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. JEFFREY FORBES

Employer Name:

Forbes-Tate

Identification Numbers

House Registrant ID:

42131

Senate Registrant ID:

400976792

Reporting Period

Year:

2013

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:

MODERATE DEMOCRATS PAC

Amount:

$5,000.00

Date:

09/27/2013

Payee:

PETERS FOR MICHIGAN

Honoree:

GARY PETERS

#2.

Contribution Type:

FECA

Contributor Name:

MODERATE DEMOCRATS PAC

Amount:

$5,000.00

Date:

12/19/2013

Payee:

NATALIE TENNANT FOR SENATE

Honoree:

NATALIE TENNANT

#3.

Contribution Type:

FECA

Contributor Name:

MODERATE DEMOCRATS PAC

Amount:

$5,000.00

Date:

12/19/2013

Payee:

ALISON FOR KENTUCKY

Honoree:

ALISON LUNDERGAN GRIMES

#4.

Contribution Type:

FECA

Contributor Name:

MODERATE DEMOCRATS PAC

Amount:

$5,000.00

Date:

12/19/2013

Payee:

NUNN FOR SENATE, INC.

Honoree:

MICHELLE NUNN

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,600.00

Date:

07/19/2013

Payee:

CORY BOOKER FOR SENATE

Honoree:

CORY BOOKER

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/12/2013

Payee:

MICHELLE NUNN FOR US SENATE

Honoree:

MICHELLE NUNN

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10/24/2013

Payee:

HEINRICH TRUST

Honoree:

STEVE HEINRICH

#8.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/05/2013

Payee:

CLAIRE MCCASKILL FOR US SENATE

Honoree:

CLAIRE MCCASKILL

#9.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,500.00

Date:

10/15/2013

Payee:

BLUE HEN PAC

Honoree:

CHRIS COONS

#10.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10/10/2013

Payee:

CORY BOOKER FOR SENATE

Honoree:

CORY BOOKER

#11.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$5,200.00

Date:

08/21/2013

Payee:

MONTANANS FOR LEWIS

Honoree:

JOHN LEWIS

#12.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,500.00

Date:

12/23/2013

Payee:

WYDEN FOR SENATE

Honoree:

RON WYDEN

#13.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/23/2013

Payee:

JEFF MERKLEY FOR OREGON

Honoree:

JEFF MERKLEY

#14.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/31/2013

Payee:

COMMON SENSE COLORADO PAC

Honoree:

MICHAEL BENNET

#15.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/12/2013

Payee:

WALSH FOR MONTANA

Honoree:

JOHN WALSH

#16.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,500.00

Date:

12/06/2013

Payee:

DAKOTA PRAIRIE PAC

Honoree:

HEIDI HEITKAMP

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:

JEFFREY FORBES, 2/7/2014 1:53:19 PM