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:

Ms. LYNNETTE R JACQUEZ

Employer Name:

CJ LAKE LLC

Identification Numbers

House Registrant ID:

38616

Senate Registrant ID:

310938

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:

$750.00

Date:

02/29/2012

Payee:

Capps For Congress

Honoree:

Cong. Lois Capps

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

03/02/2012

Payee:

Matt Varitek For Congress

Honoree:

Matt Varitek

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

03/22/2012

Payee:

Berman For Congress

Honoree:

Cong. Howard Berman

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

03/15/2012

Payee:

Durbin For Senate

Honoree:

Senator Dick Durbin

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

03/26/2012

Payee:

Lowenthal For Congress

Honoree:

Alan Lowenthal

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

05/16/2012

Payee:

Hahn For Congress

Honoree:

Cong. Janice Hahn

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

05/31/2012

Payee:

Capps For Congress

Honoree:

Cong. Lois Capps

#8.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

06/05/2012

Payee:

Berman For Congress

Honoree:

Cong. Howard Berman

#9.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

05/17/2012

Payee:

DCCC

Honoree:

DCCC

#10.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,500.00

Date:

06/29/2012

Payee:

DCCC

Honoree:

DCCC

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:

LYNNETTE JACQUEZ, 7/30/2012 1:51:58 PM

Lobbying Contribution Report

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