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:

Cauthen Forbes & Williams

Identification Numbers

House Registrant ID:

36886

Senate Registrant ID:

284551

Reporting Period

Year:

2011

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:

Mod Squad

Amount:

$5,000.00

Date:

03/12/2011

Payee:

Ben Nelson

Honoree:

Nelson 2012

#2.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$5,000.00

Date:

03/12/2011

Payee:

Bill Nelson

Honoree:

Bill Nelson for US Senate

#3.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$5,000.00

Date:

03/12/2011

Payee:

Tom Carper

Honoree:

Carper for Senate

#4.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$5,000.00

Date:

03/12/2011

Payee:

Bob Casey

Honoree:

Bob Casey for Senate

#5.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$5,000.00

Date:

03/12/2011

Payee:

Jon Tester

Honoree:

Montanans for Tester

#6.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$5,000.00

Date:

05/17/2011

Payee:

Tim Kaine

Honoree:

Kaine for Virginia

#7.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$2,500.00

Date:

06/29/2011

Payee:

Jon Tester

Honoree:

Montanans for Tester

#8.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$5,000.00

Date:

06/29/2011

Payee:

Ben Nelson

Honoree:

Nelson 2012

#9.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$2,500.00

Date:

06/29/2011

Payee:

Bill Nelson

Honoree:

Bill Nelson for US Senate

#10.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$2,500.00

Date:

06/29/2011

Payee:

Tom Carper

Honoree:

Carper for Senate

#11.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$5,000.00

Date:

06/29/2011

Payee:

Kirsten Gillibrand

Honoree:

Gillibrand for Senate

#12.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$5,000.00

Date:

06/29/2011

Payee:

Joe Manchin

Honoree:

Manchin for West Virginia

#13.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$5,000.00

Date:

06/29/2011

Payee:

Joe Donnelly

Honoree:

Donnelly for Indiana

#14.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,500.00

Date:

03/22/2011

Payee:

Maria Cantwell

Honoree:

Friends of Maria

#15.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

03/01/2011

Payee:

Maria Cantwell

Honoree:

Friends of Maria

#16.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,500.00

Date:

03/01/2011

Payee:

Debbie Stabenow

Honoree:

Stabenow for US Senate

#17.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

03/01/2011

Payee:

Sherrod Brown

Honoree:

Friends of Sherrod Brown

#18.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$4,800.00

Date:

02/16/2011

Payee:

Joe Manchin

Honoree:

Manchin for West Virginia

#19.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

06/30/2011

Payee:

Kirsten Gillibrand

Honoree:

Gillibrand for Senate

#20.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

06/29/2011

Payee:

Pete Visclosky

Honoree:

Visclosky for Congress

#21.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,000.00

Date:

06/30/2011

Payee:

Jon Tester

Honoree:

Montanans for Tester

#22.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

06/30/2011

Payee:

Al Franken

Honoree:

Al Franken for Senate 2014

#23.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,500.00

Date:

06/30/2011

Payee:

Chris Coons

Honoree:

Chris Coons for Delaware

#24.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,500.00

Date:

06/30/2011

Payee:

Ben Cardin

Honoree:

Cardin for Senate

#25.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

06/13/2011

Payee:

Bill Nelson

Honoree:

Bill Nelson for US Senate

#26.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,500.00

Date:

05/13/2011

Payee:

Robert Menendez

Honoree:

Robert Menendez for US Senate

#27.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

06/30/2011

Payee:

Shelley Berkley

Honoree:

Berkley for Senate

#28.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

06/15/2011

Payee:

Bob Casey

Honoree:

Bob Casey for Senate

#29.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

05/24/2011

Payee:

Joe Donnelly

Honoree:

Joe Donnelly for US Senate

#30.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

06/30/2011

Payee:

Tim Kaine

Honoree:

Kaine for Virginia

#31.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,500.00

Date:

03/08/2011

Payee:

Mark Udall

Honoree:

Peak PAC

#32.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,500.00

Date:

06/30/2011

Payee:

Jeanne Shaheen

Honoree:

A New Direction PAC

#33.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$5,000.00

Date:

04/05/2011

Payee:

Harry Reid

Honoree:

Searchlight PAC

#34.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

04/30/2011

Payee:

Democratic Senatorial Campaign Committee

Honoree:

DSCC

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, 8/1/2011 5:54:06 PM