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. Cynthia E. Berry

Employer Name:

Polsinelli Shughart PC

Identification Numbers

House Registrant ID:

39171

Senate Registrant ID:

314911

Reporting Period

Year:

2011

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:

$250.00

Date:

09/14/2011

Payee:

Jeff Flake for Senate

Honoree:

Rep. Jeff Flake

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/18/2011

Payee:

Kirk Adams for Congress

Honoree:

Kirk Adams

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/01/2011

Payee:

George Allen for U.S. Senate

Honoree:

George Allen

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

12/07/2011

Payee:

Romney for President

Honoree:

Mitt Romney

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,500.00

Date:

12/10/2011

Payee:

In kind for George Allen fundraiser

Honoree:

George Allen

Comments

The in-kind contribution for the George Allen fundraiser was for the catering expenses for an event that was held at my home on 12/10/11

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:

Cynthia Berry, 1/30/2012 10:39:39 AM