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:

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:

$500.00

Date:

10/26/2011

Payee:

Norm Dicks for Congress

Honoree:

Norm Dicks

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$500.00

Date:

10/26/2011

Payee:

Firends of Laura Ruderman

Honoree:

Laura Ruderman

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$300.00

Date:

11/10/2011

Payee:

Jay Inslee for Washington-D

Honoree:

Jay Inslee

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$300.00

Date:

11/18/2011

Payee:

Friends of Laura Ruderman

Honoree:

Laura Ruderman

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$625.00

Date:

12/07/2011

Payee:

Friends of Maria Cantwell

Honoree:

Maria Cantwell

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$625.00

Date:

12/07/2011

Payee:

Elizabeth Warren for Massachusetts

Honoree:

Elizabeth Warren

Comments

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, 1/30/2012 12:01:52 PM