Form F-7 - West Virginia Campaign Financial Statement (Long Form) Page 4
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FUNDRAISING EVENTS
have been a ached.
All monetary contribu ons received at a fundraiser must be reported in the Event Summary below.
If contributor’s name and amount are not listed, the contribu on must be turned over to the West Virginia General
Revenue Fund.
The only excep on to this rule may apply to poli cal party execu ve commi ees. (WV Code §3‐8‐5a)
EVENT SUMMARY
Date of Event
Monetary Contribu ons
_
Type of Event
Expenditures (
)
from pg. 7
Name of Place Held
=
NET RECEIPTS
Address of Place Held
Total In‐Kind Contribu ons
Related to Fundraiser
(from pg. 5)
Contribu ons of $250 or Less
Contribu ons of more than $250
Date
Amount
Date
Full Name
Amount
Full Name:
Address:
Contributor’s Job: (individual only)
Where contributor works: (individual only)
Affilia on (PAC only)
Full Name:
Address:
Contributor’s Job: (individual only)
Where contributor works: (individual only)
Affilia on (PAC only)
Full Name:
Address:
Contributor’s Job: (individual only)
Where contributor works: (individual only)
Affilia on (PAC only)
Full Name:
Address:
Contributor’s Job: (individual only)
Where contributor works: (individual only)
Affilia on (PAC only)
Subtotal of contribu ons of more than $250:
Subtotal of contribu ons of $250 or less:
Total Contribu ons:
Subtotal of contribu ons of
$250 or less:
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Parent category: Financial