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:

The reporting period which you are filing is the 2009 Annual Reporting Period.

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
DAN D. SIZEMORE
Candidate or Committee's Treasurer
DAN DEVLIN SIZEMORE
Political Party (for candidates)
Democrat
Treasurer's Mailing Address (Street, Route, or P.O. Box)
4253 PROCIOUS MAYSEL ROAD  
Office Sought (for Candidates)
House of Delegates
District/Division
33
City, State, Zip Code
MAYSEL, WV 25133
Daytime Phone #
3045877578

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 4:48:39 AM