Clerk of the House of Representatives
Legislative Resource Center
135 Cannon Building
Washington, DC 20515
http://lobbyingdisclosure.house.gov 		Secretary of the Senate
Office of Public Records
232 Hart Building
Washington, DC 20510
http://www.senate.gov/lobby
LOBBYING REPORT

Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page

1. Registrant Name Organization/Lobbying Firm Self Employed Individual
CAMPAIGN FOR TOBACCO-FREE KIDS

2. Address

Address1
1400 I STREET, NW, #1200
 Address2
​
City
WASHINGTON
 State
DC
 Zip Code
20005
 Country
USA

3. Principal place of business (if different than line 2)

City
​
 State
​
 Zip Code
​
 Country
​
4a. Contact Name b. Telephone Number c. E-mail
​Mr.
​MATTHEW L. MYERS
​2022965469
​mmyers@tobaccofreekids.org
5. Senate ID#
​27401-12
7. Client Name Self Check if client is a state or local government or instrumentality
​CAMPAIGN FOR TOBACCO-FREE KIDS
6. House ID#
​336830000
TYPE OF REPORT 8. Year
​2011
 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
12. Lobbying 13. Organizations
INCOME relating to lobbying activities for this reporting period was: EXPENSE relating to lobbying activities for this reporting period were:
Less than $5,000
Less than $5,000
$5,000 or more $
​
$5,000 or more $
​10,500.00
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.
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

Signature
Digitally Signed By: Matthew L. Myers, President
Date
10/20/2011

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

July 1, 2011-September 30, 2011
Lobbying on issues related to preventing and reducing tobacco use and its harm (See addendum) ***


Lobbying Report
July 1, 2011 September 30, 2011

H.R. 1639 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2011 (Lobbying activities related to the entire bill which would amend the Federal Food, Drug, and Cosmetic Act to prohibit the FDA from promulgating regulations for certain cigars.)

S. 1461 -- Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2011 (Lobbying activities related to the entire bill which would amend the Federal Food, Drug, and Cosmetic Act to prohibit the FDA from promulgating regulations for certain cigars.)

H.R. 3186 Smuggled Tobacco Prevention Act (Lobbying activities related to the entire bill which would implement requirements to reduce smuggling of tobacco products and related tax evasion.)

S. 1706 Smuggled Tobacco Prevention Act (Lobbying activities related to the entire bill which would implement requirements to reduce smuggling of tobacco products and related tax evasion.)

H.R. 2112 Appropriations Bill for Agriculture, Rural Development, Food and Drug Administration, and Related Agencies for FY 2012 (Senate) (Lobbying activities related to fund for the FDAs Center for Tobacco Products.)

S. 1599 -- Appropriations bill for the Departments of Labor, Health and Human Services, and Education, and related agencies for FY 2012 (Lobbying activities related to the Prevention and Public Health Fund and funding for CDCs Office of Smoking and Health.)

S. 1403 IDEA Full Funding Act (Lobbying activities related to tobacco tax provisions.)
Joint Select Committee on Deficit Reduction (Lobbying activities related to the Prevention and Public Health Fund and appropriations for tobacco cessation and prevention.)
Food and Drug Administration Spoke to staff at FDA regarding the implementation of the Family Smoking Prevention and Tobacco Control Act (PL No: 111-031).

Department of Health and Human Services (HHS) Spoke to staff and sent correspondence to Secretary of HHS regarding implementation of provisions of the Patient Protection and Affordable Care Act related to coverage of tobacco cessation services. Spoke to staff regarding provisions of the WHO Framework Convention on Tobacco Control and the Trans-Pacific Partnership Agreement. Also met with staff to discuss U.S. positions in the negotiations surrounding global political declaration on non-communicable diseases and U.S. engagement with tobacco industry in several countries, including Indonesia, Ukraine, and Colombia.

Provided testimony at U.S. Trade Representative Stakeholder forum regarding Trans Pacific Partnership Agreement.

17. House(s) of Congress and Federal agencies Check if None

Food & Drug Administration (FDA), Health & Human Services - Dept of (HHS), Centers For Disease Control & Prevention (CDC), U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, U.S. Trade Representative (USTR)

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
Anne J.
Ford
​
​
Brian J.
Hickey
​
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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Information Update Page - Complete ONLY where registration information has changed.

20. Client new address

Address
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City
​
 State
​
 Zip Code
​
 Country
​

21. Client new principal place of business (if different than line 20)

City
​
 State
​
 Zip Code
​
 Country
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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

First Name
Last Name
Suffix
First Name
Last Name
Suffix
1
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5
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2
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6
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3
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7
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4
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8
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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)
Street Address
City State/Province Zip Country
Tobacco-Free Kids Action Fund
1400 I Street, NW Suite 1200
Washignton DC 20005 USA
City Washington
State DC Country USA

26. Name of each previously reported organization that is no longer affiliated with the registrant or client

1 3 5
2 4 6

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
Street Address
City State/Province Country
City
State Country
%

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 5 9
2 6 10
3 7 11
4 8 12