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Filing ID: 1975978

PDF: https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=1975978&amendid=0

Table: cvr3_verification_info

filing_id		1975978
amend_id		0
line_item		1
rec_type		CVR3
form_type		F461
tran_id		eichman03.1
entity_cd		OFF
sig_date		2015-07-16 00:00:00
sig_loc		None
sig_naml		J. Richard Eichman, Agent for Filer
sig_namf		None
sig_namt		None
sig_nams		None

Table: cvr_campaign_disclosure

filing_id		1975978
amend_id		0
rec_type		CVR
form_type		F461
filer_id		482119
entity_cd		MDI
filer_naml		Medical Insurance Exchange of California Including Aggregated Contributions
filer_namf		None
filer_namt		None
filer_nams		None
report_num		000
rpt_date		2015-07-16 00:00:00
stmt_type		None
late_rptno		None
from_date		2015-01-01 00:00:00
thru_date		2015-06-30 00:00:00
elect_date		None
filer_city		Oakland
filer_st		CA
filer_zip4		94618
filer_phon		510-428-9411
filer_fax		None
file_email		None
mail_city		None
mail_st		None
mail_zip4		None
tres_naml		King; J. Richard Eichman, Agent for Filer
tres_namf		James F.
tres_namt		None
tres_nams		None
tres_city		None
tres_st		None
tres_zip4		None
tres_phon		916-442-2280
tres_fax		None
tres_email		None
cmtte_type		None
control_yn		N
sponsor_yn		N
primfrm_yn		N
brdbase_yn		N
amendexp_1		None
amendexp_2		None
amendexp_3		None
rpt_att_cb		None
cmtte_id		None
reportname		None
rptfromdt		None
rptthrudt		None
emplbus_cb		None
bus_name		None
bus_city		None
bus_st		None
bus_zip4		None
bus_inter		None
busact_cb		X
busactvity		Malpractice Insurance
assoc_cb		None
assoc_int		None
other_cb		None
other_int		None
cand_naml		None
cand_namf		None
cand_namt		None
cand_nams		None
cand_city		None
cand_st		None
cand_zip4		None
cand_phon		None
cand_fax		None
cand_email		None
bal_name		None
bal_num		None
bal_juris		None
office_cd		None
offic_dscr		None
juris_cd		None
juris_dscr		None
dist_no		None
off_s_h_cd		None
sup_opp_cd		None
employer		None
occupation		None
selfemp_cb		None
bal_id		None
cand_id		None

Table: expn

filing_id		1975978		1975978		1975978		1975978		1975978		1975978		1975978
amend_id		0		0		0		0		0		0		0
line_item		1		2		3		4		5		6		7
rec_type		EXPN		EXPN		EXPN		EXPN		EXPN		EXPN		EXPN
form_type		F461P5		F461P5		F461P5		F461P5		F461P5		F461P5		F461P5
tran_id		EXP205		EXP206		EXP209		EXP208		EXP207		EXP204		EXP203
entity_cd		COM		COM		COM		COM		COM		COM		COM
payee_naml		Anderson for Assembly 2018		Calderon for Assembly 2016		California Association of Professional Liability Insurers PAC		Californians Allied for Patient Protection PAC		Cooley for Assembly 2016		de Leon for Lieutenant Governor 2018		Gallagher for Assembly 2016
payee_namf		None		Ian		None		None		Ken		Kevin		James
payee_namt		None		None		None		None		None		None		None
payee_nams		None		None		None		None		None		None		None
payee_city		Sacramento		Sacramento		Sacramento		Sacramento		Sacramento		Sacramento		Sacramento
payee_st		CA		CA		CA		CA		CA		CA		CA
payee_zip4		95814		95814		95814		95814		95814		95814		95814
expn_date		2015-05-11 00:00:00		2015-05-28 00:00:00		2015-02-11 00:00:00		2015-01-23 00:00:00		2015-06-24 00:00:00		2015-03-10 00:00:00		2015-03-09 00:00:00
amount		1000		1000		6800		7000		1000		1000		1000
cum_ytd		1000		1000		6800		7000		1000		1000		1000
cum_oth		None		None		None		None		None		None		None
expn_chkno		None		None		None		None		None		None		None
expn_code		MON		MON		MON		MON		MON		MON		MON
expn_dscr		None		None		None		None		None		None		None
agent_naml		None		None		None		None		None		None		None
agent_namf		None		None		None		None		None		None		None
agent_namt		None		None		None		None		None		None		None
agent_nams		None		None		None		None		None		None		None
cmte_id		1374227		1373953		891271		902780		1373652		1375100		1373726
tres_naml		None		None		None		None		None		None		None
tres_namf		None		None		None		None		None		None		None
tres_namt		None		None		None		None		None		None		None
tres_nams		None		None		None		None		None		None		None
tres_city		None		None		None		None		None		None		None
tres_st		None		None		None		None		None		None		None
tres_zip4		None		None		None		None		None		None		None
cand_naml		Joel Anderson		Ian Calderon		California Association of Professional Liability Insurers PAC		Californians Allied for Patient Protection PAC		Ken Cooley		Kevin de Leon		James Gallagher
cand_namf		None		None		None		None		None		None		None
cand_namt		None		None		None		None		None		None		None
cand_nams		None		None		None		None		None		None		None
office_cd		ASM		ASM		OTH		OTH		ASM		LTG		ASM
offic_dscr		None		None		General Purpose Committee		General Purpose Committee		None		None		None
juris_cd		ASM		ASM		None		None		ASM		STW		ASM
juris_dscr		None		None		None		None		None		None		None
dist_no		71		57		None		None		08		None		03
off_s_h_cd		None		None		None		None		None		None		None
bal_name		None		None		None		None		None		None		None
bal_num		None		None		None		None		None		None		None
bal_juris		None		None		None		None		None		None		None
sup_opp_cd		S		S		S		S		S		S		S
memo_code		None		None		None		None		None		None		None
memo_refno		None		None		None		None		None		None		None
bakref_tid		None		None		None		None		None		None		None
g_from_e_f		None		None		None		None		None		None		None
xref_schnm		None		None		None		None		None		None		None
xref_match		None		None		None		None		None		None		None

Table: filer_filings

filer_id		1009236
filing_id		1975978
period_id		221
form_id		F461
filing_sequence		0
filing_date		2015-07-22 00:00:00
stmnt_type		10001
stmnt_status		11001
session_id		2015
user_id		JINGRAM
special_audit		11003
fine_audit		11001
rpt_start		2015-01-01 00:00:00
rpt_end		2015-06-30 00:00:00
rpt_date		2015-07-16 00:00:00
filing_type		22001

Table: filings

filing_id		1975978
filing_type		22001

Table: hdr

filing_id		1975978
amend_id		0
rec_type		HDR
ef_type		CAL
state_cd		CA
cal_ver		2.01
soft_name		NETFILE
soft_ver		154
hdrcomment		None

Table: smry

filing_id		1975978		1975978		1975978		1975978		1975978
amend_id		0		0		0		0		0
line_item		1		2		3		4		5
rec_type		SMRY		SMRY		SMRY		SMRY		SMRY
form_type		F461		F461		F461		F461		F461
amount_a		18800		0		18800		0		18800
amount_b		None		None		None		None		None
amount_c		None		None		None		None		None
elec_dt		None		None		None		None		None