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

Candidate or Committee Name
J&K State Legislative PAC (Jackson and Kelly)
Candidate or Committee's Treasurer
Louis S. Southworth II
Political Party (for candidates)
Treasurer's Mailing Address (Street, Route, or P.O. Box)
PO Box 553 
Office Sought (for Candidates)
District/Division
City, State, Zip Code
Charleston, WV 25322
Daytime Phone #
(304) 340-1231

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
 X 
Pre-general Report
Due Oct 16-Oct 25, 2004
    
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  $2,026.00
Monetary Contributions from all Fund-Raising Events +$0.00
Receipt of a Transfer of Excess Funds +$0.00
Total Monetary Contributions: =$2,026.00
In-Kind Contributions +$0.00
Total Contributions: =$2,026.00
 
Other Income  $0.00
Loans Received +$0.00
Total Other Income: =$0.00
 
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)
$37,628.00
 
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)
 $31,231.14
Total Monetary Contributions +$2,026.00
Total Other Income +$0.00
Subtotal: a. =$33,257.14
 
Total Expenditures Paid  $23,850.00
Total Disbursements of Excess Funds +$0.00
Repayment of Loans +$0.00
Subtotal: b. =$23,850.00
 
Ending Balance:
(Subtotal a. - Subtotal b.)

*Cannot be negative balance
=$9,407.14
 
TOTAL EXPENDITURES ELECTION YEAR-TO-DATE
(Add total expenditures from all reports)
$41,754.41

Contributions
$250.00 or LESS

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
9/26/2004Abbitt, Julia Chico$20.00
9/26/2004Michael A. Albert$60.00
9/26/2004A. Stuart Bennett$20.00
9/26/2004Laura E. Beverage$20.00
9/26/2004Larry W. Blalock$40.00
9/26/2004Robert J. Bussee$30.00
9/26/2004Christopher L. Callas$25.00
9/26/2004Ellen S. Cappellanti$60.00
9/26/2004Michael T. Cimino$10.00
9/26/2004Stephen R. Crislip$60.00
9/26/2004Charles J. Crooks$20.00
9/26/2004William F. Dobbs, Jr.$50.00
9/26/2004Charles D. Dunbar$60.00
9/26/2004Alvin L. Emch$60.00
9/26/2004Mary Clare Eros$40.00
9/26/2004Lucinda F. Fitch$20.00
9/26/2004David M. Flannery$60.00
9/26/2004Robert D. Fluharty$60.00
9/26/2004Michael David Foster$50.00
9/26/2004Lynn O. Frye$30.00
9/26/2004Samme L. Gee$40.00
9/26/2004L. Anthony George$20.00
9/26/2004Martin E. Hall$10.00
9/26/2004Gary W. Hart$50.00
9/26/2004Thad S. Huffman$40.00
9/26/2004Timothy E. Huffman$50.00
9/26/2004Thomas J. Hurney, Jr.$30.00
9/26/2004Stephen M. LaCagnin$30.00
9/26/2004Gale R. Lea$20.00
9/26/2004Charles W. Loeb, Jr.$50.00
9/26/2004Eric H. London$30.00
9/26/2004Elizabeth O. Lord$40.00
9/26/2004Erin E. Magee$20.00
9/26/2004William S. Mattingly$40.00
9/26/2004John K. McDonald$60.00
9/26/2004Thomas N. McJunkin$20.00
9/26/2004Robert G. McLusky$60.00
9/26/2004Taunja Willis Miller$50.00
9/26/2004William J. Powell$40.00
9/26/2004George E. Roeder$40.00
9/26/2004Dennis C. Sauter$60.00
9/26/2004Albert F. Sebok$30.00
9/26/2004Gail Lindsay Simmons$60.00
9/26/2004Douglas A. Smoot$20.00
9/26/2004James R. Snyder$60.00
9/26/2004Louis S. Southworth, II$60.00
9/26/2004Charles M. Surber, Jr.$21.00
9/26/2004James W. Thomas$40.00
9/26/2004Robert G. Tweel$20.00
9/26/2004Michael B. Victorson$50.00
9/26/2004James Eric Whytsell$20.00
9/26/2004Roger A. Wolfe$20.00
9/26/2004Jeff C. Woods$30.00
 Subtotal of contributions of $250.00 or less$2,026.00
 

Contributions
More than $250.00

DATECONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAMEAMOUNT
 Subtotal of all contributions of more than $250.00
Subtotal of all contributions of $250 or less
Total Contributions:
$0.00
$2,026.00
$2,026.00


