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. JULIAN A HAYWOOD

Employer Name:

FORGE Federal Affairs LLC

Identification Numbers

House Registrant ID:

41918

Senate Registrant ID:

400865535

Reporting Period

Year:

2017

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:

$2,500.00

Date:

07/18/2017

Payee:

Jeffries for Congress

Honoree:

Hakeem Jeffries

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

07/20/2017

Payee:

Virgin Islands for Plaskett

Honoree:

Stacey Plaskett

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

09/27/2017

Payee:

Doug Jones for Senate Committee

Honoree:

Doug Jones

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

09/28/2017

Payee:

DCCC

Honoree:

DCCC

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/24/2017

Payee:

DSCC

Honoree:

DSCC

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

11/08/2017

Payee:

Erik Jones for Congress

Honoree:

Erik Jones

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

11/10/2017

Payee:

Doug Jones for Senate Committee

Honoree:

Doug Jones

#8.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

12/11/2017

Payee:

Larson for Congress

Honoree:

John Larson

#9.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

12/31/2017

Payee:

Friends of Chris Murphy

Honoree:

Chris Murphy

#10.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

12/31/2017

Payee:

Randy Brice for Congress

Honoree:

Randy Brice

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:

JULIAN HAYWOOD, 1/26/2018 1:37:36 PM

Lobbying Contribution Report

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