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:

Mr. George Cooper

Employer Name:

Forbes-Tate

Identification Numbers

House Registrant ID:

42131

Senate Registrant ID:

400976792

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:

$1,000.00

Date:

9-10-12

Payee:

Impact

Honoree:

Chuck Schumer

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$630.00

Date:

9-10-12

Payee:

Friends of Steve Bullock

Honoree:

Steve Bullock

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

9-10-12

Payee:

Angus King for U.S. Sentate

Honoree:

Angus King

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

9-10-12

Payee:

Udall for Colorado

Honoree:

Mark Udall

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,500.00

Date:

10-12-12

Payee:

Long Leaf Pine PAC

Honoree:

Kay Hagan

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10-16-12

Payee:

Mazie for Hawaii

Honoree:

Mazie Hirono

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

12-14-12

Payee:

Michaud for Congress

Honoree:

Mike Michaud

#8.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

9-27-12

Payee:

Heidi for North Dakota

Honoree:

Heidi Heitkamp

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:

George Cooper, 1/30/2013 1:17:25 PM

Lobbying Contribution Report

Filer Type and Name

Type:

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Employer Name:

Identification Numbers

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Senate Registrant ID:

Reporting Period

Year:

Political Action Committee Names

Contributions

#1.

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#2.

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#3.

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#4.

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#5.

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#6.

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#7.

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Honoree:

#8.

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Comments

Certification and Signature

Digitally Signed By: