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:

Ms. SUSAN HIRSCHMANN

Employer Name:

Williams and Jensen, PLLC

Identification Numbers

House Registrant ID:

30771

Senate Registrant ID:

41454

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:

Self

Amount:

$250.00

Date:

07/13/2011

Payee:

Kevin Yoder for Congress

Honoree:

Kevin Yoder

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

08/05/2011

Payee:

Mike Kelly for Congress

Honoree:

Mike Kelly

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

08/09/2011

Payee:

Jon Bruning for Senate

Honoree:

Jon Bruning

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

08/09/2011

Payee:

Richard Mourdock for Senate

Honoree:

Richard Mourdock

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/19/2011

Payee:

Tom Cotton for Congress

Honoree:

Tom Cotton

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

09/30/2011

Payee:

Tom Latham for Congress

Honoree:

Tom Latham

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/20/2011

Payee:

Bill Flores for Congress

Honoree:

Bill Flores

#8.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/28/2011

Payee:

Brett Guthrie for Congress

Honoree:

Brett Guthrie

#9.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/28/2011

Payee:

Tim Scott for Congress

Honoree:

Tim Scott

#10.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/28/2011

Payee:

Frank Guinta for Congress

Honoree:

Frank Guinta

#11.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/28/2011

Payee:

Reid Ribble for Congress

Honoree:

Reid Ribble

#12.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/28/2011

Payee:

Jean Schmidt for Congress

Honoree:

Jean Schmidt

#13.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

12/13/2011

Payee:

Cantor for Congress

Honoree:

Eric Cantor

#14.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

12/13/2011

Payee:

Ed Royce for Congress

Honoree:

Ed Royce

#15.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

12/13/2011

Payee:

Crenshaw for Congress

Honoree:

Ander Crenshaw

#16.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

12/22/2011

Payee:

Aderholt for Congress

Honoree:

Robert Aderholt

#17.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

12/22/2011

Payee:

Ann Marie Buerkle for Congress

Honoree:

Ann Marie Buerkle

#18.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/22/2011

Payee:

Gerlach for Congress

Honoree:

Jim Gerlach

#19.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

08/09/2011

Payee:

Budgethawks.com

Honoree:

Jason Chaffetz

#20.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

08/05/2011

Payee:

Trust, Accountability and Courage PAC

Honoree:

Tom Coburn

#21.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/19/2011

Payee:

ROYB Fund

Honoree:

Roy Blunt

#22.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,500.00

Date:

12/22/2011

Payee:

Thoroughbred Pac

Honoree:

Ed Whitfield

#23.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/22/2011

Payee:

CAMPAC

Honoree:

Dave Camp

#24.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

12/22/2011

Payee:

Freedom Fund

Honoree:

Mike Crapo

#25.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

12/22/2011

Payee:

Wedge Pac

Honoree:

Marsha Blackburn

#26.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

12/22/2011

Payee:

CAFO Pac

Honoree:

Adrian Smith

#27.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/22/2011

Payee:

Majority in Congress Pac

Honoree:

John Mica

#28.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/22/2011

Payee:

Reaching for a Brighter America Pac

Honoree:

Robert Aderholt

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:

SUSAN HIRSCHMANN, 1/30/2012 9:45:20 PM