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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 | 7/18/2025 12:09:39 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 BUD
16. Specific lobbying issues
H.R. 1, One Big Beautiful Bill Act (House and Senate amendments), provisions relating to Medicaid, Children's Health Insurance Program (CHIP), student loans, artificial intelligence (AI), Graduate Medical Education, Affordable Care Act (ACA) tax credits, provider taxes, Medicare physician payments, and pharmacy benefit managers (PBM) transparency
H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions relating to Medicare and Medicaid programs, and Conrad 30 extension, Indian Health Service funding
FY 2026 Full-Year Continuing Appropriations and Extensions Act, provisions relating to Indian Health Service funding
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 programs
FY 2025 and FY 2026 Childrens Hospitals Graduate Medical Education (CHGME) program funding
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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Dana |
Lichtenberg |
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Christopher |
Sherin |
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Robert |
Redding |
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Andrew |
Wankum |
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Margaret |
Garikes |
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Shannon |
Curtis |
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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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Philip |
Lynch |
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Assistant Counsel, Office of Senate Legislative Counsel |
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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
S. 632, IHS Workforce Parity Act of 2025, all provisions
H.R. 1, One Big Beautiful Bill Act, provisions relating to student loans, Graduate Medical Education
H.R. 3890, Resident Physician Shortage Reduction Act of 2025, all provisions
S. 1380, Specialty Physicians Advancing Rural Care (SPARC) Act, all provisions
FY 2025 and FY 2026 Childrens Hospitals Graduate Medical Education (CHGME) program funding
Residency match process and foreign medical graduates
Income-driven repayment (IDR) plans/Public Service Loan Forgiveness (PSLF) program/SBA
Student loans
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Labor - Dept of (DOL), Education - Dept of, Small Business Administration (SBA)
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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Suzanne |
Joy |
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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 HCR
16. Specific lobbying issues
H.R. 2332, States Handling Access to Reciprocity for Employment (SHARE) 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
H.R. 1, One Big Beautiful Bill Act, provisions relating to artificial intelligence, PBM transparency, and ACA tax credits
S. 526, Pharmacy Benefit Manager Transparency Act of 2025, all provisions
S. 527, Prescription Pricing for the People Act of 2025, all provisions
S. 1767, Physician and Patient Safety Act, all provisions
S. 1261, CONNECT for Health 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
S. 232, Preventing Algorithmic Collusion Act of 2025, all provisions
H.R. 2483, SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions
S. 2031, Workforce Mobility Act of 2025, all provisions
H.R. 1520, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions
S. 1782, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions
H.R. 3063, Rural Hospital Stabilization Act of 2025, all provisions
H.R. 3170, Improving Access to Workers Compensation for Injured Federal Workers Act, all provisions
H.R. 1254, Rural Obstetrics Readiness Act, all provisions
S. 380, Rural Obstetrics Readiness Act, all provisions
S. 1834, Supporting Healthy Moms and Babies Act, all provisions
S. 1851, Healthcare Cybersecurity Act of 2025, all provisions
S. 891, Bipartisan Health Care Act, all provisions
Healthy Competition for Better Care Act/draft
21st Century Cures Act/implementation
Telehealth
Scope of Practice
Private practice physician issues
Licensure portability
Maternal mortality
Vaccines
Advisory Committee on Immunization Practices (ACIP) termination
Digital Health
ERISA (Employee Retirement Income Security Act of 1974) credentialing standardization
Remote Patient Monitoring (RPM)
Physician Burnout
Cybersecurity
Prior Authorization
Non-Compete Clauses
Water beads/child hazard
Black women and girls/missing persons and homicide data
EHR certification improvements
Data privacy
HIPAA/electronic health records
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), Food & Drug Administration (FDA), Office of Technology Policy (OTP), Labor - Dept of (DOL), Justice - Dept of (DOJ), Consumer Product Safety Commission (CPSC)
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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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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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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Philip |
Lynch |
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Assistant Counsel, Office of Senate Legislative Counsel |
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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. 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
H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions relating to Conrad 30 program extension
J-1 Visas/processing pause
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Justice - Dept of (DOJ), State - Dept of (DOS)
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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Andrew |
Wankum |
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Margaret |
Garikes |
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Suzanne |
Joy |
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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
H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions relating to Indian Health Service funding
FY 2026 Full-Year Continuing Appropriations and Extensions Act, provisions relating to Indian Health Service funding
