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. TIMOTHY CLARK

Employer Name:

Eisai Inc.

Identification Numbers

House Registrant ID:

40258

Senate Registrant ID:

400321512

Reporting Period

Year:

2017

Mid-Year (January 1 - June 30)

Year-End (July 1 - December 31)

Amendment

Political Action Committee Names

Contributions

No Contributions

Comments

I am a member of the Eisai PAC Board. Contributions from Eisai PAC are filed under the Eisai LD 203. This form has been filed after careful review and under due diligence.

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:

TIMOTHY CLARK, 7/26/2017 11:41:32 AM