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Filing ID: 1918419

PDF: https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=1918419&amendid=5

Table: cvr2_registration
filing_id   1918419   1918419   1918419   1918419   1918419   1918419
amend_id   0   2   1   4   3   5
line_item   1   1   1   1   1   1
rec_type   CVR2   CVR2   CVR2   CVR2   CVR2   CVR2
form_type   F601   F601   F601   F601   F601   F601
tran_id   1   1   1   1   1   1
entity_cd   None   None   None   None   None   None
entity_id   F24573   F24573   F24573   F24573   F24573   F24573
enty_naml   Bourne   Bourne   Bourne   Bourne   Bourne   Bourne
enty_namf   Lydia C.   Lydia C.   Lydia C.   Lydia C.   Lydia C.   Lydia C.
enty_namt   None   None   None   None   None   None
enty_nams   None   None   None   None   None   None
Table: cvr_registration
filing_id   1918419   1918419   1918419   1918419   1918419   1918419
amend_id   0   2   1   3   4   5
rec_type   CVR   CVR   CVR   CVR   CVR   CVR
form_type   F601   F601   F601   F601   F601   F601
sender_id   F24573   F24573   F24573   F24573   F24573   F24573
filer_id   F24573   F24573   F24573   F24573   F24573   F24573
entity_cd   FRM   FRM   FRM   FRM   FRM   FRM
filer_naml   BOURNE & ASSOCIATES   BOURNE & ASSOCIATES   BOURNE & ASSOCIATES   BOURNE & ASSOCIATES   BOURNE & ASSOCIATES   BOURNE & ASSOCIATES
filer_namf   None   None   None   None   None   None
filer_namt   None   None   None   None   None   None
filer_nams   None   None   None   None   None   None
report_num   000   002   001   003   004   005
rpt_date   2014-12-15 00:00:00   2015-05-19 00:00:00   2015-04-18 00:00:00   2015-10-27 00:00:00   2016-03-04 00:00:00   2016-10-15 00:00:00
ls_beg_yr   2015   2015   2015   2015   2015   2015
ls_end_yr   2016   2016   2016   2016   2016   2016
qual_date   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00
eff_date   None   None   None   None   None   None
bus_city   EL MACERO   EL MACERO   EL MACERO   EL MACERO   EL MACERO   EL MACERO
bus_st   CA   CA   CA   CA   CA   CA
bus_zip4   95618   95618   95618   95618   95618   95618
bus_phon   5307584158   5307584158   5307584158   5307584158   5307584158   5307584158
bus_fax   None   None   None   None   None   None
bus_email   [email protected]   [email protected]   [email protected]   [email protected]   [email protected]   [email protected]
mail_city   None   None   None   None   None   None
mail_st   None   None   None   None   None   None
mail_zip4   None   None   None   None   None   None
mail_phon   None   None   None   None   None   None
sig_date   2014-12-15 00:00:00   2015-05-19 00:00:00   2015-04-18 00:00:00   2015-10-27 00:00:00   2016-03-04 00:00:00   2016-10-15 00:00:00
sig_loc   None   El Macero, CA   EL MACERO   EL MACERO, CA   El Macero, CA   El Macero, CA
sig_naml   Bourne   Bourne   Bourne   BOURNE   Calvin   Ryan
sig_namf   Lydia C.   Lydia C.   Lydia   LYDIA C.   Kris   Kathy
sig_namt   None   None   None   None   None   None
sig_nams   None   None   None   None   None   None
prn_naml   Bourne   Bourne   Bourne   BOURNE   Calvin   Ryan
prn_namf   Lydia C.   Lydia C.   Lydia   LYDIA C.   Kris   Kathy
prn_namt   None   None   None   None   None   None
prn_nams   None   None   None   None   None   None
sig_title   Principal   Principal   Principal   PRINCIPAL   CEO   President
stmt_firm   Bourne & Associates   Bourne & Associates   Bourne & Associates   Bourne & Associates   Bourne & Associates   Bourne & Associates
ind_cb   None   None   None   None   None   None
bus_cb   None   None   None   None   None   None
trade_cb   None   None   None   None   None   None
oth_cb   None   None   None   None   None   None
a_b_name   None   None   None   None   None   None
a_b_city   None   None   None   None   None   None
a_b_st   None   None   None   None   None   None
a_b_zip4   None   None   None   None   None   None
descrip_1   None   None   None   None   None   None
descrip_2   None   None   None   None   None   None
c_less50   None   None   None   None   None   None
c_more50   None   None   None   None   None   None
ind_class   None   None   None   None   None   None
ind_descr   None   None   None   None   None   None
bus_class   None   None   None   None   None   None
bus_descr   None   None   None   None   None   None
auth_name   None   None   None   None   None   None
