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:

2015

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:

07/20/2015

Payee:

Will Jawando for Congress

Honoree:

Will Jawando

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

07/31/2015

Payee:

Alma Adams for Congress

Honoree:

Alma Adams

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/30/2015

Payee:

DSCC

Honoree:

DSCC

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10/30/2015

Payee:

DSCC

Honoree:

DSCC

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

11/30/2015

Payee:

DSCC

Honoree:

DSCC

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/30/2015

Payee:

DSCC

Honoree:

DSCC

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/30/2015

Payee:

Kamala Harris for Senate

Honoree:

Kamala Harris

#8.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/09/2015

Payee:

Baron Hill for Indiana

Honoree:

Baron Hill

#9.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

12/21/2015

Payee:

Monica Vernon for Congress

Honoree:

Monica Vernon

#10.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

07/31/2015

Payee:

Cory Booker for Senate

Honoree:

Cory Booker

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, 2/2/2016 4:13:56 PM

Lobbying Contribution Report

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