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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 860 WINTER STREET |
Address2 |
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| City | WALTHAM |
State | MA |
Zip Code | 02451 |
Country | USA |
3. Principal place of business (if different than line 2)
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State |
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5. Senate ID# 23975-12
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6. House ID# 319670000
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| TYPE OF REPORT | 8. Year | 2025 |
Q1 (1/1 - 3/31) | Q2 (4/1 - 6/30) | Q3 (7/1 - 9/30) | Q4 (10/1 - 12/31) |
9. Check if this filing amends a previously filed version of this report
| 10. Check if this is a Termination Report | Termination Date |
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11. No Lobbying Issue Activity |
| INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 | |||||||||
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| 12. Lobbying | 13. Organizations | ||||||||
| INCOME relating to lobbying activities for this reporting period was: | EXPENSE relating to lobbying activities for this reporting period were: | ||||||||
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| Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the registrant by any other entity for lobbying activities on behalf of the client). | 14. REPORTING Check box to indicate expense accounting method. See instructions for description of options. | ||||||||
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Method A.
Reporting amounts using LDA definitions only
Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code |
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| Signature | Digitally Signed By: Lois Dehls Cornell, Executive Vice President |
Date | 10/16/2025 3:47:54 PM |
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code HCR
16. Specific lobbying issues
Behavioral Health
Issues related to behavioral health - no specific bill
Childcare
Issues related to childcare - no specific bill
Gun Safety
Issues related to gun safety - no specific bill
Health Care
Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill
Issues related to mental and behavioral health care - no specific bill
Issues related to Private Equity/Healthcare - no specific bill
H.R. 2191, Physician Led and Rural Access to Quality Care Act
Support of community water fluoridation - no specific bill
Extend Premium Tax Credits - no specific bill
Health Care Workforce
Issues related to health care workforce shortages - no specific bill
Issues related to the affordability of medical education and federal loan programs - no specific bill
Issues related to scope of practice - no specific bill
Issues related to the Department of Veterans Affairs Federal Supremacy Project - no specific bill
Demographic data collection - no specific bill
H.R. 929/S.266 the Lorna Breen Health Care Provider Protection Reauthorization Act
H.R. 3890/S. 2439, the Resident Physician Shortage Reduction Act
H.R. 5283/S. 2759, the Healthcare Workforce Resilience Act
H.R. 3164, the Ensuring Community Access to Pharmacist Services (ECAPS) Act
HIV/AIDS
Presidents Emergency Plan for AIDS Relief (PEPFAR)
Immigration
Issues related to Immigration - no specific bill
H.R.1585/S.709 the Conrad State 30 and Physician Access Reauthorization Act
Protecting Immigrant Families (PIF) Campaign
Infrastructure
Issues related to broadband access - no specific bill
Interoperability/ONC
Issues related to interoperability and information blocking - no specific bill
Maternal Health and Reproductive Health
H.R. 3480 Health Coverage for IVF Act
S. 2035 Protect IVF Act
S.3743 - Supporting Healthy Moms and Infants Act
Issues related to maternal health - no specific bill
S. 141, The Connected Maternal Online Monitoring (MOM) Act
Medical Education
Issues related to the affordability of medical education - no specific bill
Issues related to student loan forgiveness - no specific bill
Support for physicians, residents and medical students - no specific bill
Medicare/Medicaid
S. 1816/H.R. 3514, Improving Seniors Timely Access to Care Act of 2025
Cigna Modifier 25
Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill
H.R. 2757 Medicare Audiology Access Improvement Act of 2025
S. 575 the Improving Care and Access to Nurses Act
H.R. 879 the Medicare Patient Access and Practice Stabilization Act
Issues related to Medicare physician payment - no specific bill
Issues related to Medicare/Medicaid - no specific bill
H.R. 2433, Reducing Medically Unnecessary Delays in Care Act of 2025
Issues related to Medicare Advantage - no specific bill
H.R. 1, One Big Beautiful Bill Act
H.R. 2757, Medicare Audiology Access Improvement Act
S. 106/H.R. 539, the Chiropractic Medicare Coverage Modernization Act of 2025
Nutrition
Issues related to nutrition and food security - no specific bill
Issues related to SNAP funding - - no specific bill (including H.R.1)
Opioids/ Substance Use Disorder
MATE ACT Adds New Education Mandate for 8 Hours of Continuing Education on Opioid Treatment
H.R. 2483 SUPPORT for Patients and Communities Reauthorization Act
Issues related to opioids and substance use disorder - no specific bill
Prescription Drug Pricing
Issues related to prescription drug pricing - no specific bill
HR 4002, The Patient Access to Higher Quality Health Care Act
Publications
Open access to information based on publicly funded research - no specific bill
Request for Information for NIH Plan to Enhance Public Access to the Results of NIH-Supported Research
Issues related to scholarly and scientific publishing and public access - no specific bill
Racial Justice/Health Equity
Issues related to racial justice/health care equity - no specific bill
Health disparities and protecting vulnerable populations - no specific bill
Issues related to equitable policies around blood, tissue donations - no specific bill
Surprise Billing
