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:

2014

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:

03/17/2014

Payee:

Richmond for Congress

Honoree:

Cedric Richmond

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

04/28/2014

Payee:

Kirkpatrick for Arizona

Honoree:

Ann Kirkpatrick

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

04/28/2014

Payee:

Barrow for Congress

Honoree:

John Barrow

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

04/29/2014

Payee:

Ingersol for Congress

Honoree:

Ki Ingersol

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

04/30/2014

Payee:

DCCC

Honoree:

DCCC

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$100.00

Date:

04/30/2014

Payee:

House Majority PAC

Honoree:

House Majority PAC

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

05/01/2014

Payee:

Friends of Elizabeth Esty

Honoree:

Elizabeth Esty

#8.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

05/02/2014

Payee:

G.K. Butterfield for Congress

Honoree:

G.K. Butterfield

#9.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

05/13/2014

Payee:

Larson for Congress

Honoree:

John Larson

#10.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

05/13/2014

Payee:

Hank for Congress

Honoree:

Hank Johnson

#11.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

05/05/2014

Payee:

Pete Aguilar for Congress

Honoree:

Pete Aguilar

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, 7/17/2014 11:43:36 PM

Lobbying Contribution Report

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