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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 25 MASSACHUSETTS AVENUE, NW |
Address2 | SUITE 600 |
| City | WASHINGTON |
State | DC |
Zip Code | 20001-7400 |
Country | USA |
3. Principal place of business (if different than line 2)
| City | Chicago |
State | IL |
Zip Code | 60611-5885 |
Country | USA |
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5. Senate ID# 2877-12
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6. House ID# 304640000
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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: George E. Cox III |
Date | 4/21/2025 10:14:05 AM |
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 BUD
16. Specific lobbying issues
H.R. 1585, Conrad State 30 and Physician Access Reauthorization Act, all provisions
S. 709, Conrad State 30 and Physician Access Reauthorization Act, all provisions
H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions relating to Medicare and Medicaid, and immigration
H.Con.Res. 14, Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034, provisions relating to Medicare and Medicaid
H.J.Res. 20, Providing for consideration of the joint resolution (H.J. Res. 20) providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Energy relating to "Energy Conservation Program: Energy Conservation Standards for Consumer Gas-fired Instantaneous Water Heaters"; providing for consideration of the joint resolution (H.J. Res. 35) providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Waste Emissions Charge for Petroleum and Natural Gas Systems: Procedures for Facilitating Compliance, Including Netting and Exemptions"; and providing for consideration of the concurrent resolution (H. Con. Res. 14) establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034, provisions relating to Medicare and Medicaid
H.R. 10545, American Relief Act, 2025, provisions relating to Medicare physician payment
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 |
Todd |
Askew |
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Cynthia |
Brown |
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Jason |
Marino |
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Katherine |
Dapper |
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Robert |
Redding |
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Christopher |
Sherin |
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Andrew |
Wankum |
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George |
Cox |
III |
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Alexis |
Pierce |
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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
H.R. 2028, Resident Education Deferred Interest (REDI) Act, all provisions
S. 942, Resident Education Deferred Interest (REDI) Act, all provisions
H.R. 2314, Fair Access In Residency (FAIR) Act, all provisions
Resident Physician Shortage Reduction Act/draft
Residency match process
Artificial Intelligence Medical Education Act/draft
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 |
Todd |
Askew |
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Cynthia |
Brown |
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Jason |
Marino |
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Lindsey |
Brill |
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Katherine |
Dapper |
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Robert |
Redding |
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Christopher |
Sherin |
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Andrew |
Wankum |
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George |
Cox |
III |
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Ashley |
Delosh |
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Alexis |
Pierce |
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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 HCR
16. Specific lobbying issues
H.R. 2332, To authorize the use of Federal Bureau of Investigation criminal history record information for administration of certain licenses, provisions related to license portability
H.R. 1521, Dental and Optometric Care (DOC) Access Act of 2025, all provisions
H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions
S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions
S. 526, Pharmacy Benefit Manager Transparency Act of 2025, all provisions
H.R. 483, Health Care Efficiency Through Flexibility Act, all provisions
H.R. 639, Doctor Knows Best Act of 2025, all provisions
H.R. 21, Born-Alive Abortion Survivors Protection Act, all provisions
H.R. 27, HALT Fentanyl Act, all provisions
H.R. 1539, Medical Device Electronic Labeling Act, all provisions
Cures 2.0/draft
21st Century Cures Act/implementation
Maternal mortality
Food labeling
Buprenorphine prescribing/telehealth
Artificial intelligence (AI)/payment
Digital health/AI
NIH Grants/indirect cost recovery
Electronic Health Records (EHR) certification/improvements
HIPAA/EHR/security
Mental Health Parity and Addiction Equity Act (MHPAEA)/ERISA Industry Committee (ERIC) lawsuit
Pulse Oximeters
Vaccines
Substance Use Disorder
Coding
Chronic Disease
Obesity epidemic
Scope of Practice
Health Courts
Physician practice data
Non-economic damages calculation methods
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Food & Drug Administration (FDA), Health & Human Services - Dept of (HHS), Drug Enforcement Administration (DEA), Labor - Dept of (DOL), Treasury - Dept of, Natl Institutes of Health (NIH), Office of Technology Policy (OTP)
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 |
Todd |
Askew |
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Cynthia |
Brown |
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Jason |
Marino |
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Lindsey |
Brill |
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Katherine |
Dapper |
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Christopher |
Sherin |
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Andrew |
Wankum |
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Margaret |
Garikes |
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Jeffrey |
Coughlin |
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Shannon |
Curtis |
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Suzanne |
Joy |
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Sandy |
Marks |
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Matthew |
Reid |
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George |
Cox |
III |
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Ashley |
Delosh |
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Lisa |
Myers |
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Alexis |
Pierce |
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Jennifer |
Brown |
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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
H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions relating to immigration
H.R. 1585, Conrad State 30 and Physician Access Reauthorization Act, all provisions
S. 709, Conrad State 30 and Physician Access Reauthorization Act, all provisions
H.R. 1201, Doctors in our Borders Act, all provisions
Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act/draft
Immigration and Customs Enforcement (ICE)/family detention
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, President of the U.S., Homeland Security - Dept of (DHS)
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 |
Todd |
Askew |
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Cynthia |
Brown |
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Jason |
Marino |
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Katherine |
Dapper |
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Robert |
Redding |
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Christopher |
Sherin |
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Andrew |
Wankum |
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George |
