State of West Virginia Campaign Financial Statement
(Long Form) in Relation to the 2010 Election Year

Candidate or Committee Name
Greenbrier Co. Republican Club
Candidate or Committee's Treasurer
Michael S. Rose
Political Party (for candidates)
Treasurer's Mailing Address (Street, Route, or P.O. Box)
PO Box 1300 
Office Sought (for Candidates)
City, State, Zip Code
Lewisburg, WV 24901
Daytime Phone #
(304) 497-4319

Election Cycle Reporting Period (check one):

Primary - First Report
Due Mar 27-Apr 02, 2010
Pre-primary Report
Due Apr 26-Apr 30, 2010
Post-primary Report
Due May 24-Jun 23, 2010
General - First Report
Due Sep 20-Sep 24, 2010
Pre-general Report
Due Oct 18-Oct 22, 2010
Post-general Report
Due Nov 15-Dec 15, 2010

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 2010 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  $150.00
Monetary Contributions from all Fund-Raising Events +$5,594.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$5,744.00
In-Kind Contributions +$2,203.00
Total Contributions: =$7,947.00
Other Income  $695.52
Loans Received +$0.00
Total Other Income: =$695.52
Unpaid Bills  $0.00
Outstanding Loans +$0.00
Total Debts: =$0.00
(Add total contributions from all reports)
Beginning Balance
(ending balance from previous report)
Total Monetary Contributions +$5,744.00
Total Other Income +$695.52
Subtotal: a. =$11,774.43
Total Expenditures Paid  $7,177.81
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$7,177.81
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
(Add total expenditures from all reports)

$250.00 or LESS

6/14/2010Dolores Carroll$20.00
6/14/2010Welton & Lois Shipe$30.00
6/5/2010Pam & Tom Stevens$30.00
7/20/2010Philip Stevens$20.00
8/6/2010M. Roger Patterson$20.00
8/31/2010Gayle & Bob McCrosky$30.00
 Subtotal of contributions of $250.00 or less$150.00

More than $250.00

 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:

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).

Reagan Day Dinner Event Summary

Date of Event: 6/5/2010 Total Monetary Contributions:  $5,594.00
Type of Event: Buffet dinner, speaker and silent auction Total Expenditures: -$2,826.57
Name of Place Held: Rhema Christian Center NET RECEIPTS: =$2,767.43
Address of Place Held: Davis Stuart Road
Lewisburg, WV 24901
Total In-Kind Contributions Related to the Fundraiser  $2,203.00