auth_city   None   None   None   None   None   None
auth_st   None   None   None   None   None   None
auth_zip4   None   None   None   None   None   None
lobby_int   None   None   None   None   None   None
influen_yn   None   None   None   None   None   None
firm_name   None   None   None   None   None   None
newcert_cb   None   None   None   None   None   None
rencert_cb   None   None   None   None   None   None
complet_dt   None   None   None   None   None   None
lby_reg_cb   None   None   None   None   None   None
lby_604_cb   None   None   None   None   None   None
st_leg_yn   None   None   None   None   None   None
st_agency   None   None   None   None   None   None
lobby_cb   None   None   None   None   None   None
l_firm_cb   None   None   None   None   None   None
Table: filer_filings
filer_id   1147477   1147477   1147477   1147477   1147477   1147477
filing_id   1918419   1918419   1918419   1918419   1918419   1918419
period_id   222   222   220   224   225   228
form_id   F601   F601   F601   F601   F601   F601
filing_sequence   2   1   0   3   4   5
filing_date   2015-05-19 00:00:00   2015-04-18 00:00:00   2014-12-15 00:00:00   2015-10-27 00:00:00   2016-03-04 00:00:00   2016-10-15 00:00:00
stmnt_type   10002   10002   10001   10002   10002   10002
stmnt_status   11001   11001   11001   11001   11003   11003
session_id   2015   2015   2015   2015   2015   2015
user_id   YRODRIGU   YRODRIGU   SARRIAGA   YRODRIGU   CAFILER   CAFILER
special_audit   11003   11003   11003   11003   11003   11003
fine_audit   11001   11001   11003   11001   11003   11003
rpt_start   2015-05-19 00:00:00   2015-04-18 00:00:00   2014-12-15 00:00:00   2015-10-27 00:00:00   2016-03-04 00:00:00   2016-10-15 00:00:00
rpt_end   2015-05-19 00:00:00   2015-04-18 00:00:00   2014-12-15 00:00:00   2015-10-27 00:00:00   2016-03-04 00:00:00   2016-10-15 00:00:00
rpt_date   None   None   None   None   None   None
filing_type   22006   22006   22006   22006   22006   22006
Table: filings
filing_id   1918419
filing_type   22001
Table: hdr
filing_id   1918419   1918419   1918419   1918419   1918419   1918419
amend_id   0   1   2   3   4   5
rec_type   HDR   HDR   HDR   HDR   HDR   HDR
ef_type   CAL   CAL   CAL   CAL   CAL   CAL
state_cd   CA   CA   CA   CA   CA   CA
cal_ver   2.01   2.01   2.01   2.01   2.01   2.01
soft_name   CAL-ACCESS OBJECT MODEL   CAL-ACCESS OBJECT MODEL   CAL-ACCESS OBJECT MODEL   CAL-ACCESS OBJECT MODEL   CAL-ACCESS OBJECT MODEL   CAL-ACCESS OBJECT MODEL
soft_ver   1.00   1.00   1.00   1.00   1.00   1.00
hdrcomment   None   None   None   None   None   None
Table: lemp
filing_id   1918419   1918419   1918419   1918419   1918419   1918419   1918419   1918419   1918419   1918419   1918419   1918419   1918419   1918419   1918419   1918419   1918419   1918419   1918419
amend_id   2   2   2   1   1   1   1   0   0   0   4   4   4   3   3   3   5   5   5
line_item   1   2   3   1   2   3   4   1   2   3   1   2   3   1   2   3   1   2   3
rec_type   LEMP   LEMP   LEMP   LEMP   LEMP   LEMP   LEMP   LEMP   LEMP   LEMP   LEMP   LEMP   LEMP   LEMP   LEMP   LEMP   LEMP   LEMP   LEMP
form_type   F601P2A   F601P2A   F601P2A   F601P2A   F601P2A   F601P2A   F601P2A   F601P2A   F601P2A   F601P2A   F601P2A   F601P2A   F601P2A   F601P2A   F601P2A   F601P2A   F601P2A   F601P2A   F601P2A
client_id   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None
cli_naml   American Academy of Pediatrics - CA   Blood Centers of California   California School Nurses Organization   American Academy of Pediatrics - CA   Blood Centers of California   California School Nurses Organization   California Black Health Network   American Academy of Pediatrics - CA   Blood Centers of California   California School Nurses Organization   American Academy of Pediatrics - CA   Blood Centers of California   California School Nurses Organization   American Academy of Pediatrics - CA   Blood Centers of California   California School Nurses Organization   American Academy of Pediatrics - CA   Blood Centers of California   California School Nurses Organization
cli_namf   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None
cli_namt   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None
cli_nams   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None
cli_city   Pasadena   Sacramento   Sacramento   Pasadena   Sacramento   Sacramento   Sacramento   Pasadena   Sacramento   Sacramento   Pasadena   Sacramento   Sacramento   Pasadena   Sacramento   Sacramento   Pasadena   Sacramento   Sacramento
cli_st   CA   CA   CA   CA   CA   CA   CA   CA   CA   CA   CA   CA   CA   CA   CA   CA   CA   CA   CA
cli_zip4   91030   95814   95814   91030   95814   95814   95814   91030   95814   95814   91030   95814   95814   91030   95814   95814   91030   95814   95814
cli_phon   (626) 796-1632   (530) 758-4158   (530) 758-4158   (626) 796-1632   (530) 758-4158   (530) 758-4158   (916) 333-0613   (626) 796-1632   (530) 758-4158   (530) 758-4158   (626) 796-1632   (530) 758-4158   (530) 758-4158   (626) 796-1632   (530) 758-4158   (530) 758-4158   (626) 796-1632   (530) 758-4158   (530) 758-4158
eff_date   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-04-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00
con_period   ongoing   ongoing   ongoing   ongoing   ongoing   ongoing   ongoing   ongoing   ongoing   ongoing   ongoing   ongoing   ongoing   ongoing   ongoing   ongoing   ongoing   ongoing   ongoing
agencylist   All state agencies, all constitutional/executive officers/staff, Legislators and staff, Governor and staff   All state agencies, all Executive/Constitutional officers/staff, Legislators and staff, Governor and staff   All state agencies, all Executive/Constitutional officers/staff, Legislators and staff, Governor and staff   All state agencies, all constitutional/executive officers/staff, Legislators and staff, Governor and staff   All state agencies, all Executive/Constitutional officers/staff, Legislators and staff, Governor and staff   All state agencies, all Executive/Constitutional officers/staff, Legislators and staff, Governor and staff   Legislature, Governor & Staff, all state agencies, all constitutional/executive offices   All state agencies, all constitutional/executive officers/staff, Legislators and staff, Governor and staff   All state agencies, all Executive/Constitutional officers/staff, Legislators and staff, Governor and staff   All state agencies, all Executive/Constitutional officers/staff, Legislators and staff, Governor and staff   All state agencies, all constitutional/executive officers/staff, Legislators and staff, Governor and staff   All state agencies, all Executive/Constitutional officers/staff, Legislators and staff, Governor and staff   All state agencies, all Executive/Constitutional officers/staff, Legislators and staff, Governor and staff   All state agencies, all constitutional/executive officers/staff, Legislators and staff, Governor and staff   All state agencies, all Executive/Constitutional officers/staff, Legislators and staff, Governor and staff   All state agencies, all Executive/Constitutional officers/staff, Legislators and staff, Governor and staff   All state agencies, all constitutional/executive officers/staff, Legislators and staff, Governor and staff   All state agencies, all Executive/Constitutional officers/staff, Legislators and staff, Governor and staff   All state agencies, all Executive/Constitutional officers/staff, Legislators and staff, Governor and staff
descrip   All issues related to health and health promotion of all children living in SEE ATTACHMENT: I9E4BFF7   Issues affecting California's blood supply and other related public policy SEE ATTACHMENT: I14C02AE   All issues relating to school health issues and services in California's SEE ATTACHMENT: I2DB6083   All issues related to health and health promotion of all children living in SEE ATTACHMENT: I9E4BFF7   Issues affecting California's blood supply and other related public policy SEE ATTACHMENT: I14C02AE   All issues relating to school health issues and services in California's SEE ATTACHMENT: I2DB6083   all issues affecting Californians, particularly African Americans   All issues related to health and health promotion of all children living in SEE ATTACHMENT: I9E4BFF7   Issues affecting California's blood supply and other related public policy SEE ATTACHMENT: I14C02AE   All issues relating to school health issues and services in California's SEE ATTACHMENT: I2DB6083   All issues related to health and health promotion of all children living in SEE ATTACHMENT: I9E4BFF7   Issues affecting California's blood supply and other related public policy SEE ATTACHMENT: I14C02AE   