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. ROBERT M BROOKS

Employer Name:

Evergreen Associates, LTD.

Identification Numbers

House Registrant ID:

30292

Senate Registrant ID:

13984

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:

07/05/2012

Payee:

ActBlue

Honoree:

DCCC

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

07/28/2012

Payee:

Derek Kilmer for Congress

Honoree:

Derek Kilmer

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

08/04/2012

Payee:

Denny Heck for Congress

Honoree:

Denny Heck

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$600.00

Date:

08/31/2012

Payee:

Jay Inslee for Washington-D

Honoree:

Jay Inlsee

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

09/08/2012

Payee:

Kaine for Virginia

Honoree:

Tim Kaine

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

09/18/2012

Payee:

Derek Kilmer for Congress

Honoree:

Derek Kilmer

#7.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

09/20/2012

Payee:

Friends of Cheri Bustos

Honoree:

Cheri Bustos

#8.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$250.00

Date:

09/26/2012

Payee:

6-PAC

Honoree:

Lois Capps Ann McLane Kuster Patrick Murphy Tammy Duckworth Tammy Baldwin Richard Carmona

#9.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10/25/2012

Payee:

Denny Heck for Congress

Honoree:

Denny Heck

#10.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

11/02/2012

Payee:

Perlmutter for Congress

Honoree:

Ed Perlmutter

#11.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

11/02/2012

Payee:

Montanans for Tester

Honoree:

Jon Tester

#12.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

12/28/2012

Payee:

Michaud for Congress

Honoree:

Michael Michaud

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:

ROBERT BROOKS, 2/1/2013 12:20:48 PM

Lobbying Contribution Report

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