Clerk of the House of Representatives • Legislative Resource Center • B-106 Cannon Building • Washington, DC 20515

Secretary of the Senate • Office of Public Records • 232 Hart Building • Washington, DC 20510

Filer Type and Name

Type:

OrganizationLobbyist

Lobbyist Name:

Mr. Jerry "Jay" DRISCOLL

Employer Name:

Forbes-Tate

Identification Numbers

House Registrant ID:

42131

Senate Registrant ID:

400976792

Reporting Period

Year:

2012

Mid-Year (January 1 - June 30)

Year-End (July 1 - December 31)

Amendment

Political Action Committee Names

Contributions

No Contributions

#1.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

7-25-12

Payee:

Hayden Rogers For Congress

Honoree:

Hayden Rogers

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

7-26-12

Payee:

Peters For Congress

Honoree:

Gary Peters

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

7-26-12

Payee:

Gillan For Congress

Honoree:

Kim Gillan

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

9-17-12

Payee:

Angus King For US Senate Campaign

Honoree:

Angus King

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

9-17-12

Payee:

Udall For Colorado

Honoree:

Mark Udall

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$100.00

Date:

9-28-12

Payee:

Gillan For Congress

Honoree:

Kim Gillan

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

10-3-12

Payee:

Heidi For Senate

Honoree:

Heidi Heitkamp

#8.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

9-24-12

Payee:

Impact

Honoree:

Chuck Schumer

#9.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

9-19-12

Payee:

Cantwell Victory 2012

Honoree:

Marie Cantwell

#10.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

9-20-12

Payee:

McCaskill For Missouri

Honoree:

Claire McCaskill

#11.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,500.00

Date:

10-19-12

Payee:

Democratic Senatorial Campaign Committee

Honoree:

Democratic Senatorial Campaign Committee

#12.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

11-6-12

Payee:

Friends Of Maria

Honoree:

Maria Cantwell

Comments

Certification and Signature

I certify that I have read and am familiar with the provisions of the Standing Rules of the Senate and the Standing rules of the House of Representatives relating to the provision of gifts and travel. I have not provided, requested or directed a gift, including travel, to a Member of Congress or an officer or employee of either House of Congress with knowledge that receipt of the gift would violate rule XXXV of the Standing Rules of the Senate or rule XXV of the Rules of the House of Representatives during this filing period.

Digitally Signed By:

Jerry "Jay" DRISCOLL, 1/30/2013 6:09:55 PM