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 REGISTRATION

Lobbying Disclosure Act of 1995 (Section 4)

Check One: New Registrant New Client for Existing Registrant Amendment

1. Effective Date of Registration
10/17/2015
2. House Identification
 31355
 Senate Identification
 32098

REGISTRANT Organization/Lobbying Firm Self Employed Individual

3. Registrant Organization
K&L GATES LLP
Address
1601 K Street, NW
 Address2
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City
Washington
 State
DC
 Zip
20006
 Country
USA

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

City
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State
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Zip
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5. Contact name and telephone number International Number
Contact
​Ms. Gretchen Asmuth
 Telephone
​2026613715
 E-mail
​gretchen.asmuth@klgates.com
6. General description of registrant’s business or activities
​Law firm.

CLIENT A Lobbying Firm is required to file a separate registration for each client. Organizations employing in-house lobbyists should check the box labeled “Self” and proceed to line 10. Self

7. Client name
​Am-Med Diabetic Supplies, Inc.
Address
​5180 W. Atlantic Avenue, Suite 107
City
​Delray Beach
 State
​FL
 Zip
​33484
 Country
​USA
8. Principal place of business (if different than line 7)
City
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State
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Zip
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9. General description of client’s business or activities
​Provides diabetic supplies and durable medical equipment to patients.

LOBBYISTS

10. Name of each individual who has acted or is expected to act as a lobbyist for the client identified on line 7. If any person listed in this section has served as a “covered executive branch official” or “covered legislative branch official” within twenty years of first acting as a lobbyist for the client, state the executive and/or legislative position(s) in which the person served.

Name Covered Official Position (if applicable)
First
Last
Suffix
​Stephen ​Cooper ​ ​
​Donald ​Dempsey ​ ​LA, Sen Gramm; LA Sen Kyl; Director of Health Policy, Sen Budget Committee; LD, Sen Burr; Associate Director, OMB
​Barton ​Gordon ​ ​U.S. Congressman
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LOBBYING ISSUES

11. General lobbying issue areas (Select all applicable codes).

​HCR
​MMM
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12. Specific lobbying issues (current and anticipated)

Medicare reimbursement and coverage issues.

AFFILIATED ORGANIZATIONS

13. Is there an entity other than the client that contributes more than $5,000 to the lobbying activities of the registrant in a quarterly period and either participates in and/or in whole or in major part supervises or controls the registrant’s lobbying activities?

No --> Go to line 14. Yes --> Complete the rest of this section for each entity matching the criteria above, then proceed to line 14.
Internet Address:
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Name Address Principal Place of Business
Street
City State/Province Zip Code Country
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FOREIGN ENTITIES

14. Is there any foreign entity

a) holds at least 20% equitable ownership in the client or any organization identified on line 13; or

b) directly or indirectly, in whole or in major part, plans, supervises, controls, directs, finances or subsidizes activities of the client or any organization identified on line 13; or

c) is an affiliate of the client or any organization identified on line 13 and has a direct interest in the outcome of the lobbying activity?

No --> Sign and date the registration. Yes --> Complete the rest of this section for each entity matching the criteria above, then sign the registration.
Address Ownership
Name Street Principal place of business Amount of contribution
City State/Province Country
(city and state or country) for lobbying activities
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Signature
Digitally Signed By: Donald Dempsey, Government Affairs Counselor
 Date
12/7/2015 2:58:14 PM