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:

2016

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:

$2,783.33

Date:

07/20/2016

Payee:

DEMOCRATIC SENATORIAL CAMPAIGN COMMITTEE

Honoree:

DEMOCRATIC SENATORIAL CAMPAIGN COMMITTEE

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

08/10/2016

Payee:

LON JOHNSON FOR CONGRESS

Honoree:

LON JOHNSON

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

08/17/2016

Payee:

2016 SENATE IMPACT

Honoree:

KATIE MCGINTY

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,783.33

Date:

08/20/2016

Payee:

DEMOCRATIC SENATORIAL CAMPAIGN COMMITTEE

Honoree:

DEMOCRATIC SENATORIAL CAMPAIGN COMMITTEE

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/09/2016

Payee:

THE MARKEY COMMITTEE

Honoree:

ED MARKEY

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/14/2016

Payee:

HILLARY VICTORY FUND

Honoree:

DEMOCRATIC NATIONAL COMMITTEE

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,783.33

Date:

09/20/2016

Payee:

DEMOCRATIC SENATORIAL CAMPAIGN COMMITTEE

Honoree:

DEMOCRATIC SENATORIAL CAMPAIGN COMMITTEE

#8.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/22/2016

Payee:

KATHERINE CLARK FOR CONGRESS

Honoree:

KATHERINE CLARK

#9.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/22/2016

Payee:

KANDER VICTORY FUND

Honoree:

JASON KANDER

#10.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/26/2016

Payee:

MARTIN HEINRICH FOR SENATE

Honoree:

MARTIN HEINRICH

#11.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/27/2016

Payee:

DEBORAH ROSS FOR SENATE

Honoree:

DEBORAH ROSS

#12.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,500.00

Date:

09/27/2016

Payee:

FRIENDS OF PATRICK MURPHY

Honoree:

PATRICK MURPHY

#13.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,700.00

Date:

09/28/2016

Payee:

HILLARY FOR AMERICA

Honoree:

HILLARY CLINTON

#14.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10/17/2016

Payee:

HOLDING ONTO AMERICA'S PRIORITIES PAC

Honoree:

RON WYDEN

#15.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$700.00

Date:

10/17/2016

Payee:

MISSOURIANS FOR KANDER

Honoree:

JASON KANDER

#16.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10/19/2016

Payee:

PERLMUTTER FOR CONGRESS

Honoree:

ED PERLMUTTER

#17.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,200.00

Date:

10/25/2016

Payee:

FRIENDS OF PATRICK MURPHY

Honoree:

PATRICK MURPHY

#18.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,700.00

Date:

10/25/2016

Payee:

DEBORAH ROSS FOR SENATE

Honoree:

DEBORAH ROSS

#19.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10/27/2016

Payee:

CATHERINE CORTEZ MASTO FOR SENATE

Honoree:

CATHERINE CORTEZ MASTO

#20.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,700.00

Date:

10/27/2016

Payee:

TIBERI FOR CONGRESS

Honoree:

PAT TIBERI

#21.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/29/2016

Payee:

LON JOHNSON FOR CONGRESS

Honoree:

LON JOHNSON

#22.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,700.00

Date:

11/01/2016

Payee:

DOLD FOR CONGRESS

Honoree:

BOB DOLD

#23.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,225.71

Date:

10/31/2016

Payee:

HILLARY VICTORY FUND

Honoree:

DEMOCRATIC NATIONAL COMMITTEE

#24.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

11/04/2016

Payee:

FEINSTEIN FOR SENATE

Honoree:

DIANNE FEINSTEIN

#25.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

11/04/2016

Payee:

DUCKWORTH FOR ILLINOIS

Honoree:

TAMMY DUCKWORTH

#26.

Contribution Type:

FECA

Contributor Name:

MODERATE DEMOCRATS PAC

Amount:

$5,000.00

Date:

08/18/2016

Payee:

EVAN BAYH COMMITTEE

Honoree:

EVAN BAYH

#27.

Contribution Type:

FECA

Contributor Name:

MODERATE DEMOCRATS PAC

Amount:

$5,000.00

Date:

12/28/2016

Payee:

MONTANANS FOR TESTER

Honoree:

JON TESTER

#28.

Contribution Type:

FECA

Contributor Name:

MODERATE DEMOCRATS PAC

Amount:

$5,000.00

Date:

12/28/2016

Payee:

MANCHIN FOR WEST VIRGINIA

Honoree:

JOE MANCHIN

#29.

Contribution Type:

FECA

Contributor Name:

MODERATE DEMOCRATS PAC

Amount:

$5,000.00

Date:

12/28/2016

Payee:

DONNELLY FOR INDIANA

Honoree:

JOE DONNELLY

#30.

Contribution Type:

FECA

Contributor Name:

MODERATE DEMOCRATS PAC

Amount:

$5,000.00

Date:

12/28/2016

Payee:

HEIDI FOR SENATE

Honoree:

HEIDI HEITKAMP

#31.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,700.00

Date:

10/24/2016

Payee:

KATIE MCGINTY FOR SENATE

Honoree:

KATIE MCGINTY

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, 1/30/2017 5:04:36 PM