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Filing ID: 1918625

PDF: https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=1918625&amendid=1

Table: cvr_registration
filing_id   1918625   1918625
amend_id   0   1
rec_type   CVR   CVR
form_type   F601   F601
sender_id   1372682   1372682
filer_id   1372682   1372682
entity_cd   FRM   FRM
filer_naml   KIM; DOUG   KIM; DOUG
filer_namf   None   None
filer_namt   None   None
filer_nams   None   None
report_num   000   001
rpt_date   2014-12-16 00:00:00   2015-12-02 00:00:00
ls_beg_yr   2015   2015
ls_end_yr   2016   2016
qual_date   2014-10-01 00:00:00   2014-10-01 00:00:00
eff_date   None   None
bus_city   ELK GROVE   ELK GROVE
bus_st   CA   CA
bus_zip4   95758   95758
bus_phon   9165482207   9165482207
bus_fax   None   None
bus_email   [email protected]   [email protected]
mail_city   None   None
mail_st   None   None
mail_zip4   None   None
mail_phon   None   None
sig_date   2014-12-16 00:00:00   2015-12-01 00:00:00
sig_loc   None   Sacramento, CA
sig_naml   Kim   Kim
sig_namf   Doug   Doug
sig_namt   None   None
sig_nams   None   None
prn_naml   Kim   Kim
prn_namf   Doug   Doug
prn_namt   None   None
prn_nams   None   None
sig_title   Principal   Principal
stmt_firm   Doug Kim   Doug Kim
ind_cb   None   None
bus_cb   None   None
trade_cb   None   None
oth_cb   None   None
a_b_name   None   None
a_b_city   None   None
a_b_st   None   None
a_b_zip4   None   None
descrip_1   None   None
descrip_2   None   None
c_less50   None   None
c_more50   None   None
ind_class   None   None
ind_descr   None   None
bus_class   None   None
bus_descr   None   None
auth_name   None   None
auth_city   None   None
auth_st   None   None
auth_zip4   None   None
lobby_int   None   None
influen_yn   None   None
firm_name   None   None
newcert_cb   None   None
rencert_cb   None   None
complet_dt   None   None
lby_reg_cb   None   None
lby_604_cb   None   None
st_leg_yn   None   None
st_agency   None   None
lobby_cb   None   None
l_firm_cb   None   None
Table: filer_filings
filer_id   1372682   1372682
filing_id   1918625   1918625
period_id   220   224
form_id   F601   F601
filing_sequence   0   1
filing_date   2014-12-16 00:00:00   2015-12-02 00:00:00
stmnt_type   10001   10002
stmnt_status   11001   11001
session_id   2015   2015
user_id   PBANFORD   YRODRIGU
special_audit   11003   11003
fine_audit   11001   11001
rpt_start   2014-12-16 00:00:00   2015-12-02 00:00:00
rpt_end   2014-12-16 00:00:00   2015-12-02 00:00:00
rpt_date   None   None
filing_type   22006   22006
Table: filings
filing_id   1918625
filing_type   22001
Table: hdr
filing_id   1918625   1918625
amend_id   0   1
rec_type   HDR   HDR
ef_type   CAL   CAL
state_cd   CA   CA
cal_ver   2.01   2.01
soft_name   CAL-ACCESS OBJECT MODEL   CAL-ACCESS OBJECT MODEL
soft_ver   1.00   1.00
hdrcomment   None   None
Table: lemp
filing_id   1918625
amend_id   0
line_item   1
rec_type   LEMP
form_type   F601P2A
client_id   None
cli_naml   CA Primary Care Assn
cli_namf   None
cli_namt   None
cli_nams   None
cli_city   Sacramento
cli_st   CA
cli_zip4   95814
cli_phon   (916) 440-8170
eff_date   2014-10-01 00:00:00
con_period   6 months
agencylist   Dept. of Health Care Services
descrip   Legislation relating to Medi-Cal services
subfirm_id   None
sub_name   None
sub_city   None
sub_st   None
sub_zip4   None
sub_phon   None
Table: lobby_amendments
filing_id   1918625
amend_id   1
rec_type   F605
form_type   F601
exec_date   2015-12-01 00:00:00
from_date   2015-01-01 00:00:00
thru_date   2016-12-31 00:00:00
add_l_cb   None
add_l_eff   None
a_l_naml   None
a_l_namf   None
a_l_namt   None
a_l_nams   None
del_l_cb   None
del_l_eff   None
d_l_naml   None
d_l_namf   None
d_l_namt   None
d_l_nams   None
add_le_cb   None
add_le_eff   None
a_le_naml   None
a_le_namf   None
a_le_namt   None
a_le_nams   None
del_le_cb   X
del_le_eff   2015-11-30 00:00:00
d_le_naml   CA Primary Care Assn
d_le_namf   None
d_le_namt   None
d_le_nams   None
add_lf_cb   None
add_lf_eff   None
a_lf_name   None
del_lf_cb   None
del_lf_eff   None
d_lf_name   None
other_cb   None
other_eff   None
other_desc   None
f606_yes   None
f606_no   None
Table: received_filings
filer_id   1372682   1372682
filing_file_name   1918625_1.cal   1918625_0.cal
received_date   2015-12-02 00:00:00   2014-12-16 00:00:00
filing_directory   /cafiler/disclose/ca99/cal   /cafiler/disclose/ca99/cal
filing_id   1918625   1918625
form_id   F601   F601
receive_comment   Filing accepted   Filing accepted