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:

Ms. SHANNON PENBERTHY,

Employer Name:

CVS Health

Identification Numbers

House Registrant ID:

39442

Senate Registrant ID:

302778

Reporting Period

Year:

2018

Mid-Year (January 1 - June 30)

Year-End (July 1 - December 31)

Political Action Committee Names

Contributions

No Contributions

#0.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

08/18/2018

Payee:

Walters for Congress

Honoree:

Congresswoman Mini Walters (R-CA)

#1.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/12/2018

Payee:

Friends of John Thune

Honoree:

Senator John Thune (R-SD)

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10/08/2018

Payee:

Pallone for Congress

Honoree:

Congressman Frank Pallone (D-NJ)

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/11/2018

Payee:

Heller for Senate

Honoree:

Senator Dean Heller (R-NV)

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

10/11/2018

Payee:

Families for Jim Lankford

Honoree:

Senator Jim Lankford (R-OK)

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/18/2018

Payee:

Vern Buchanan for Congress

Honoree:

Congressman Vern Buchanan (R-FL)

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/23/2018

Payee:

Roskam for Congress

Honoree:

Congressman Peter Roskam (R-IL)

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10/25/2018

Payee:

George Holding for Congress

Honoree:

Congressman George Holding (R-NC)

Comments

I served as treasurer for the CVS Health PAC from July 2018 until December 2018. CVS Health lists CVS Health PAC's reportable disbursements on its own LD-203 reports.

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:

SHANNON PENBERTHY, 1/21/2019 9:02:13 PM