State of West Virginia Campaign Financial Statement (Long Form) in Relation to the 2016 Election Year Candidate or Committee Name Candidate or Committee's Treasurer United Mine Workers of America Coal Miners PAC (UMWA PAC) Daniel J Kane Political Party (for candidates) Treasurer's Mailing Address (Street, Route, or P.O. Box) 18354 Quantico Gateway Drive, Suite 200
[email protected] Office Sought (for Candidates) District/Division City, State, Zip Code Daytime Phone # Triangle, VA 22172 (703) 208-7206 Election Cycle Reporting Period (check one): Check if Applicable: Primary - First Report X Pre-primary Report Post-primary Report Amended Report You must also check box of General - First Report Pre-general Report Post-general Report appropriate reporting period Final Report Zero balance required. PAC must also file Form F-6 Non-Election Cycle Reporting Period: Dissolution Annual Report 2016 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 CASH BALANCE SUMMARY Period Beginning Balance $71,601.70 Contributions $21,370.00 (ending balance from previous report) Monetary Contributions from all Fund-Raising + $0.00 Total Monetary Contributions + $21,370.00 Events Total Other Income + $0.00 Receipt of a Transfer of Excess Funds + $0.00 Subtotal: a. = $92,971.70 Total Monetary Contributions: = $21,370.00 In-Kind Contributions + $0.00 Total Expenditures Paid $44,150.00 Total Contributions: = $21,370.00 Total Disbursements of Excess Funds + $0.00 Repayment of Loans + $0.00 Other Income $0.00 Subtotal: b.