State of West Virginia Campaign Financial Statement (Long Form) in Relation to the 2016 Election Year Candidate or Committee Name Beth Walker Political Party (for candidates) Non Partisan Office Sought (for Candidates) Justice of the Supreme Court of Appeals Candidate or Committee's Treasurer Erin E. Magee Treasurer's Mailing Address (Street, Route, or P.O. Box) 318 South Pointe Drive City, State, Zip Code Daytime Phone # Charleston, WV 25314 304-539-8360 District/Division State Election Cycle Reporting Period (check one): Check if Applicable: Primary - First Report Pre-primary Report Post-primary Report General - First Report Pre-general Report Post-general Report Non-Election Cycle Reporting Period: Amended Report You must also check box of appropriate reporting period Final Report Zero balance required. PAC must also file Form F-6 Dissolution X Annual Report 2017 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: Contributions Monetary Contributions from all Fund-Raising Events Receipt of a Transfer of Excess Funds Total Monetary Contributions: In-Kind Contributions Total Contributions: Totals for this Period $0.00 + $0.00 + $0.00 = $0.00 + $0.00 = $0.00 Other Income Loans Received Total Other Income: $0.00 + $0.00 = $0.00 OUTSTANDING LOANS & DEBTS: Unpaid Bills Outstanding Loans Total Debts: $0.00 + $525,000.00 = $525,000.00 CASH BALANCE SUMMARY Beginning Balance (ending balance from previous report) Total Monetary Contributions Total Other Income Subtotal: + $0.00 + $0.00 a. = $5,791.57 Total Expenditures Paid Total Disbursements of Excess Funds Repayment of Loans Subtotal: $50.00 + $0.00 + $0.00 b. = $50.00 $5,791.57 Ending Balance: = $5,741.57 (Subtotal a. - Subtotal b.) *Note: Report cannot be submitted with a negative balance. TOTAL EXPENDITURES ELECTION YEAR-TO-DATE (Add total expenditures from all reports) $743,450.94 TOTAL CONTRIBUTIONS ELECTION YEAR-TO-DATE (Add total contributions from all reports) $227,635.50 CONTRIBUTIONS $250.00 OR LESS DATE CONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAME Subtotal of contributions of $250.00 or less CONTRIBUTIONS MORE THAN $250.00 AMOUNT $0.00 DATE CONTRIBUTOR'S FULL NAME OR COMMITTEE'S NAME Subtotal of all contributions of more than $250.00 Subtotal of all contributions of $250 or less Total Contributions: AMOUNT $0.00 $0.00 $0.00 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). OTHER INCOME: INTEREST, REFUNDS, MISCELLANEOUS RECEIPTS Date Source of Income Type of Receipt Total Other Income: Amount $0.00 IN-KIND CONTRIBUTIONS Date Name and Contributor Information Description of Contribution Total In-Kind Contributions: Value $0.00 LOANS West Virginia Code: ยง3-8-5f. Loans to candidates, organizations or persons for election purposes. "Every candidate, financial agent, person or association of persons or organization advocating or opposing the nominationor election of any candidate or the passage or defeat of any issue or item to be voted upon may not receive any money or anyother thing of value toward election expenses except from the candidate, his or her spouse or a lending institution. All loans shallbe 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 adescription of the collateral, if any, and the full names and addresses of all parties to the agreement. A copy of the agreementshall 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 youloan money to the campaign or get a loan, it is considered to be a separate loan.)Include the following information on the form below. a. 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 thatwas repaid in previous reporting periods does not need to be listed. b. new loans, the amount (Col. B), any repayments (Col. C), and thebalance (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 Column B Column C Column D Balance of previous Amount of new loan Repayments during Balance outstanding loan at end of period received during period period at end of period Amount Michael S Walker - 24 Oak Ridge Drive Morgantown, WV, 250,000.00 265008 Michael S Walker - 24 Oak Ridge Drive Morgantown, WV, 250,000.00 26508 Michael S Walker - 24 Oak Ridge Drive Morgantown, WV, 25,000.00 26508 Date Amount Date Amount Amount 250,000.00 250,000.00 25,000.00 Loans Received 0.00 Repayment of LoansOutstanding Loans 0.00 525,000.00 ITEMIZED EXPENDITURES Date Dec 12, 2016 Jan 10, 2017 Name of Person or Vendor And Address Merchant Services 12202 Airport Way Suite 100 Broomfield, CO, 80021, Merchant Services 12202 Airport Way Suite 100 Broomfield, CO, 80021, Purpose Online contribution processing fee Amount $25.00 Online contribution processing fee $25.00 Total Expenditures: $50.00 RECEIPT OF A TRANSFER OF EXCESS FUNDS Date Candidate Committee Name and Year Total Receipts of Transfer of Excess Funds: Amount $0.00 DISBURSEMENT OF EXCESS FUNDS Date Name of candidate committee and election year disbursing excess funds Purpose of Disbursement Total Disbursement of Excess Funds: Amount $0.00 UNPAID BILLS Date Group or Firm Affiliation Purpose Total Unpaid Bills: Amount $0.00 Submitted: Mar 31, 2017 at 9:53:27 AM