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
12/31/2015
2. House Identification
 323830000
 Senate Identification
 3093-12

REGISTRANT Organization/Lobbying Firm Self Employed Individual

3. Registrant Prefix
​Mr.
 First
​Justin
Last
​Moore
Address
1111 NORTH FAIRFAX STREET
 Address2
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City
ALEXANDRIA
 State
VA
 Zip
22314
 Country
USA

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

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5. Contact name and telephone number International Number
Contact
​Mr. Justin Moore
 Telephone
​7037063162
 E-mail
​justinmoore@apta.org
6. General description of registrant’s business or activities
​We are the national membership organization for physical therapists

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
​American Physical Therapy Association
Address
​1111 North Fairfax
City
​Alexandria
 State
​VA
 Zip
​22314
 Country
​USA
8. Principal place of business (if different than line 7)
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9. General description of client’s business or activities
​healthcare association

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
​Justin ​Moore ​ ​
​Mandy ​Frohlich ​ ​
​Adnan ​Jalil ​ ​
​Monica ​Massaro ​ ​
​Michael ​Hurlbut ​ ​

LOBBYING ISSUES

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

​BUD
​DEF
​EDU
​HCR
​MED
​MMM
​SMB
​VET
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12. Specific lobbying issues (current and anticipated)

Increased Funding For FY 2016 Appropriations for NIH and report language Increased Funding for Falls Prevention Programs in CDC FY 2016 Appropriations for CDC Programs, HRSA Programs, IDEA,Arthritis Funding ConTACT Act: H.R. 582/S. 307 Inclusion of allied health in HRSA Education & Workforce Programs HRSA Workforce Model ESEA Reauthorization, provisions relating to specialized instructional support personnel Workoad approach for SISPs Improving Interprofessional Education ESEA - Military Children Implementation/Expansion of CDC Falls Programs ConTACT Act H.R. 582/S. 307 H.R. 1383 H.R. 263 H.R. 1707 H.R. 395/S. 536

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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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
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City State/Province Country
(city and state or country) for lobbying activities
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Signature
Digitally Signed By: Justin Moore
 Date
12/22/2016 2:36:27 PM
ADDITIONAL LOBBYISTS

10. Supplemental. List any additional lobbyists for this client not listed on page 1, number 10.

Name Covered Official Position (if applicable) Have you been convicted of a crime?
First
Last
Suffix
​Michael ​Matlack ​ ​
​Roshunda ​Drummond-Dye ​ ​
​Heather ​Smith ​ ​
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ADDITIONAL LOBBYING ISSUES
11. Supplemental. General lobbying issue areas. Enter any additional codes for issues not listed on page 2, number 11.
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ADDITIONAL AFFILIATED ORGANIZATIONS13. Supplemental. List any other affiliated organization that meets the criteria specified and is not listed on page 2, number 13.
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ADDITIONAL FOREIGN ENTITIES
14. Supplemental. List any other foreign entity that meets the criteria specified and is not listed on page 2, number 14.
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