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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
Address1 | 1650 Diagonal Road |
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City | ALEXANDRIA |
State | VA |
Zip Code | 22314 |
Country | USA |
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5. Senate ID# 1386-12
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6. House ID# 321810000
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TYPE OF REPORT | 8. Year | 2015 |
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. | ||||||||
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: James C. Denneny III, MD |
Date | 1/14/2016 4:27:31 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 MMM
16. Specific lobbying issues
Medicare physician payment reform; in general.
H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; all provisions.
H.R. 1470, the SGR Repeal and Medicare Provider Payment Modernization Act of 2015; all provisions.
Audiology-related legislation; in general.
H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015.
Repeal of the Independent Payment Advisory Board (IPAB); in general.
H.R. 1190/S.141, the Protecting Seniors' Access to Medicare Act of 2015; all provisions.
Certification of electronic health records (EHRs); in general.
Medicare Advantage "Network Adequacy"; in general.
Opposition to proposed policy in the 2015 Final Medicare Physician Fee Schedule Rule to transition 10- and 90-day global payment period codes to 0-day global period codes in 2017, and 2018, respectively.
Implementation plans for moving to ICD-10, a code set named under the Health Insurance Portability and Accountability Act (HIPAA).
Support for the appointment of a surgeon to the Medicare Payment Advisory Commission (MedPAC).
Implementation of Section 218 (b) of Public Law 113-93, entitled the Protecting Access to Medicare Act (PAMA), relating to the possible consideration of Radiology Benefit Management (RBM) companies as potential sources for the establishment of applicable appropriate use criteria, as well as any use of RBMs for the enforcement of the prior authorization section for ordering professionals who are outliers.
Comments re: funding of quality measures authorized under section 102 of the recently enacted Medicare Access and CHIP Reauthorization Act of 2015, or MACRA, Public Law 114-10.
H.R. 2519, Audiology Patient Choice Act of 2015; all provisions.
Support for the appointment of a surgeon to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) created under the Medicare Access and CHIP Reauthorization Act (MACRA).
Support for H.R. 3309, the Further Flexibility in HIT Reporting and Advancing Interoperability Act or Flex IT 2 Act"; all provisions.
Communications urging the Administration to "pause" implementation of Stage 3 Meaningful Use (MU) and reevaluate the program in light of pivotal changes to Medicare, including passage of the Medicare Access and Chip Reauthorization Act (MACRA).
Communication to the Centers for Medicaid and Medicare Services (CMS) regarding the "CY 2016 Hospital Outpatient PPS Policy changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates CMS-1633-P, published in the Federal Register as a proposed notice on July 8, 2015. Comments address 1.) Changes for Computed Tomography (CT) under the Protecting Access to Medicare Act of 2014 (PAMA); 2.) Proposed New Technology APCs - Orthopedic Procedures.
Communication to the Centers for Medicaid and Medicare Services (CMS) regarding the "Medicare Program; Revisions for Part B for CY 2016" published in the Federal Register as a proposed notice on July 15, 2015. Comments address 1.) 2016 Conversion Factor (CF); 2.) Practice Expense Issues; 3.) Potentially Misvalued Services Under the Fee Schedule; 4.) Improving Valuation of the Global Surgical Package; 5.) Improving Payment Accuracy for Primary Care and Care Management Services; 6.) Target for Relative Value Adjustments for Misvalued Services; 7.) Changes for Computed Tomography (CT) under the Protecting Access to Medicare Act of 2014 (PAMA); 8.) Malpractice RVUs; 9.) Validating RVUs of Service; 10.) Valuing New, Revised, and Potentially Misvalued Codes; 11.) Valuation of Specific Codes; 12.) Incident to Proposals: Billing Physicians as the Supervising Physician and Ancillary Personnel Requirements; 13.) Physicians Compare; 14.) Physician Payment, Efficiency, and Quality Improvements-Physician Quality Reporting System (PQRS); 15.) Value Based Modifier (VM) and Physician Feedback Reporting Program.
H.R. 1919, the Steve Gleason Act of 2015; all provisions.
S. 2425, the Patient Access and Medicare Protection Act; Section 4.
Meaningful Use Incentive Program; in general.
Physician-led, team-base care approach to healthcare models; in general.
Comments regarding the Request for Information (RFI) on implementation of Alternative Payment Models (APMs) and Merit-Based Incentive Programs (MIPS) under the Medicare Access and Chip Reauthorization Act (MACRA).
H.R. 2568, the Fair Medical Audits Act of 2015; all provisions.
H.R. 2513, the Protecting Access, Competition, and Equity Act; all provisions.
H.R. 3940, the Meaningful Use Hardship Relief Act of 2015; all provisions.
Comments re: "Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and and other Revisions for Part B for CY 16" published in the Federal Register as a final rule with comment period on November 16, 2015, which address the following issues: 1) 2016 Conversion Factor (CF); 2) Practice Expense Issues; 3) Potentially Misvalued Services Under the Fee Schedule; 4) Improving Valuation of the Global Surgical Package; 5) Changes for Computed Tomography (CT) under the Protecting Access to Medicare Act of 2014 (PAMA); 6) Valuing New, Revised, and Potentially Misvalued Codes; 7) CY 2016 Interim Final Rule Codes; 8) Incident to Proposals: Billing Physicians as the Supervising Physician and Ancillary Personnel Requirements; 9) Physician Compare; 10) Physician Payment, Efficiency, and Quality Improvements - Physician Quality Reporting System (PQRS); 11) Value Based Payment Modifier (VM) and Physician Feedback Reporting Program.
Comments re: the "Medicare and Medicaid Programs; Electronic Health Record Incentive Program--Stage 3 and Modifications to Meaningful Use in 2015-2017; Final Rule" published in the Federal Register on Friday, October 16, 2015, which address the following issues: 1) the need for increased flexibility; 2) the lack of interoperability; 3) the need for 90-day reporting periods beyond the current year; and 4) the specific meaningful use criteria.
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Government Accountability Office (GAO), Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Office of Management & Budget (OMB)
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 |
Joy |
Trimmer |
JD |
Judiciary LA/Staff Counsel, Rep. Ed Pease (IN) |
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Megan |
Marcinko |
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Danielle |
Jarchow |
JD |
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Chelsea |
Ronayne |
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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 BUD
16. Specific lobbying issues
Funding for NIH and medical research; in general.
Funding for Graduate Medical Education, in general.
FY 2016 budgets; in general.
Funding in the Fiscal Year (FY) 2016 Agriculture, Rural Development, and Food and Drug Administration (FDA) appropriations bill for the Pediatric Device Consortia (PDC) Grant Program at the Office of Orphan Products Development (OOPD) at FDA.
H.R. 1344, the Early Hearing Detection and Intervention Act of 2015; all provisions.
H.R. 1859, the Ensuring Childrens Access to Specialty Care Act of 2015; all provisions.
Opposition to Section 747 of the House Agriculture Appropriations Bill with regards to FDAs authority under the Tobacco Control Act.
Opposition to provisions in the FY 2016 Labor, Health and Human Services, Education and Related Agencies appropriations bill to eliminate, or reduce, funding for the Agency for Healthcare Research and Quality (AHRQ).
Opposition to language in the FY16 House Labor, Health and Human Services, Education and Related Agencies (LHHS) Appropriations bill that would cut funding for tobacco prevention at the CDC Office on Smoking and Health by 50 percent.
Opposition to proposed "rider" language in the FY 16 House Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations bill that changes the so-called grandfather date for e-cigarettes, cigars and other unregulated products and exempts these products from an important review requirement in the Tobacco Control Act (TCA).
S. 2424, Early Hearing Detection and Intervention Act of 2015; all provisions.
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Health & Human Services - Dept of (HHS), Natl Institutes of Health (NIH), Centers For Medicare and Medicaid Services (CMS), Office of Management & Budget (OMB), Food & Drug Administration (FDA), Agency for Healthcare Research & Quality (AHRQ)
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 |
Joy |
Trimmer |
JD |
Judiciary LA/Staff Counsel, Rep. Ed Pease (IN) |
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Megan |
Marcinko |
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Danielle |
Jarchow |
JD |
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Chelsea |
Ronayne |
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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 TOR
16. Specific lobbying issues
Medical Liability Reform; in general.
"Standard of Care Protection Act" (H.R. 4750 in 113th Congress) provisions included in H.R. 2, the Medicare Access and CHIP Reauthorization Act (MACRA).
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 |
Joy |
Trimmer |
JD |
Judiciary LA/Staff Counsel, Rep. Ed Pease (IN) |
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Megan |
Marcinko |
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Danielle |
Jarchow |
JD |
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Chelsea |
Ronayne |
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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
Food and Drug Administration oversight of tobacco products; in general.
H.R. 662/S. 441, the Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2015; all provisions.
Support for the Department of Housing and Urban Development requiring all government subsidized housing be made smokefree.
Comments re: Administration's release of a Final "Deeming" regulation for tobacco products.
H.R. 1375/S. 142, the Child Nicotine Poisoning Prevention Act; all provisions.
