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:

Cauthen Forbes & Williams

Identification Numbers

House Registrant ID:

36886

Senate Registrant ID:

284551

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:

$1,000.00

Date:

09/30/2009

Payee:

Charlie Melancon Campaign Committee, Inc.

Honoree:

Charles Melancon

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/22/2009

Payee:

Leahy for U.S. Senator

Honoree:

Patrick Leahy

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,400.00

Date:

09/30/2009

Payee:

Friends of Schumer

Honoree:

Charles Schumer

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,100.00

Date:

09/30/2009

Payee:

Friends of Schumer

Honoree:

Charles Schumer

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

11/05/2009

Payee:

Martha Coakley for Senate

Honoree:

Martha Coakley

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/30/2009

Payee:

Gillibrand for Senate

Honoree:

Kirsten Gillibrand

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/23/2009

Payee:

Stabenow for US Senate

Honoree:

Debbie Stabenow

#8.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/16/2009

Payee:

Carper for Senate

Honoree:

Tom Carper

#9.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/28/2009

Payee:

Friends of Blanche Lincoln

Honoree:

Blanche Lincoln

#10.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,577.00

Date:

10/22/2009

Payee:

Democratic Senatorial Campaign Committee

Honoree:

DSCC

#11.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,577.00

Date:

11/17/2009

Payee:

Democratic Senatorial Campaign Committee

Honoree:

DSCC

#12.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,547.00

Date:

07/16/2009

Payee:

Democratic Senatorial Campaign Committee

Honoree:

DSCC

#13.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,547.00

Date:

08/19/2009

Payee:

Democratic Senatorial Campaign Committee

Honoree:

DSCC

#14.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,457.00

Date:

09/17/2009

Payee:

Democratic Senatorial Campaign Committee

Honoree:

DSCC

#15.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$2,500.00

Date:

09/28/2009

Payee:

Bennet for Colorado

Honoree:

Michael Bennet

#16.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$5,000.00

Date:

09/28/2009

Payee:

Friends for Harry Reid

Honoree:

Harry Reid

#17.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$5,000.00

Date:

09/28/2009

Payee:

Citizens for Arlen Specter

Honoree:

Arlen Specter

#18.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$5,000.00

Date:

09/28/2009

Payee:

Charlie Melancon Campaign Committee

Honoree:

Charles Melancon

#19.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$2,500.00

Date:

09/29/2009

Payee:

Gillibrand for Senate

Honoree:

Kristen Gillibrand

#20.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$5,000.00

Date:

12/21/2009

Payee:

Nevada Democratic Party

Honoree:

Nevada Democratic Party

#21.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$5,000.00

Date:

12/21/2009

Payee:

Robin Carnahan for Senate

Honoree:

Robin Carnahan

#22.

Contribution Type:

FECA

Contributor Name:

Mod Squad

Amount:

$2,500.00

Date:

12/21/2009

Payee:

Gillibrand for Senate

Honoree:

Kristen Gillibrand

#23.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/24/2009

Payee:

Bright for Congress

Honoree:

Bobby Bright

#24.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/24/2009

Payee:

Fisher for Ohio

Honoree:

Lee Fisher

#25.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

11/11/2009

Payee:

Montanans for Tester

Honoree:

Jon Tester

#26.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

11/05/2009

Payee:

Friends of Jeanne Shaheen

Honoree:

Jeanne Shaheen

#27.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/24/2009

Payee:

Friends of Kent Conrad

Honoree:

Kent Conrad

#28.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/30/2009

Payee:

Hodes for Senate

Honoree:

Paul Hodes

#29.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,577.00

Date:

12/18/2009

Payee:

Democratic Senatorial Campaign Committee

Honoree:

DSCC

#30.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$5,000.00

Date:

09/29/2009

Payee:

Glacier PAC

Honoree:

Max Baucus

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, 2/1/2010 4:29:13 PM