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. Royal Roth

Employer Name:

UPS (UNITED PARCEL SERVICE)

Identification Numbers

House Registrant ID:

30712

Senate Registrant ID:

39223

Reporting Period

Year:

2012

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:

02/28/2012

Payee:

Kinzinger for Congress

Honoree:

Adam Kinzinger

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

03/21/2012

Payee:

Ricky Gill for Congress

Honoree:

Ricky Gill

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

05/08/2012

Payee:

Mia Love for Congress

Honoree:

Mia Love

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

06/20/2012

Payee:

Rodney Davis for Congress

Honoree:

Rodney Davis

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,500.00

Date:

06/26/2012

Payee:

National Republican Congressional Committee

Honoree:

Pete Sessions

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

06/29/2012

Payee:

Sandy Adams for Congress

Honoree:

Sandy Adams

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:

Royal Roth, 7/2/2012 5:48:13 PM

Lobbying Contribution Report

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Identification Numbers

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Reporting Period

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Political Action Committee Names

Contributions

#1.

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#2.

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#3.

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#4.

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#5.

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#6.

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Comments

Certification and Signature

Digitally Signed By: