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. Michael Clark

Employer Name:

Surmont LLC

Identification Numbers

House Registrant ID:

40742

Senate Registrant ID:

400435107

Reporting Period

Year:

2008

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:

$2,300.00

Date:

11/30/2008

Payee:

Friends of Congressman Tim Holden

Honoree:

Timothy T. Holden

#2.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,300.00

Date:

10/31/2008

Payee:

Murtha for Congress Committee

Honoree:

John P. Murtha

#3.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

10/9/2008

Payee:

Carney for Congress

Honoree:

Christopher Carney

#4.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,300.00

Date:

11/9/2008

Payee:

Carney for Congress

Honoree:

Christopher Carney

#5.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$1,000.00

Date:

11/11/2008

Payee:

Keystone Alliance PAC

Honoree:

Keystone Alliance PAC

#6.

Contribution Type:

FECA

Contributor Name:

Self

Amount:

$2,000.00

Date:

11/11/2008

Payee:

Keystone Alliance PAC

Honoree:

Keystone Alliance PAC

Comments

These contributions were initially filed erroneously as organizational. The oversight was corrected in part by amendment of the relevant organizational LD-203, and in part by this filing.

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:

Michael Clark, 11/19/2009 4:06:38 PM