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. JEFFREY FORBES,

Employer Name:

Forbes-Tate

Identification Numbers

House Registrant ID:

42131

Senate Registrant ID:

400976792

Reporting Period

Year:

2021

Mid-Year (January 1 - June 30)

Year-End (July 1 - December 31)

Political Action Committee Names

Contributions

No Contributions

#0.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

07/21/2021

Payee:

SMART SOLUTIONS PAC

Honoree:

JACKY ROSEN

#1.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

08/03/2021

Payee:

SHONTEL BROWN FOR CONGRESS

Honoree:

SHONTEL BROWN

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

08/10/2021

Payee:

SCHIFF FOR CONGRESS

Honoree:

ADAM SCHIFF

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$4,800.00

Date:

08/17/2021

Payee:

COMMITTEE TO ELECT JARED GOLDEN

Honoree:

JARED GOLDEN

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/03/2021

Payee:

SALUD CARBAJAL FOR CONGRESS

Honoree:

SALUD CARBAJAL

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$3,000.00

Date:

09/21/2021

Payee:

FRIENDS OF SCHUMER

Honoree:

CHUCK SCHUMER

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,900.00

Date:

09/22/2021

Payee:

HEATHER MIZEUR FOR CONGRESS

Honoree:

HEATHER MIZEUR

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,900.00

Date:

09/22/2021

Payee:

CONOR LAMB FOR SENATE

Honoree:

CONOR LAMB

#8.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,300.00

Date:

09/22/2021

Payee:

ROSEN FOR NEVADA

Honoree:

JACKY ROSEN

#9.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/22/2021

Payee:

PALLONE FOR CONGRESS

Honoree:

FRANK PALLONE

#10.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,900.00

Date:

09/23/2021

Payee:

O'CONNOR FOR CONGRESS

Honoree:

DANNY O'CONNOR

#11.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/27/2021

Payee:

KURT SCHRADER FOR CONGRESS

Honoree:

KURT SCHRADER

#12.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,500.00

Date:

09/30/2021

Payee:

GREAT LAKES PAC

Honoree:

DEBBIE STABENOW

#13.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/30/2021

Payee:

MCMULLIN FOR UTAH

Honoree:

EVAN MCMULLIN

#14.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10/05/2021

Payee:

DEBBIE DINGELL FOR CONGRESS

Honoree:

DEBBIE DINGELL

#15.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10/08/2021

Payee:

COMMON GROUND PAC

Honoree:

TIM KAINE

#16.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,900.00

Date:

10/18/2021

Payee:

FRIENDS OF MARK WARNER

Honoree:

MARK WARNER

#17.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,800.00

Date:

10/19/2021

Payee:

CATHERINE CORTEZ MASTO FOR SENATE

Honoree:

CATHERINE CORTEZ MASTO

#18.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10/21/2021

Payee:

HEATHER MIZEUR FOR CONGRESS

Honoree:

HEATHER MIZEUR

#19.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,000.00

Date:

10/26/2021

Payee:

DSCC

Honoree:

DSCC

#20.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,900.00

Date:

10/26/2021

Payee:

WHITEHOUSE FOR SENATE

Honoree:

SHELDON WHITEHOUSE

#21.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$5,000.00

Date:

10/28/2021

Payee:

BLUE HEN PAC

Honoree:

CHRIS COONS

#22.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

11/01/2021

Payee:

DSCC

Honoree:

DSCC

#23.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

11/17/2021

Payee:

MINNESOTA DEMOCRATIC-FARMER-LABOR PARTY

Honoree:

MINNESOTA DEMOCRATIC-FARMER-LABOR PARTY

#24.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/08/2021

Payee:

JIMMY GOMEZ FOR CONGRESS

Honoree:

JIMMY GOMEZ

#25.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,900.00

Date:

12/20/2021

Payee:

CHERI BEASLEY FOR NORTH CAROLINA

Honoree:

CHERI BEASLEY

#26.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/29/2021

Payee:

BRAD PFAFF FOR CONGRESS

Honoree:

BRAD PFAFF

#27.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,900.00

Date:

12/29/2021

Payee:

SCOTT BAUGH FOR CONGRESS

Honoree:

SCOTT BAUGH

#28.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/31/2021

Payee:

HALEY STEVENS FOR CONGRESS

Honoree:

HALEY STEVENS

#29.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/31/2021

Payee:

STRAHAN FOR CONGRESS

Honoree:

JENNIFER STRAHAN

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:

JEFFREY FORBES, 1/21/2022 4:30:39 PM