004 Full Name:  Nancy A. Hamilton
Address:  Resident
5422 Hesperus Drive
Columbia, MD 21044

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$500.00
10/29/2004 Full Name:  Stephen Castine
Address:  Resident
351 South Cologne Ave
Box 106
Cologne, NJ 08213

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$1,000.00
10/29/2004 Full Name:  Anthony Laielli
Address:  Resident
431 A South 2nd Ave
Galloway, NJ 08205

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$1,000.00
11/1/2004 Full Name:  Ronald Vanreenen
Address:  Resident
644 Frederick Street
Hagerstown, MD 21740-6815

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$500.00
11/1/2004 Full Name:  Robert Bone
Address:  Resident
4725 El Pasada Lane
Las Vegas, NV 89121

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$1,000.00
11/2/2004 Full Name:  Peter Wichterman
Address:  Resident
3444 Bleigh Avenue
Philadelphia, PA 19136

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$500.00
11/2/2004 Full Name:  Stanley Kozlowski
Address:  Resident
240 Pomona Ave
Port Republic, NJ 08241-9710

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$500.00
11/5/2004 Full Name:  Robert McMillan
Address:  Resident
210 N. Georgia Ave
Martinsburg, , WV 25401

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$1,000.00
11/17/2001 Full Name:  Kevin Killian
Address:  Resident
10097 Tyler Place
Ste. 14
Ijamsville, MD 21754

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$500.00
11/10/2004 Full Name:  IGT PAC
Address:  Resident
9295 Prototype Drive
Reno, NV 89511

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$1,000.00
11/1/2004 Full Name:  Ed Blackburn
Address:  Resident
238 Burnet Ave
Maplewood, NJ 07040

Contributor's Job: (individual contributor only) 
Where Contributor Works: (individual contributor only) 
Affiliation: (political committee only) 
$1,000.00
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:
$11,500.00
$2,650.00
$14,150.00


Other Income: Interest, Refunds, Miscellaneous Receipts

DateSource of IncomeType of ReceiptAmount
11/1/2004Refund office suppliesRefund of office supplies$11.41
  Total Other Income: $11.41

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
Loans Received Repayment of Loans Outstanding Loans
Totals: $0.00 $0.00 $0.00