H.R. 2058, the FDA Deeming Authority Clarification Act of 2015; all provisions.
Comments to the US Preventive Services Task Force re: their draft recommendations for various tobacco cessation interventions.
Opposition to Section 747 of the House Agriculture Appropriations Bill with regards to FDAs authority under the Tobacco Control Act.
Trans-Pacific Partnership (TPP); relating to the inclusion of provisions/protections necessary to enable countries that are party to the agreement to protect the public health of their citizens from the death and disease caused by tobacco products.
Communication to urge the the Food and Drug Administration (FDA) to commence an appropriate enforcement action against Reynolds American, Inc. (Reynolds) and its subsidiary Santa Fe Natural Tobacco Co. (Santa Fe) for the marketing of Natural American Spirit brand cigarettes in violation of the modified risk provisions of the Family Smoking Prevention and Tobacco Control Act (TCA).
Opposition to language in the FY16 House Labor, Health and Human Services, Education and Related Agencies (LHHS) Appropriations bill that would cut funding for tobacco prevention at the CDC Office on Smoking and Health by 50 percent.
Opposition to proposed "rider" language in the FY 16 House Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations bill that changes the so-called grandfather date for e-cigarettes, cigars and other unregulated products and exempts these products from an important review requirement in the Tobacco Control Act (TCA).
Comments to the U.S. Food and Drug Administration (FDA) regarding the advanced notice of proposed rulemaking (ANPRM), Nicotine Exposure Warnings and Child-Resistant Packaging for Liquid Nicotine, Nicotine-Containing E-Liquid(s), and Other Tobacco Products; Request for Comments, published on July 1, 2015 (docket no. FDA-2015-N-1514).
Comments regarding tobacco cessation interventions and preventive services, including guidance on insurance coverage of aforementioned.
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Food & Drug Administration (FDA), Housing & Urban Development - Dept of (HUD), U.S. Trade Representative (USTR), Health & Human Services - Dept of (HHS), Labor - Dept of (DOL), Treasury - Dept of
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 |
Joy |
Trimmer |
JD |
Judiciary LA/Staff Counsel, Rep. Ed Pease (IN) |
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Megan |
Marcinko |
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Danielle |
Jarchow |
JD |
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Chelsea |
Ronayne |
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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. 293, a bill to amend title XI (General Provisions, Peer Review, Administrative Simplification) of the Social Security Act to exempt from manufacturer transparency reporting to the Secretary of Health and Human Services any transfer of value to a covered recipient of: (1) peer-reviewed journals, journal reprints, journal supplements, conference reports, and medical textbooks that directly benefit patients or are intended for patient use; and (2) anything of value to a physician if it is intended solely to provide continuing medical education.
H.R. 1741, the Truth in Healthcare Marketing Act of 2015; all provisions.
Comments re: October 26, 2015, Presidents Council of Advisors on Science and Technology (PCAST) report to the President on Aging America & Hearing Loss: Imperative of Improved Hearing Technologies.
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, White House Office
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 |
Joy |
Trimmer |
JD |
Judiciary LA/Staff Counsel - Rep. Ed Pease (IN) |
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Megan |
Marcinko |
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Danielle |
Jarchow |
JD |
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Chelsea |
Ronayne |
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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 TAX
16. Specific lobbying issues
Opposition to repeal of the tanning bed tax; in general.
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS)
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 |
Joy |
Trimmer |
JD |
Judiciary LA/Staff Counsel - Rep. Ed Pease (IN) |
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Megan |
Marcinko |
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Danielle |
Jarchow |
JD |
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Chelsea |
Ronayne |
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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
H.R. 353/S. 564, the Veterans' Access to Hearing Health Act of 2015; all provisions.
Comments regarding the draft VHA Nursing Handbook and its impact on surgical care.
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Veterans Affairs - Dept of (VA)
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 |
Joy |
Trimmer |
JD |
Judiciary LA/Staff Counsel - Rep. Ed Pease (IN) |
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Megan |
Marcinko |
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Danielle |
Jarchow |
JD |
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Chelsea |
Ronayne |
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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 TRD
16. Specific lobbying issues
Trans-Pacific Partnership (TPP); relating to the inclusion of provisions/protections necessary to enable countries that are party to the agreement to protect the public health of their citizens from the death and disease caused by tobacco products.
17. House(s) of Congress and Federal agencies Check if None
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 |
Joy |
Trimmer |
JD |
Judiciary LA/Staff Counsel, Rep. Ed Pease (IN) |
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Megan |
Marcinko |
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Danielle |
Jarchow |
JD |
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Chelsea |
Ronayne |
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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:
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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:
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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 |