$250 or Less

6/5/2010William B. Snyder$235.00
6/5/2010John Shott$25.00
6/5/2010J. K. Rose$25.00
6/5/2010Frank Tuckwiller$50.00
6/5/2010John Barnes$150.00
6/5/2010Claire Querec$117.00
6/5/2010Donald W. Brown$50.00
6/5/2010Diane Mitchell$50.00
6/1/2010Charles Danley$50.00
6/5/2010John & Lana Martindale$80.00
6/1/2010Theresa Thompson$50.00
6/1/2010Wayne & Eleanor Herkness$50.00
6/1/2010Sue McKinney$50.00
6/3/2010Phil Johnson$25.00
6/3/2010Chris Feamster$25.00
6/3/2010Marky McClung$75.00
6/3/2010Theda D. Carroll$75.00
6/3/2010Kathy Paranac$50.00
6/3/2010Douglas E. McKinney$50.00
6/3/2010Ralph H. Ray$50.00
6/3/2010Robert S. Slaven$50.00
6/3/2010Welton D. Shipe$50.00
6/3/2010Shirley Elmore$75.00
6/3/2010Joan E. Kesler$25.00
6/3/2010Nola Gaye Keech$50.00
6/3/2010Kathy A. Cox$50.00
6/3/2010James E. Shafer$50.00
6/3/2010Linda DiMascio$50.00
6/3/2010Rosanne Shupe$50.00
6/3/2010Joe R. Garcia$50.00
6/3/2010Tate Hudson$150.00
6/3/2010Lowell Rose$75.00
6/3/2010Steve Dunford$50.00
6/3/2010David & Donna Daniels$50.00
6/3/2010Maggie Epstein$25.00
6/3/2010Chris Mathews$50.00
6/3/2010Gary Lilly$50.00
6/3/2010Gail Ratliff$25.00
6/3/2010Bill Wallace$25.00
6/3/2010Judith Coughlin$25.00
6/5/2010Janet Neathawk$250.00
6/5/2010W. T. Reynolds$25.00
6/5/2010Carol Cales$25.00
6/5/2010Arch Brackens$25.00
6/5/2010William P. Blake$50.00
6/5/2010Margaret Schmidt$25.00
6/5/2010Richard Streck$100.00
6/5/2010Joe & Cathy Hayes$50.00
6/5/2010Debra Bowman$50.00
6/5/2010Selwyn & Lila Vanderpool$50.00
6/5/2010Marianne Brewster$25.00
6/5/2010William L. Horne$90.00
6/5/2010Lee Godbey$50.00
6/5/2010G. Duane Miller$50.00
6/5/2010James W. Reed$50.00
6/5/2010Jesse O. Guills, Jr.$50.00
6/5/2010Roger Sherman$25.00
6/5/2010Joan Ahern$125.00
6/5/2010Denny Canterbury$25.00
6/12/2010Rick Romeo$100.00
6/14/2010Jim Childers$95.00
6/14/2010Brenda L. Garcia$35.00
6/14/2010Marky McClung$55.00
6/14/2010Janet Neathawk$25.00
6/14/2010Rosanne Shupe$48.00
6/14/2010Dorothy McMann$100.00
6/14/2010Barbara A. McClintic$25.00
6/14/2010Jeri A. Via$21.00
6/14/2010Wayne Herkness II$230.00
6/14/2010Tate Hudson$30.00
6/14/2010Kathy A. Cox$175.00
6/14/2010Sue McKinney$15.00
6/14/2010Kathy Shott$54.00
6/14/2010Lois Shipe$11.00
6/14/2010Sue Spicer$72.00
6/14/2010Amy Ahern$5.00
6/14/2010Mrs. Steven Dunford$7.00
6/14/2010John Yoder$16.00
6/14/2010Gayle Mason$45.00
6/14/2010Shirley Elmore$10.00
6/14/2010Jerry S. Laufer$25.00
6/14/2010Patrick Via$50.00
6/14/2010G. Hugh Harris$50.00
6/14/2010Donna L. Gosney$25.00
6/14/2010Michael Stuart$50.00
6/14/2010Cleveland K. Benedict$50.00
6/14/2010Cassandria Perkins$25.00
6/14/2010Wanda Fullen$25.00
6/14/2010Terrence & Blanche Knicely$50.00
6/14/2010Mitch Highlander$25.00
6/14/2010Ray Canterbury$25.00
6/5/2010miscellaneous donations$23.00
6/5/2010Various individuals$125.00
9/19/2010Bill & Barbara McClintic$50.00
9/19/2010William Higginbotham$25.00
 Subtotal of event contributions of less than $250.00 $5,294.00

More than $250

8/6/2010 Full Name:  Rick Romeo
Address:  Resident
221 Old White Trail
White Sulphur Springs, WV 24986
PO Box 351
Lewisburg, WV 24901

Contributor's Job: (individual contributor only)  Consultant
Where Contributor Works: (individual contributor only)  Romeo Consulting, Inc.
Affiliation: (political committee only) 
 Event contributions of $250 or more: 
Event contributions of less than $250: 
Total Contributions: 

Other Income: Interest, Refunds, Miscellaneous Receipts

DateSource of IncomeType of ReceiptAmount
6/14/2010VerizonRefund for previous phone credit balance$26.16
5/31/2010City National Bankchecking account interest$0.54
6/5/2010John BarnesReimbursement to club for 1 WVGOP Unity Picnic ticket$20.00
6/5/2010William HigginbothamReimbursement to club for 1 WVGOP Unity Picnic ticket$20.00
6/30/2010City National BankChecking account interest$0.78
7/31/2010City National BankChecking account interest$0.90
8/31/2010City National BankChecking account interest$0.39
8/20/2010John H. ShottReimbursement to club for 2 WV State Fair tickets$16.00
8/20/2010Dennis BrackmanReimbursement to club for 1 WV State Fair ticket$8.00
8/6/2010Tate HudsonReimbursement to club for 2 WV State Fair tickets$16.00
8/23/20102010 WV State Fair boothIncludes miscellaneous donations and proceeds from selling t-shirts, etc. at the booth$586.75
  Total Other Income: $695.52

