WV Supreme Court of Appeals Public Campaign Financing
Monthly Report for
(month)
Candidate or Committee Name
Treasurer
Political Party
Treasurer's Mailing Address (Street, Route or P.O. Box)
City, State, Zip Code
Daytime Phone #
(check one):
Exploratory Period Report
Amended Report
Qualifying Period Report
REPORT TOTALS
CASH BALANCE SUMMARY
Beginning Balance
(ending balance from previous report)
1.
(separate totals for Exploratory and
Qualifying Periods)
Total Contributions
TOTAL EXPLORATORY
2.
+
(from Page 2)
CONTRIBUTIONS TO DATE
Subtotal
3.
=
(lines 1+2)
Expenditures
TOTAL EXPENDITURES
_
4.
and Obligations
AND OBLIGATIONS TO DATE
(from Page 2)
Ending Balance
=
(lines 3-4)
*Cannot have a negative ending balance
Offi cial Form F-15
Issued by the WV State Election Commission
Revised 10/11