17. House(s) of Congress and Federal agencies Check if None
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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George |
Cox |
III |
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Debra |
Cohn |
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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 MMM
16. Specific lobbying issues
H.R. 879, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions
S. 1640, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions
H.R. 786, Preserving Patient Access to Accountable Care Act, all provisions
S. 1460, Preserving Patient Access to Accountable Care Act, all provisions
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. 2314, Fair Access In Residency (FAIR) Act, all provisions
H.R. 1317, Improving Care and Access to Nurses (I CAN) Act, all provisions
H.R. 1521, Dental and Optometric Care (DOC) Access Act of 2025, all provisions
H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions
S. 1390, Physician Led and Rural Access to Quality Care Act, all provisions
S. 665, Fatal Overdose Reduction Act of 2025, all provisions
S. 141, Connected Maternal Online Monitoring (Connected MOM) Act, all provisions
H.R. 3514, Improving Seniors Timely Access to Care Act of 2025, all provisions
S. 1816, Improving Seniors Timely Access to Care Act of 2025, all provisions
S. 1105, No Unreasonable Payments, Coding, Or Diagnoses for the Elderly (No UPCODE) Act, all provisions
S. 1399, Health Tech Investment Act, all provisions
H.R. 1, One Big Beautiful Bill Act (including House and Senate Amendments), provisions relating to Medicaid and Medicare physician payments, provider taxes, per capita caps, FMAP changes, provider taxes, and APMs
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 programs
H.R. 2120, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions
S. 1031, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions
H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions relating to Medicare and Medicaid programs
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. 3108, Rural Patient Monitoring (RPM) Access Act, all provisions
S. 1535, Rural Patient Monitoring (RPM) Access Act, all provisions
H.R. 3164, Ensuring Community Access to Pharmacist Services Act, all provisions
H.R. 2757, Medicare Audiology Access Improvement Act of 2025, all provisions
S. 1996, Medicare Audiology Access Improvement Act of 2025, all provisions
H.R. 3878, RNs for Rural Health Act of 2025, all provisions
H.R. 2433, Reducing Medically Unnecessary Delays in Care Act of 2025, all provisions
H.R. 639, Doctor Knows Best Act of 2025, all provisions
H.R. 4002, Patient Access to Higher Quality Health Care Act of 2025, all provisions
H.R. 3022, Restoring Rights of Physicians to Own Hospitals Act, all provisions
S. 1692, Radiology Outpatient Ordering Transmission (ROOT) Act, all provisions
Value in Health Care Act/draft
Access to Genetic Counselor Services Act/draft
GOLD CARD Act/draft
Seniors Access to Critical Medications Act of 2025/draft
Health Infrastructure Security and Accountability Act of 2025/draft
Enhanced Enforcement of Health Coverage Act/draft
Drug-price Transparency for Consumers Act/draft
Medicare program: 21st Century Cures Act/implementation
Medicare program: Medicare Economic Index (MEI) inflationary updates
Medicare program: MEI/Part B payments
Medicare program: Medicare Physician Fee Schedule/budget neutrality
Medicare program: Merit-based Incentive Payment System (MIPS)/penalties
Medicare program: MIPS/quality, cost improvement activities and promoting interoperability
Medicare program: MIPS and MVP (Medicare value-based Purchasing) reform
Medicare program: G2211 Inherent Complexity Code/budget neutrality
Medicare program: Site neutral payment
Medicare program: Accountable Care Organizations (ACO)/Alternative Payment Models (APM)
Medicare program: APM bonus extension
Medicare program: Medicare Shared Savings Program
Medicare program: Coding
Medicare program: Medicare Advantage/payments/prior authorization/AI
Medicare program: Regulatory Relief
Medicare program: Late Enrollment Penalties/improve awareness
Medicare program: Electronic Health Record (EHR) certification improvements
Medicare program: Quality Payment Program/physician burden reduction
Medicare program: Health IT/physician burden reduction
Medicare program: Relative Value Scale Update Committee (RUC)
Medicare program: Data privacy and security standards
Medicare and Medicaid programs: AI/Digital Health/value-based payment models
Medicare and Medicaid programs: Private practice physician issues
Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act/broad reform
Medicare and Medicaid programs: HIPAA/electronic health records
Medicaid program: Medicaid Reform
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), Medicare Payment Advisory Commission (MedPAC), 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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Christopher |
Sherin |
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Robert |
Redding |
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Andrew |
Wankum |
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Margaret |
Garikes |
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Jamal |
Bowleg |
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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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Koryn |
Rubin |
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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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Philip |
Lynch |
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Assistant Counsel, Office of Senate Legislative Counsel |
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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 TAX
16. Specific lobbying issues
H.R. 1, One Big Beautiful Bill Act, provisions related to specified service trades or businesses, pass-through entity tax, provider taxes, and state and local tax deductions
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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George |
Cox |
III |
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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
LBR |
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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) |