Issues related to surprise billing - no specific bill
Issues related to the implementation of the No Surprises Act - no specific bill
Telehealth
S. 1261, the CONNECT for Health Act of 2025
H.R. 5081/S. 2709, the Telehealth Modernization Act of 2025
H.R. 1650, the Telehealth Expansion Act of 2025
Issues related to telehealth - no specific bill
Issues related to telebehavioral health access - no specific bill
Issues related to physician licensing - no specific bill
Issues related to telehealth PHE flexibilities/waivers - no specific bill
Tobacco
Issues related to prohibiting sale of menthol cigarettes and flavored cigars - no specific bill
Issues related to increasing awareness about lung cancer screening on cigarette packages - no specific bill
Vaccines
Issues related to vaccines - no specific bill
Regulatory
FDA's proposed rule to eliminate menthol cigarettes
Issues related to Medicare physician payment
Issues related to implementation of the No Surprises Act
Issues related to telehealth
Issues related to Medicare Advantage Star Rating Health Equity Index calculation
HIPAA-related Reporting Requirements Involving the Change Healthcare Cyber Incident
Marketplace Integrity and Affordability Proposed Rule (CMS-9884-P)
Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations-Closing a Health Care-Related Tax Loophole Proposed Rule (CMS-2448-P)
Notice: Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA); Interpretation of Federal Public Benefit
NIH RFI on Maximizing Research Funds by Limiting Allowable Publishing Costs
File Code CMS-1832-P. Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Food & Drug Administration (FDA), Drug Enforcement Administration (DEA), Natl Institutes of Health (NIH), Veterans Affairs - Dept of (VA), Office of Science & Technology Policy (OSTP)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Casey |
Rojas |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code MMM
16. Specific lobbying issues
Behavioral Health
Issues related to behavioral health - no specific bill
Childcare
Issues related to childcare - no specific bill
Gun Safety
Issues related to gun safety - no specific bill
Health Care
Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill
Issues related to mental and behavioral health care - no specific bill
Issues related to Private Equity/Healthcare - no specific bill
H.R. 2191, Physician Led and Rural Access to Quality Care Act
Support of community water fluoridation - no specific bill
Extend Premium Tax Credits - no specific bill
Health Care Workforce
Issues related to health care workforce shortages - no specific bill
Issues related to the affordability of medical education and federal loan programs - no specific bill
Issues related to scope of practice - no specific bill
Issues related to the Department of Veterans Affairs Federal Supremacy Project - no specific bill
Demographic data collection - no specific bill
H.R. 929/S.266 the Lorna Breen Health Care Provider Protection Reauthorization Act
H.R. 3890/S. 2439, the Resident Physician Shortage Reduction Act
H.R. 5283/S. 2759, the Healthcare Workforce Resilience Act
H.R. 3164, the Ensuring Community Access to Pharmacist Services (ECAPS) Act
HIV/AIDS
Presidents Emergency Plan for AIDS Relief (PEPFAR)
Immigration
Issues related to Immigration - no specific bill
H.R.1585/S.709 the Conrad State 30 and Physician Access Reauthorization Act
Protecting Immigrant Families (PIF) Campaign
Interoperability/ONC
Issues related to interoperability and information blocking - no specific bill
Maternal Health and Reproductive Health
H.R. 3480 Health Coverage for IVF Act
S. 2035 Protect IVF Act
S.3743 - Supporting Healthy Moms and Infants Act
Issues related to maternal health - no specific bill
S. 141, The Connected Maternal Online Monitoring (MOM) Act
Medicare/Medicaid
S. 1816/H.R. 3514, Improving Seniors Timely Access to Care Act of 2025
Cigna Modifier 25
Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill
H.R. 2757 Medicare Audiology Access Improvement Act of 2025
S. 575 the Improving Care and Access to Nurses Act
H.R. 879 the Medicare Patient Access and Practice Stabilization Act
Issues related to Medicare physician payment - no specific bill
Issues related to Medicare/Medicaid - no specific bill
H.R. 2433, Reducing Medically Unnecessary Delays in Care Act of 2025
Issues related to Medicare Advantage - no specific bill
H.R. 1, One Big Beautiful Bill Act
H.R. 2757, Medicare Audiology Access Improvement Act
S. 106/H.R. 539, the Chiropractic Medicare Coverage Modernization Act of 2025
Nutrition
Issues related to nutrition and food security - no specific bill
Issues related to SNAP funding - - no specific bill (including H.R.1)
Opioids/ Substance Use Disorder
MATE ACT Adds New Education Mandate for 8 Hours of Continuing Education on Opioid Treatment
H.R. 2483 SUPPORT for Patients and Communities Reauthorization Act
Issues related to opioids and substance use disorder - no specific bill
Prescription Drug Pricing
Issues related to prescription drug pricing - no specific bill
HR 4002, The Patient Access to Higher Quality Health Care Act
Racial Justice/Health Equity
Issues related to racial justice/health care equity - no specific bill
Health disparities and protecting vulnerable populations - no specific bill
Issues related to equitable policies around blood, tissue donations - no specific bill
Surprise Billing
Issues related to surprise billing - no specific bill
Issues related to the implementation of the No Surprises Act - no specific bill
Telehealth
S. 1261, the CONNECT for Health Act of 2025
H.R. 5081/S. 2709, the Telehealth Modernization Act of 2025
H.R. 1650, the Telehealth Expansion Act of 2025
Issues related to telehealth - no specific bill
Issues related to telebehavioral health access - no specific bill
Issues related to physician licensing - no specific bill
Issues related to telehealth PHE flexibilities/waivers - no specific bill
Tobacco
Issues related to prohibiting sale of menthol cigarettes and flavored cigars - no specific bill