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
  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
9/23/2004 Committee to Elect Andy McKenzie
142 Miller St
Wheeling, WV 26003
Contribution to candidate (PACs only)$1,000.00
9/24/2004 Committee to Elect Billy Wayne Bailey
PO Box 1793
Pineville, WV 24874
Contribution to candidate (PACs only)$1,000.00
10/6/2004 Committee to Elect Harold Michael
P. O. Box 220
Old Fields, WV 26845
Contribution to candidate (PACs only)$500.00
10/6/2004 Committee to Elect Bill Hartman
P. O. Box 243
Elkins, WV 26241
Contribution to candidate (PACs only)$250.00
10/6/2004 Committee to Elect Carrie Webster
1539 Lee Street East
Charleston, WV 25311
Contribution to candidate (PACs only)$150.00
10/6/2004 Committee to Elect Thomas W. Campbell
P. O. Box 1126
Lewisburg, WV 24901
Contribution to candidate (PACs only)$250.00
10/6/2004 Committee to Elect Jim Mullins
P. O. Box 1554
Logan, WV 25601
Contribution to candidate (PACs only)$200.00
10/6/2004 Committee to Elect Don C. Perdue
Rt. 1, Box 98
Prichard, WV 25555
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Randy Swartzmiller
RD 1, Box 321-B
New Cumberland, WV 26047
Contribution to candidate (PACs only)$200.00
10/6/2004 Committee to Elect Bonnie Brown
2328 Woodland Avenue
South Charleston, WV 25303
Contribution to candidate (PACs only)$200.00
9/24/2004 Committee to Elect Karen Facemyer
Rt. 1 Box 142
Ripley, WV 25271
Contribution to candidate (PACs only)$1,000.00
9/24/2004 Committee to Elect John Pat Fanning
PO Box 126
Ieager, WV 24844
Contribution to candidate (PACs only)$1,000.00
9/24/2004 Committee to Elect Mike Ross
PO Box 219
Coalton, WV 26257
Contribution to candidate (PACs only)$1,000.00
9/24/2004 Committee to Elect Dan Foster
701 Crawford Rd
Charleston, WV 25314
Contribution to candidate (PACs only)$1,000.00
9/24/2004 Committee to Elect Roman Prezioso
1806 Dogwood Dr
Fairmont, WV 26554
Contribution to candidate (PACs only)$1,000.00
10/6/2004 Committee to Elect Charles S. Trump, IV
171 South Washington Street
Berkeley Springs, WV 25411
Contribution to candidate (PACs only)$250.00
10/6/2004 Committee to Elect Barbara Evans Fleischauer
235 High Street
Suite 618
Morgantown, WV 26505
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Robert "Bob" Beach
1238 VanVoorhis Road
Morgantown, WV 26505
Contribution to candidate (PACs only)$200.00
10/6/2004 Committee to Elect Ron Fragale
503 E. Main Steret
Clarksburg, WV 26301
Contribution to candidate (PACs only)$150.00
10/6/2004 Committee to Elect William F. "Bill" Stemple
HC 50, Box 380A
Arnoldsburg, WV 25234
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Robert S. Kiss
513 Carriage Drive
Beckley, WV 25801
Contribution to candidate (PACs only)$500.00
10/6/2004 Committee to Elect Richard Browning
P. O. Box 158
Oceana, WV 24870
Contribution to candidate (PACs only)$250.00
10/6/2004 Committee to Elect Larry Border
Route 1, Box 200A
Davisville, WV 26142
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Sharon Spencer
1013 Pine Road
Charleston, WV 25314
Contribution to candidate (PACs only)$200.00
10/6/2004 Committee to Elect Ann Calvert
1118 Shamrock Road
Charleston, WV 25314
Contribution to candidate (PACs only)$100.00
9/23/2004 Committee to Elect Jeff Kessler
607 Wheeling Ave
Glen Dale, WV 26038
Contribution to candidate (PACs only)$1,000.00
9/24/2004 Committee to Elect Don Caruth
PO Box 280
Athens, WV 24712
Contribution to candidate (PACs only)$500.00
10/6/2004 Committee to Elect Larry A. Williams
RR 2, Box 68B
Tunnelton, WV 26444
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Cindy Frich
1248 Baker's Ridge Road
Morgantown, WV 26505
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Nancy J. Houston
141 Lamplighter Drive
Morgantown, WV 26503
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Bill Proudfoot
P. O. Box 2371
Elkins, WV 26241
Contribution to candidate (PACs only)$250.00
10/6/2004 Committee to Elect Jon William Cain, Sr.
34 Ceader View Drive
Cross Lanes, WV 25313
Contribution to candidate (PACs only)$150.00
10/6/2004 Committee to Elect Jerry Summers
1750 Huber Road
Charletson, WV 25314
Contribution to candidate (PACs only)$150.00
10/6/2004 Committee to Elect John D. Wooton
P. O. Box 393
Prosperity, WV 25909
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Ron Thompson
602 Manor Drive
Beckley, WV 25801
Contribution to candidate (PACs only)$200.00
10/6/2004 Committee to Elect Virginia Mahan
Rt. 20, Box 1114
Green Sulphur Springs, WV 25966
Contribution to candidate (PACs only)$200.00
10/6/2004 Committee to Elect Mike Hall
12 Stonegate
Hurricane, WV 25526
