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. Mary F. Kertz Jones

Employer Name:

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY

Identification Numbers

House Registrant ID:

31968

Senate Registrant ID:

23986

Reporting Period

Year:

2016

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:

10/12/2016

Payee:

Larson for Congress

Honoree:

Larson, John B.

Comments

I am a member of PAC committees that control contributions which are disclosed in the entity filing made by Massachusetts Mutual Life Insurance Co. This disclosure is accurate to the best of my knowledge, based on reasonable due diligence.

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:

Mary Kertz Jones, 1/30/2017 1:03:59 PM