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 CHAPPELL

Employer Name:

Fierce, Isakowitz & Blalock

Identification Numbers

House Registrant ID:

31507

Senate Registrant ID:

44812

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:

$500.00

Date:

07/11/2012

Payee:

Roger Williams for Congress

Honoree:

Roger Williams

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

07/11/2012

Payee:

Lance for Congress

Honoree:

Rep. Leonard Lance

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

07/11/2012

Payee:

Hayworth for Congress

Honoree:

Rep. Nan Hayworth

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

07/31/2012

Payee:

Wagner for Congress

Honoree:

Ann Wagner

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

08/02/2012

Payee:

Big Red PAC

Honoree:

Rep. Lee Terry

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

08/02/2012

Payee:

Mike R Fund

Honoree:

Rep. Mike Rogers

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/12/2012

Payee:

Fighting Ninth PAC

Honoree:

Rep. Morgan Griffith

#8.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/12/2012

Payee:

Freedom Advancement Fund

Honoree:

Rep. Tom Graves

#9.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

09/13/2012

Payee:

Cav Pac

Honoree:

Rep. Mike Pompeo

#10.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

09/14/2012

Payee:

Rodney Davis for Congress

Honoree:

Rodney Davis

#11.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

09/20/2012

Payee:

Jet Pac

Honoree:

Rep. Adam Kinzinger

#12.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

09/24/2012

Payee:

CRE PAC

Honoree:

Rep. Renee Ellmers

#13.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/30/2012

Payee:

Issa PAC

Honoree:

Rep. Darrell Issa

#14.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/30/2012

Payee:

Walden for Congress

Honoree:

Rep. Greg Walden

#15.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,500.00

Date:

10/02/2012

Payee:

Scalise for Congress

Honoree:

Rep. Steve Scalise

#16.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/24/2012

Payee:

Renacci for Congress

Honoree:

Rep. Jim Renacci

#17.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/31/2012

Payee:

Boustany for Congress

Honoree:

Rep. Charles Boustany

#18.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

08/16/2012

Payee:

Romney Victory

Honoree:

Mitt Romney

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:

MICHAEL CHAPPELL, 1/30/2013 3:45:17 PM