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. ANDREW S FORTIN

Employer Name:

COMMUNITY ASSOCIATIONS INSTITUTE

Identification Numbers

House Registrant ID:

34035

Senate Registrant ID:

10228

Reporting Period

Year:

2009

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:

07/10/2009

Payee:

Peter Hoekstra for Governor

Honoree:

Peter Hoekstra

Comments

While I do not believe that my contribution during this period is covered by the requirements of the LD-203, I am disclosing none-the-less.

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:

ANDREW FORTIN, 3/25/2010 10:32:22 AM