State of West Virginia
STATEMENT OF WAIVER
Candidates and committees who are not required to file a financial report may instead submit a Statement of Waiver. The purpose of this Statement of Waiver is to report that the candidate or committee is not required to submit a financial statement.
To qualify for a waiver a candidate or committee must meet the following requirements:
- To waive the Annual Report or the Primary– First Report during an election year, the total of all financial transactions relating to an election may not exceed $500 during the reporting period. (West Virginia Code §3-8-5(b)(1))
- To waive the General- First Report, the total of all financial transactions relating to an election may not exceed $500 during the reporting period AND may not have any outstanding loans. (West Virginia Code §3-8-5(b)(4))
The reporting period which you are filing is the
I hereby certify that the campaign / committee for which I am responsible for filing campaign finance reports is exempt from filing the financial report as described in West Virginia Code §3-8-5(b)(1) or §3-8-5(b)(4).
|Candidate or Committee Name
|Candidate or Committee's Treasurer
|Political Party (for candidates)
|Treasurer's Mailing Address (Street, Route, or P.O. Box)
PO BOX 8373
|Office Sought (for Candidates)
|City, State, Zip Code
SOUTH CHARLESTON, WV 25303
|Daytime Phone #
All information that has been previously entered for this reporting period will be made active on the next reporting period.
Office Use Only
Filed With West Virginia Secretary of State
Tuesday, April 3, 2012 12:46:39 PM