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. JULIAN A HAYWOOD

Employer Name:

FORGE Federal Affairs LLC

Identification Numbers

House Registrant ID:

41918

Senate Registrant ID:

400865535

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:

Self

Amount:

$5,000.00

Date:

02/14/2013

Payee:

Democratic Congressional Campaign Committee

Honoree:

Democratic Congressional Campaign Committee

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

03/11/2013

Payee:

Denny Heck for Congress

Honoree:

Denny Heck

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

03/03/2013

Payee:

Joe Kennedy for Congress

Honoree:

Joseph P. Kennedy III

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

03/20/2013

Payee:

Kirkpatrick for Arizona

Honoree:

Ann Kirkpatrick

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

03/27/2013

Payee:

Hank Johnson for Congress

Honoree:

Hank Johnson

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

03/27/2013

Payee:

John Larson for Congress

Honoree:

John Larson

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

06/19/2013

Payee:

Clarke for Congress

Honoree:

Yvette Clarke

#8.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

06/21/2013

Payee:

Richmond for Congress

Honoree:

Cedric Richmond

#9.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

06/30/2013

Payee:

Butterfield for Congress

Honoree:

GK Butterfield

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:

JULIAN HAYWOOD, 7/31/2013 6:29:53 PM

Lobbying Contribution Report

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Political Action Committee Names

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#9.

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Comments

Certification and Signature

Digitally Signed By: