LD-203 Contribution Report

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. MICHAEL A FORSCEY

Employer Name:

Forscey PLLC (formerly known as: Forscey & Stinson)

Identification Numbers

House Registrant ID:

34913

Senate Registrant ID:

52880

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:

$1,000.00

Date:

07/23/2012

Payee:

Solidarity PAC

Honoree:

None

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

07/27/2012

Payee:

Congressman Waxman Campaign Committee

Honoree:

Henry Waxman

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/24/2012

Payee:

Braley for Congress

Honoree:

Bruce Braley

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/09/2012

Payee:

Justice 2012

Honoree:

Heit Kamp

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/09/2012

Payee:

Justice 2012

Honoree:

Joe Donnelly

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10/26/2012

Payee:

TOMPAC

Honoree:

None

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/26/2012

Payee:

Bill Nelson for Senate

Honoree:

Bill Nelson

#8.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10/31/2012

Payee:

Montana State Democratic Party

Honoree:

None

#9.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/18/2012

Payee:

Harkin for Senate

Honoree:

Tom Harkin

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:

MICHAEL FORSCEY, 1/8/2013 11:29:33 AM

Lobbying Contribution Report

Filer Type and Name

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Identification Numbers

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Senate Registrant ID:

Reporting Period

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Political Action Committee Names

Contributions

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#2.

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#6.

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#7.

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#8.

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#9.

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Comments

Certification and Signature

Digitally Signed By: