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

Candidate or Committee Name
City of Charleston Democratic Executive Committee
Candidate or Committee's Treasurer
Elizabeth Kerns
Political Party (for candidates)
Treasurer's Mailing Address (Street, Route, or P.O. Box)
1837 Whitney Street 
Office Sought (for Candidates)
City, State, Zip Code
Charleston, WV 25302
Daytime Phone #
(304) 549-5813

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 2011 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  $30.00
Monetary Contributions from all Fund-Raising Events +$4,780.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$4,810.00
In-Kind Contributions +$37.16
Total Contributions: =$4,847.16
Other Income  $0.00
Loans Received +$0.00
Total Other Income: =$0.00
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 +$4,810.00
Total Other Income +$0.00
Subtotal: a. =$5,226.09
Total Expenditures Paid  $2,568.06
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$2,568.06
Ending Balance:
(Subtotal a. - Subtotal b.)

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

$250.00 or LESS

3/4/2011Pamela Van Horn$30.00
 Subtotal of contributions of $250.00 or less$30.00

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).

Gubernatorial Straw Poll Event Summary

Date of Event: 3/4/2011 Total Monetary Contributions:  $4,780.00
Type of Event: Straw Poll Dinner Total Expenditures: -$2,568.06
Name of Place Held: Charleston Woman’s Club NET RECEIPTS: =$2,211.94
Address of Place Held: 1600 Virginia St., East
Charleston, WV 25311
Total In-Kind Contributions Related to the Fundraiser  $37.16

$250 or Less

3/4/2011Steve White$250.00
3/4/2011J.T. Thompson$250.00
3/4/2011Kasey Russell$250.00
3/4/2011Kathy Brown$250.00
3/4/2011Natalie Tennant$250.00
3/4/2011Tim Miley$250.00
3/4/2011Bobbie Hatfield$250.00
3/4/2011Nancy Guthrie$250.00
3/4/2011Larry LaCorte$250.00
3/4/2011George Manahan$250.00
3/4/2011Thomas Comstock$250.00
3/4/2011Ginger Baker$90.00
3/4/2011Mike Nichols$90.00
3/4/2011Thomas Scott King$60.00
3/4/2011Jeff Stevens$60.00
3/4/2011Margaret Chapman Pomponio$30.00
3/4/2011Chris Kimes$30.00
3/4/2011Thornton Cooper$30.00
3/4/2011Kira Miskimmin$30.00
3/4/2011Sheila Melton$30.00
3/4/2011Libby Ballard$30.00
3/4/2011Jan Courts$30.00
3/4/2011Barbara Smith$30.00
3/4/2011Ed Perkins$60.00
3/4/2011Sue Bayliss$30.00
3/4/2011Virginia Moles$30.00
3/4/2011Kyle Gott$30.00
3/4/2011Betty Dingess$30.00
3/4/2011Kathy Gallagher$30.00
3/4/2011Fern Jaynes$30.00
3/4/2011Elizabeth Kerns$30.00
3/4/2011Nathan Miller$30.00
3/4/2011Ilana Kaplan$30.00
3/4/2011Hattie Johnson$60.00
3/4/2011Anthony Jarrell$30.00
3/4/2011Brent Boggs$250.00
3/4/2011Jennie Heflin$40.00
 Subtotal of event contributions of less than $250.00 $4,000.00

More than $250

3/4/2011 Full Name:  Rick Thompson
Address:  Resident
4625 Route 152
Lavalette, WV 25535

Contributor's Job: (individual contributor only)  Speaker
Where Contributor Works: (individual contributor only)  WV House of Delegates
Affiliation: (political committee only)  Democrat
3/4/2011 Full Name:  Earl Ray Tomblin
Address:  Resident
PO BOX 116
Chapmanville, WV 25508

Contributor's Job: (individual contributor only)  Acting Governor
Where Contributor Works: (individual contributor only)  State of West Virginia
Affiliation: (political committee only)  Democrat
 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
  Total Other Income: $0.00

In-Kind Contributions

DateName and Contributor InformationDescription of ContributionValue
3/4/2011Brad HeflinExtra Meals for Dinner Attendees$37.16
  Total In-Kind Contributions: $37.16


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
3/4/2011 Blues BBQ
1109 Jefferson Road
So. Charleston, WV 25303
3/4/2011 Charleston Woman’s Club
1600 Virginia St, East
Charleston, WV 25311
Event Hosting$218.00
3/4/2011 Janet Thompson
1326 Elmwood Ave
Charleston, WV 25311
  Total Expenditures: $2,568.06

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
Monday, May 16, 2011 12:42:47 AM