In-Kind Contributions

DateName and Contributor InformationDescription of ContributionValue
6/5/2010Watts Roost Vineyard2 baskets w/gift certificates for wine$44.00
6/5/2010Rose DobbinsHand painted tote bag; 2011 calendar$62.00
6/5/2010Claire QuerecPr of pewter candelsticks; crystal vase$100.00
6/5/2010Marky McClungElephant brooch, necklace; antique chair, book$145.00
6/5/2010Lewisburg E.L.K.S.Certificate for 4some and golf cart$165.00
6/5/2010Lila VanderpoolHomemade pepper jelly, sausage, cake$135.00
6/5/2010Barbara TuckwillerEarring holder, candle burner, basket, tray, tote $74.00
6/5/2010Debra BowmanBumper sticker & DVD of Pres Reagan tribute$23.00
6/5/2010Janet Neathawkarea rug$200.00
6/5/2010Roger Shermanart print$165.00
6/5/2010Shirley Elmoretouch lamp$30.00
6/5/2010Lois Shipe1997 WV State Fair framed picture$30.00
6/5/2010Bill SnyderWalther G-22 rifle$350.00
6/5/2010Tate Hudson"Old Faithful" framed print$30.00
6/5/2010Denny Canterbury"Behind Enemy Lines" book$10.00
6/5/2010Focus on YouGIft certificate - manicure & pedicure$65.00
6/5/2010Reynolds Oil Co.Gift Certificate$25.00
6/5/2010William Hornequilt rack and stained glass decoration$75.00
6/5/2010Rainelle Golf CourseGift certificate for round of golf $90.00
6/5/2010Nola Gaye Keechelephant wind chime$5.00
6/5/2010Ed ShaferHomemade picture frame with photo$20.00
6/5/2010Joan AhernSnack set, elephant jewelry, H. Hoover book$50.00
6/5/2010Louis QuerecUsed Rush Limbaugh book$10.00
6/5/2010The Greenbrier 4 Greenbrier Classic tickets$300.00
  Total In-Kind Contributions: $2,203.00


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
6/4/2010 Rhema Christian Center
Davis Stuart Road
Lewisburg, WV 24901
hall rental for the dinner$525.00
6/5/2010 Radio Greenbrier LLC
276 Seneca Trail
Ronceverte, WV 24970
Radio advertisement of upcoming fundraiser dinner$100.00
7/1/2010 Rudy’s Corner Grill
201 West Main Street
Ronceverte, WV 24970
Balance due caterer for fundraiser dinner$100.00
6/16/2010 Marky McClung
RR 2, Box 176
Lewisburg, WV 24901
Reimbursement for decorations purchased$211.57
7/2/2010 WV Daily News
PO Box 471
Lewisburg, WV 24970
Advertise meeting to elect delegates$7.88
7/23/2010 Claire V. Querec
Rt 1, Box 129 Sunset Drive
Ronceverte, WV 24970
Reimbursement for copy paper$3.22
8/23/2010 Claire V. Querec
Rt 1, Box 129 Sunset Drive
Ronceverte, WV 24970
Reimbursement for purchase of postage stamps$8.80
8/6/2010 Lowell Rose
Rt 1, Box 268
Ronceverte, WV 24970
Campaign donation$800.00
8/6/2010 John Barnes for WV Senate
HC 81, Box 43
Lewisburg, WV 24901
campaign donation$800.00
8/6/2010 Cmte to Elect Canterbury
Rt 2, Box 288
Ronceverte, WV 24970
campaign donation$800.00
8/6/2010 Michael F. McClung
RR 2, Box 176
Lewisburg, WV 24970
campaign donation$800.00
8/6/2010 Spike Maynard for US House of Representatives
PO Box 1
Williamson, WV 25661
campaign donation$200.00
6/5/2010 Rudy’s Corner Grill
201 West Main Street
Ronceverte, WV 24970
Caterer for the fundraiser dinner$1,890.00
7/23/2010 WV State Fair
PO Drawer 986
Lewisburg, WV 24901
purchase of 36 WV State Fair tickets for booth volunteers$288.00
8/4/2010 Marky McClung
RR 2, Box 176
Lewisburg, WV 24901
Reimbursement for items purchased to sell at WVSF booth$402.52
8/23/2010 Louis Querec
Rt 1, Box 129 Sunset Drive
Ronceverte, WV 24970
Reimbursement for WVSF booth expenses$240.82
  Total Expenditures: $7,177.81

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
Thursday, October 21, 2010 5:18:55 PM