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Dale Martin
P. O. Box 513
Poca, WV 25159
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Bob Ashley
P. O. Box 823
Spencer, WV 25276
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Tom Azinger
600 13th Avenue
Vienna, WV 26105
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Tim Ennis
2009 Pleasant Avenue
Wellsburg, WV 26070
Contribution to candidate (PACs only)$200.00
10/6/2004 Committee to Elect Joe DeLong
RD #1, Box 722
Weirton, WV 26062
Contribution to candidate (PACs only)$200.00
9/23/2004 Committee to Elect Bob Plymale
PO Box 543
Ceredo, WV 25507
Contribution to candidate (PACs only)$500.00
9/24/2004 Committee to Elect Earl Ray Tomblin
PO Box 116
Chapmanville, WV 25508
Contribution to candidate (PACs only)$1,000.00
9/24/2004 Committee to Elect Bill Sharpe
607 Center Ave
Weston, WV 26452
Contribution to candidate (PACs only)$1,000.00
10/6/2004 Committee to Elect Joe Talbott
148 Webster Avenue
Webster Springs, WV 26288
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect David G. Perry
330 East Martin Avenue
Oak Hill, WV 25901
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Kevin J. Craig
428 11th Avenue
Huntington, WV 25701
Contribution to candidate (PACs only)$200.00
10/6/2004 Committee to Elect J. D. Beane
P. O. Box 4275
Parkersburg, WV 26104
Contribution to candidate (PACs only)$250.00
10/6/2004 Committee to Elect E. W. "Bill" Anderson, Jr.
1011 Highland Avenue
Williamstown, WV 26187
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Dave Pethtel
P. O. Box 990
Hundred, WV 26575
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Scott G. Varner
1214 Second Street
Moundsville, WV 26041
Contribution to candidate (PACs only)$250.00
10/6/2004 Committee to Elect Danny Wells
34 Bridlewood Road
Charleston, WV 25314
Contribution to candidate (PACs only)$200.00
10/6/2004 Committee to Elect Allen V. Evans
HC 33, Box 3025
Dorcas, WV 26847
Contribution to candidate (PACs only)$200.00
10/6/2004 Committee to Elect Samuel J. "Sam" Cann
P. O. Box 1570
Clarksburg, WV 26301
Contribution to candidate (PACs only)$250.00
10/6/2004 Committee to Elect Ron Walters
P. O. Box 3665
Charleston, WV 25336
Contribution to candidate (PACs only)$150.00
10/6/2004 Committee to Elect Patrick Lane
5094 Washington Street W #402
Cross Lanes, WV 25313
Contribution to candidate (PACs only)$150.00
10/6/2004 Committee to Elect Bradford L. Sims
P. O. Box 562
Charleston, WV 25322
Contribution to candidate (PACs only)$150.00
10/6/2004 Committee to Elect Jon Amores
914 Chester Road
Charleston, WV 25302
Contribution to candidate (PACs only)$500.00
10/6/2004 Committee to Elect John Pino
300 Oyler Avenue E.
Oak Hill, WV 25901
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Eustace Frederick
611 Mountain View Avenue
Bluefield, WV 24701
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect W. Richard "Rick" Staton
P. O. Box 357
Mullens, WV 25882
Contribution to candidate (PACs only)$250.00
10/6/2004 Committee to Elect Carol D. Miller
1316 12th Street
Huntington, WV 25701
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Jim Morgan
535 13th Avenue
Huntington, WV 25701
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Margarette R. Leach
P. O. Box 7362
Huntington, WV 25776
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Corey Palumbo
811 Gordon Drive
Charleston, WV 25303
Contribution to candidate (PACs only)$200.00
9/24/2004 Committee to Elect Vic Sprouse
PO Box 4387
Charleston, WV 25364
Contribution to candidate (PACs only)$1,000.00
9/24/2004 Committee to Elect Shirley Love
PO Box 601
Oak Hill, WV 25901
Contribution to candidate (PACs only)$1,000.00
10/6/2004 Committee to Elect Charlene Marshall
1010 Ashton Drive
Morgantown, WV 26508
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Doug Stalnaker
568 West 2nd Street
Weston, WV 26452
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect John Doyle
P. O. Box 1607
Shepherdstown, WV 25443
Contribution to candidate (PACs only)$200.00
10/6/2004 Committee to Elect Sally Susman
200 Tally Ho Drive
Beckley, WV 25801
Contribution to candidate (PACs only)$100.00
10/6/2004 Committee to Elect Harry Keith White
P. O. Box 1985
Gilbert, WV 25621
Contribution to candidate (PACs only)$250.00
10/6/2004 Committee to Elect K. Steven Kominar
P. O. Box 753
Kermit, WV 25674
Contribution to candidate (PACs only)$250.00
10/6/2004 Committee to Elect L. Gil White
1810 National Road A2-302
Wheeling, WV 26003
Contribution to candidate (PACs only)$250.00
  Total Expenditures: $23,850.00

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, December 1, 2008 9:01:33 AM