Issues related to increasing awareness about lung cancer screening on cigarette packages - no specific bill
Vaccines
Issues related to vaccines - no specific bill
Regulatory
FDA's proposed rule to eliminate menthol cigarettes
Issues related to Medicare physician payment
Issues related to implementation of the No Surprises Act
Issues related to telehealth
Issues related to Medicare Advantage Star Rating Health Equity Index calculation
HIPAA-related Reporting Requirements Involving the Change Healthcare Cyber Incident
Marketplace Integrity and Affordability Proposed Rule (CMS-9884-P)
Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations-Closing a Health Care-Related Tax Loophole Proposed Rule (CMS-2448-P)
Notice: Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA); Interpretation of Federal Public Benefit
File Code CMS-1832-P. Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Veterans Affairs - Dept of (VA), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Casey |
Rojas |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code CPT
16. Specific lobbying issues
Publications
Open access to information based on publicly funded research - no specific bill
Request for Information for NIH Plan to Enhance Public Access to the Results of NIH-Supported Research
NIH RFI on Maximizing Research Funds by Limiting Allowable Publishing Costs
Issues related to scholarly and scientific publishing and public access - no specific bill
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), Office of Science & Technology Policy (OSTP)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Casey |
Rojas |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code IMM
16. Specific lobbying issues
Immigration
Issues related to Immigration - no specific bill
H.R.1585/S.709 the Conrad State 30 and Physician Access Reauthorization Act
Protecting Immigrant Families (PIF) Campaign
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Casey |
Rojas |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code EDU
16. Specific lobbying issues
Medical Education
Issues related to the affordability of medical education - no specific bill
Issues related to student loan forgiveness - no specific bill
Support for physicians, residents and medical students - no specific bill
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Health Resources & Services Administration (HRSA), Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Casey |
Rojas |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code PHA
16. Specific lobbying issues
Prescription Drug Pricing
Issues related to prescription drug pricing - no specific bill
HR 4002, The Patient Access to Higher Quality Health Care Act
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Casey |
Rojas |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code ALC
16. Specific lobbying issues
Opioids/ Substance Use Disorder
MATE ACT Adds New Education Mandate for 8 Hours of Continuing Education on Opioid Treatment
H.R. 2483 SUPPORT for Patients and Communities Reauthorization Act
Issues related to opioids and substance use disorder - no specific bill
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Drug Enforcement Administration (DEA)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Casey |
Rojas |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code FIR
16. Specific lobbying issues
Gun Safety
Issues related to gun safety - no specific bill
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Casey |
Rojas |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code INS
16. Specific lobbying issues
Surprise Billing
Issues related to surprise billing - no specific bill
Issues related to the implementation of the No Surprises Act - no specific bill
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Casey |
Rojas |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code TOB
16. Specific lobbying issues
Tobacco
Issues related to prohibiting sale of menthol cigarettes and flavored cigars - no specific bill
Issues related to increasing awareness about lung cancer screening on cigarette packages - no specific bill
FDA's proposed rule to eliminate menthol cigarettes
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Food & Drug Administration (FDA)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Casey |
Rojas |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
Information Update Page - Complete ONLY where registration information has changed.
20. Client new address
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21. Client new principal place of business (if different than line 20)
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22. New General description of client’s business or activities
LOBBYIST UPDATE
23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client
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ISSUE UPDATE
24. General lobbying issue that no longer pertains
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AFFILIATED ORGANIZATIONS
25. Add the following affiliated organization(s)
Internet Address:
| Name | Address |
Principal Place of Business (city and state or country) |
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26. Name of each previously reported organization that is no longer affiliated with the registrant or client
| 1 | 2 | 3 |
FOREIGN ENTITIES
27. Add the following foreign entities:
| Name | Address |
Principal place of business (city and state or country) |
Amount of contribution for lobbying activities | Ownership percentage in client | ||||||||||
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28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization
| 1 | 3 | 5 |
| 2 | 4 | 6 |
CONVICTIONS DISCLOSURE
29. Have any of the lobbyists listed on this report been convicted in a Federal or State Court of an offense involving bribery,
extortion, embezzlement, an illegal kickback, tax evasion, fraud, a conflict of interest, making a false statement, perjury, or money laundering?
| Lobbyist Name | Description of Offense(s) |