All issues relating to school health issues and services in California's SEE ATTACHMENT: I2DB6083   All issues related to health and health promotion of all children living in SEE ATTACHMENT: I9E4BFF7   Issues affecting California's blood supply and other related public policy SEE ATTACHMENT: I14C02AE   All issues relating to school health issues and services in California's SEE ATTACHMENT: I2DB6083   All issues related to health and health promotion of all children living in SEE ATTACHMENT: I9E4BFF7   Issues affecting California's blood supply and other related public policy SEE ATTACHMENT: I14C02AE   All issues relating to school health issues and services in California's SEE ATTACHMENT: I2DB6083
subfirm_id   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None
sub_name   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None
sub_city   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None
sub_st   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None
sub_zip4   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None
sub_phon   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None   None
Table: lobby_amendments
filing_id   1918419   1918419   1918419   1918419   1918419
amend_id   5   4   3   2   1
rec_type   F605   F605   F605   F605   F605
form_type   F601   F601   F601   F601   F601
exec_date   2016-10-15 00:00:00   2016-03-04 00:00:00   2015-10-27 00:00:00   2015-05-19 00:00:00   2015-04-18 00:00:00
from_date   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00   2015-01-01 00:00:00
thru_date   2016-12-31 00:00:00   2016-12-31 00:00:00   2016-12-31 00:00:00   2016-12-31 00:00:00   2016-12-31 00:00:00
add_l_cb   None   None   None   None   None
add_l_eff   None   None   None   None   None
a_l_naml   None   None   None   None   None
a_l_namf   None   None   None   None   None
a_l_namt   None   None   None   None   None
a_l_nams   None   None   None   None   None
del_l_cb   None   None   None   None   None
del_l_eff   None   None   None   None   None
d_l_naml   None   None   None   None   None
d_l_namf   None   None   None   None   None
d_l_namt   None   None   None   None   None
d_l_nams   None   None   None   None   None
add_le_cb   None   None   None   None   X
add_le_eff   None   None   None   None   2015-04-01 00:00:00
a_le_naml   None   None   None   None   California Black Health Network
a_le_namf   None   None   None   None   None
a_le_namt   None   None   None   None   None
a_le_nams   None   None   None   None   None
del_le_cb   None   None   None   X   None
del_le_eff   None   None   None   2015-05-15 00:00:00   None
d_le_naml   None   None   None   California Black Health Network   None
d_le_namf   None   None   None   None   None
d_le_namt   None   None   None   None   None
d_le_nams   None   None   None   None   None
add_lf_cb   None   None   None   None   None
add_lf_eff   None   None   None   None   None
a_lf_name   None   None   None   None   None
del_lf_cb   None   None   None   None   None
del_lf_eff   None   None   None   None   None
d_lf_name   None   None   None   None   None
other_cb   X   X   X   None   None
other_eff   2016-10-15 00:00:00   2016-02-27 00:00:00   2015-10-26 00:00:00   None   None
other_desc   Address Ca School Nurse Org 3511 Del Paso Rd #160 PMB 230 Sacramento, CA 95835   Address change for American Academy of Pediatrics - CA 921 11th Street, #1100, Sacramento, CA 95814   ADD. CHANGE AAP-CA 1400 K ST, SUITE 212 SACRAMENTO, CA 95814   None   None
f606_yes   None   None   None   None   None
f606_no   None   None   None   None   None
Table: received_filings
filer_id   1147477   1147477   1147477   1147477   1147477   1147477
filing_file_name   1918419_2.cal   1918419_3.cal   1918419_4.cal   1918419_5.cal   1918419_0.cal   1918419_1.cal
received_date   2015-05-19 00:00:00   2015-10-27 00:00:00   2016-03-04 00:00:00   2016-10-15 00:00:00   2014-12-15 00:00:00   2015-04-18 00:00:00
filing_directory   /cafiler/disclose/ca99/cal   /cafiler/disclose/ca99/cal   /cafiler/disclose/ca99/cal   /cafiler/disclose/ca99/cal   /cafiler/disclose/ca99/cal   /cafiler/disclose/ca99/cal
filing_id   1918419   1918419   1918419   1918419   1918419   1918419
form_id   F601   F601   F601   F601   F601   F601
receive_comment   Filing accepted   Filing accepted   Filing accepted   Filing accepted   Filing accepted   Filing accepted