Itemized Expenditures

DateName of Person or Vendor And AddressPurposeAmount
10/16/2004 Billy Wayne Bailey, Jr.
Rt 97
Pineville, WV 24874
Contribution to candidate (PACs only)$1,000.00
10/16/2004 Andy McKenzie
142 Miller St
Wheeling, WV 26003
Contribution to candidate (PACs only)$1,000.00
10/16/2004 Karen Facemyer
Rt. 1, Box 142
Ripley, WV 25271
Contribution to candidate (PACs only)$1,000.00
10/17/2004 Earl Ray Tomblin
Trace Fork Rd
Chapmanville, WV 25508
Contribution to candidate (PACs only)$1,000.00
10/17/2004 Bill Sharpe
607 Center Avenue
Weston, WV 26452
Contribution to candidate (PACs only)$1,000.00
10/17/2004 Jeffrey Kessler
607 Wheeling Ave
Glen Dale, WV 26038
Contribution to candidate (PACs only)$500.00
10/17/2004 Shirley Love
601 Salem Road
Oak Hill, WV 25901
Contribution to candidate (PACs only)$1,000.00
10/17/2004 Gil White
1810 National Rd. A1-3
Wheeling, WV 26003
Contribution to candidate (PACs only)$500.00
10/17/2004 Scott Varner
1214 Second St
Moundsville, WV 26041
Contribution to candidate (PACs only)$500.00
10/19/2004 Steven Kominar
160 Mingo St
Kermit, WV 25674
Contribution to candidate (PACs only)$500.00
10/19/2004 Harold Michael
1915 Reynolds Gap Rd
Old Fields, WV 26845
Contribution to candidate (PACs only)$500.00
10/19/2004 Charlene Marshall
1010 Ashton Drive
Morgantown, WV 26508
Contribution to candidate (PACs only)$500.00
10/19/2004 Mike Caputo
397 Satterfield Street
Rivesville, WV 26588
Contribution to candidate (PACs only)$500.00
10/19/2004 Bill Proudfoot
Proudfoot Williams Rd
Elkins, WV 26241
Contribution to candidate (PACs only)$500.00
10/19/2004 Sharon Spencer
1013 Pine Rd
Charleston, WV 25314
Contribution to candidate (PACs only)$500.00
10/19/2004 Danny Wells
34 Bridlewood Rd
Charleston, WV 25314
Contribution to candidate (PACs only)$500.00
10/19/2004 Jon Amores
914 Chester Rd
Charleston, WV 25302
Contribution to candidate (PACs only)$500.00
10/19/2004 David Perry
330 East Martin Ave
Oak Hill, WV 25901
Contribution to candidate (PACs only)$500.00
10/19/2004 Dave Pethel
44 Rush Run Rd
Hundred, WV 26575
Contribution to candidate (PACs only)$250.00
10/19/2004 Randy Swartzmiller
RD-1 Box 321-B
New Cumberland, WV 26047
Contribution to candidate (PACs only)$250.00
10/29/2004 Jack Yost
1413 Pleasant Ave
Wellsburg, WV 26070
Contribution to candidate (PACs only)$100.00
10/29/2004 Dale Martin
10 Brandy Lane
Poca, WV 25159
Contribution to candidate (PACs only)$250.00
10/29/2004 Brady Paxton
RR 1 Box 187
Liberty, WV 25124
Contribution to candidate (PACs only)$250.00
10/29/2004 Harry White
US Rt 52 Main St
Gilbert, WV 25621
Contribution to candidate (PACs only)$250.00
10/29/2004 Richard Browning
Mulberry Street
Oceana, WV 24870
Contribution to candidate (PACs only)$250.00
10/29/2004 Richard Staton
219 1/2 Howard Ave. Apt
Mullens, WV 25882
Contribution to candidate (PACs only)$250.00
10/29/2004 Ron Thompson
602 Manor Drive
Beckley, WV 25801
Contribution to candidate (PACs only)$250.00
10/29/2004 Mark Hunt
901 Edgewood Drive
Charleston, WV 25302
Contribution to candidate (PACs only)$250.00
10/29/2004 William Stemple
HC 50 Box 380A
Arnoldsburg, WV 25234
Contribution to candidate (PACs only)$250.00
10/29/2004 Joe Talbott
148 Webster Avenie
Webster Springs, WV 26288
Contribution to candidate (PACs only)$250.00
10/29/2004 Doug Stainaker
568 West 2nd St
Weston, WV 26452
Contribution to candidate (PACs only)$250.00
10/29/2004 Nancy Houston
141 Lamplighter Drive
Morgantown, WV 26503
Contribution to candidate (PACs only)$250.00
10/29/2004 Larry Williams
RR2 Box 68B
Tunnelton, WV 26444
Contribution to candidate (PACs only)$250.00
10/19/2004 Anita Caldwell
710 Thorn St
Princeton, WV 24740
Contribution to candidate (PACs only)$1,000.00
10/29/2004 Orphy Klempa
5 Locust Ave
Wheeling, WV 26003
Contribution to candidate (PACs only)$250.00
11/8/2004 Postmaster
101 W Washington Ave
Charles Town, WV 25414
Reimbursement for lawful expenditures$38.00
11/12/2004 Staples
Route 340 W & Patrick Henry Hwy
Charles Town, WV 25414
Office supplies$69.19
11/17/2004 Postmaster
101 W Washington Ave
Charles Town, WV 25414
Reimbursement for lawful expenditures$18.50
  Total Expenditures: $16,975.69

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
Wednesday, September 6, 2006 4:24:46 PM