Cox |
III |
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Alexis |
Pierce |
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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 IND
16. Specific lobbying issues
S. 632, IHS Workforce Parity Act of 2025, all provisions
17. House(s) of Congress and Federal agencies Check if None
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 |
Todd |
Askew |
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Cynthia |
Brown |
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Jason |
Marino |
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Lindsey |
Brill |
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Katherine |
Dapper |
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George |
Cox |
III |
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Alexis |
Pierce |
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Jennifer |
Brown |
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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 LBR
16. Specific lobbying issues
S. 527, Prescription Pricing for the People Act of 2025, all provisions
S. 232, Preventing Algorithmic Collusion Act of 2025, all provisions
Antitrust
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, Federal Trade Commission (FTC)
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 |
Todd |
Askew |
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Cynthia |
Brown |
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Jason |
Marino |
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Katherine |
Dapper |
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Margaret |
Garikes |
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Shannon |
Curtis |
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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
H.R. 879, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions
H.R. 2309, To amend title XIX of the Social Security Act to require certain additional provider screening under the Medicaid program, all provisions
H.R. 786, Preserving Patient Access to Accountable Care Act, provisions relating to CMMI reforms
H.R. 539, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions
S. 106, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions
H.R. 1317, To amend titles XVIII and XIX of the Social Security Act to increase access to services provided by advanced practice registered nurses under the Medicare and Medicaid programs, and for other purposes, all provisions
H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions
S. 665, Fatal Overdose Reduction Act of 2025, all provisions
S. 141, Connected MOM Act, all provisions
H.R. 2120, To amend Title XVIII of the Social Security Act to create a Radiation Oncology Case Rate Value Based Payment Program exempt from budget neutrality adjustment requirements, and to amend section 1128A of title XI of the Social Security Act to create a new statutory exception for the provision of free or discounted transportation for radiation oncology patients to receive radiation therapy services, all provisions
S. 1031, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions
S. 891, Bipartisan Health Care Act, all provisions
H.R. 1614, To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, all provisions
H.R. 2433, To ensure that prior authorization medical decisions under Medicare are determined by physicians, all provisions
H.R. 639, Doctor Knows Best Act of 2025, all provisions
H.R. 2002, Patient Matching And Transparency in Certified Health IT (MATCH IT) Act of 2025, all provisions
H.R. 10545, American Relief Act, 2025, provisions relating to Medicare physician payment
H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions relating to Medicare and Medicaid
Equitable Community Access to Pharmacist Services act/draft
Helping Everyone Access Long Term Healthcare (HEALTH) Act/draft
CONNECT for Health Act/draft
Improving Seniors Timely Access to Care Act/draft
Healthy Moms and Babies Act/draft
GOLD CARD Act/draft
Health Tech Investment Act/draft
Patient Access to Higher Quality Health Care Act/reintroduction
ACO Assignment Improvement Act of 2024/reintroduction
Medicare program: Physician payment reform
Medicare program: Physician inflationary updates/Medicare Economic Index (MEI)
Medicare program: Budget neutrality reforms
Medicare program: Merit-Based Incentive Payment System (MIPS)/penalties
Medicare program: MIPS/Deregulation
Medicare program: Medicare Access and CHIP Reauthorization Act (MACRA)/broad reform
Medicare program: Alternative Payment Models (APMs)/Bonus extension
Medicare program: Center for Medicare and Medicaid Innovation (CMMI)/reform
Medicare program: Accountable Care Organization (ACO)/APMs/Medicare Shared Savings Program
Medicare program: MIPS Value Pathways (MVPs)
Medicare program: Site neutral payment
Medicare program: Medicare Advantage/prior authorization
Medicare program: Telehealth list/telemedicine office visit codes
Medicare program: Physician workforce issues
Medicare program: Value-based care
Medicare program: Value-based care/artificial intelligence (AI)/payment
Medicare program: MACRA physician burdens
Medicare program: Quality Payment Program/physician burdens
Medicare program: Promoting interoperability
Medicare program: Physician practice survey
Medicare program: MIPS hardship exception/IV fluid shortage
Medicare and Medicaid programs: Data privacy/cybersecurity
Medicare and Medicaid programs: HIPAA/electronic records
Medicare and Medicaid programs: Chronic disease
Medicaid program: Reforms/work requirements/per capita caps/provider taxes/FMAP changes
Medicaid program: Maternal mortality
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS), Office of Technology Policy (OTP)
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 |
Todd |
Askew |
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Cynthia |
Brown |
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Jason |
Marino |
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Lindsey |
Brill |
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Katherine |
Dapper |
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Dana |
Lichtenberg |
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Robert |
Redding |
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Christopher |
Sherin |
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Andrew |
Wankum |
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Margaret |
Garikes |
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Jeffrey |
Coughlin |
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Shannon |
Curtis |
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Jennifer |
Hananoki |
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Suzanne |
Joy |
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Sandy |
Marks |
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Matthew |
Reid |
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George |
Cox |
III |
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Debra |
Cohn |
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Ashley |
Delosh |
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Bryan |
Hull |
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Lisa |
Myers |
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Alexis |
Pierce |
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Jennifer |
Brown |
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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 VET
16. Specific lobbying issues
VA Supremacy Project
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 |
Todd |
Askew |
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Cynthia |
Brown |
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Jason |
Marino |
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Christopher |
Sherin |
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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
TOB |
TAX |
TOR |
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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) |