PDF: https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=1980084&amendid=0
| filing_id | 1980084 | |
|---|---|---|
| amend_id | 0 | |
| line_item | 1 | |
| rec_type | CVR3 | |
| form_type | F461 | |
| tran_id | VER_1.1 | |
| entity_cd | OFF | |
| sig_date | 2015-07-28 00:00:00 | |
| sig_loc | None | |
| sig_naml | J. Richard Eichman 345100LAS | |
| sig_namf | None | |
| sig_namt | None | |
| sig_nams | None |
| filing_id | 1980084 | |
|---|---|---|
| amend_id | 0 | |
| rec_type | CVR | |
| form_type | F461 | |
| filer_id | 486123 | |
| entity_cd | MDI | |
| filer_naml | Blue Shield of California | |
| filer_namf | None | |
| filer_namt | None | |
| filer_nams | None | |
| report_num | 000 | |
| rpt_date | 2015-07-28 00:00:00 | |
| stmt_type | None | |
| late_rptno | None | |
| from_date | 2015-04-01 00:00:00 | |
| thru_date | 2015-06-30 00:00:00 | |
| elect_date | None | |
| filer_city | Sacramento | |
| filer_st | CA | |
| filer_zip4 | 95814 | |
| filer_phon | 916-552-2960 | |
| filer_fax | None | |
| file_email | None | |
| mail_city | None | |
| mail_st | None | |
| mail_zip4 | None | |
| tres_naml | Eichman, Agent for Filer | |
| tres_namf | Tom Epstein; J. Richard | |
| tres_namt | None | |
| tres_nams | None | |
| tres_city | None | |
| tres_st | None | |
| tres_zip4 | None | |
| tres_phon | 916-552-2960 | |
| 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 | Health | |
| 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 |
| filing_id | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| amend_id | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||||||||||||||||||||
| line_item | 1 | 2 | 3 | 25 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | |||||||||||||||||||||||||
| rec_type | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | EXPN | |||||||||||||||||||||||||
| form_type | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | F461P5 | |||||||||||||||||||||||||
| tran_id | EXP1656 | EXP1647 | EXP1648 | EXP1643 | EXP1670 | EXP1666 | EXP1653 | EXP1652 | EXP1646 | EXP1649 | EXP1650 | EXP1644 | EXP1645 | EXP1661 | EXP1669 | EXP1664 | EXP1654 | EXP1651 | EXP1663 | EXP1658 | EXP1665 | EXP1655 | EXP1662 | EXP1660 | EXP1667 | |||||||||||||||||||||||||
| entity_cd | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | COM | |||||||||||||||||||||||||
| payee_naml | Bocanegra for Assembly 2016 | Bonta for Assembly 2016 | Bonta for Assembly 2016 | Ting for Assembly 2016 | Bonta for Assembly 2016 | Chang for Senate 2016 | Cooley for Assembly 2016 | Daly for Assembly 2016 | Democratic State Central Committee of California | Disability PAC; Sponsored by Association of California Life & Health Insurance Companies | Disability PAC; Sponsored by Association of California Life & Health Insurance Companies | Gatto for Senate 2016 | Gatto for Senate 2016 | Gomez for Assembly 2016 | Gonzalez for Assembly 2016 | Hall for Senate 2014 | Maienschein for Assembly 2016 | Mitchell for Senate 2018 | Nielsen - Senate 2018 | Patterson for Assembly 2016 | Roth for Senate 2016 | Salas for Assembly 2016 | Santiago for Assembly 2016 | Steinorth for Assembly 2016 | Thurmond for Assembly 2016 | |||||||||||||||||||||||||
| payee_namf | Raul | None | None | Phil | None | None | None | None | None | None | None | Mike | Mike | None | Lorena | None | None | Holly | Taxpayers for Jim | None | Major General Richard | None | Miguel | Marc | Tony | |||||||||||||||||||||||||
| payee_namt | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| payee_nams | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| payee_city | Sacramento | Sacramento | Sacramento | Sacramento | Sacramento | Santa Ana | Sacramento | Sacramento | Sacramento | Sacramento | Sacramento | Sacramento | Sacramento | Long Beach | Sacramento | Sacramento | Sacramento | Sacramento | Sacramento | Fresno | Sacramento | Sacramento | Sacramento | Sacramento | Sacramento | |||||||||||||||||||||||||
| payee_st | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | |||||||||||||||||||||||||
| payee_zip4 | 95814 | 95814 | 95814 | 95814 | 95814 | 92705 | 95814 | 95814 | 95811 | 95814 | 95814 | 95814 | 95814 | 90807 | 95814 | 95814 | 95814 | 95814 | 95814 | 93721 | 95814 | 95814 | 95814 | 95814 | 95814 | |||||||||||||||||||||||||
| expn_date | 2015-05-22 00:00:00 | 2015-05-01 00:00:00 | 2015-05-01 00:00:00 | 2015-04-17 00:00:00 | 2015-06-30 00:00:00 | 2015-06-30 00:00:00 | 2015-05-15 00:00:00 | 2015-05-15 00:00:00 | 2015-05-07 00:00:00 | 2015-05-12 00:00:00 | 2015-05-12 00:00:00 | 2015-04-17 00:00:00 | 2015-04-17 00:00:00 | 2015-06-17 00:00:00 | 2015-04-03 00:00:00 | 2015-06-25 00:00:00 | 2015-05-15 00:00:00 | 2015-05-13 00:00:00 | 2015-06-25 00:00:00 | 2015-06-15 00:00:00 | 2015-06-25 00:00:00 | 2015-05-22 00:00:00 | 2015-06-17 00:00:00 | 2015-06-17 00:00:00 | 2015-06-30 00:00:00 | |||||||||||||||||||||||||
| amount | 4200 | 4200 | 4200 | 1200 | -4938 | 1500 | 1500 | 1500 | 15000 | 7000 | 1000 | 4200 | 4200 | 1500 | 2000 | 1500 | 3000 | 1000 | 1500 | 1500 | 1500 | 1500 | 4200 | 2000 | 1500 | |||||||||||||||||||||||||
| cum_ytd | 4200 | 3462 | 3462 | 4200 | 3462 | 1500 | 1500 | 1500 | 15000 | 8000 | 8000 | 8400 | 8400 | 1500 | 2000 | 1500 | 3000 | 2500 | 1500 | 1500 | 1500 | 1500 | 4200 | 2000 | 3000 | |||||||||||||||||||||||||
| cum_oth | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| expn_chkno | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| expn_code | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | MON | |||||||||||||||||||||||||
| expn_dscr | None | None | None | None | Refund of Contribution | None | None | None | None | None | Restricted Use Account | None | None | None | None | Debt Reduction | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| agent_naml | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| agent_namf | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| agent_namt | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| agent_nams | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| cmte_id | 1373982 | 1373426 | 1373426 | 1373572 | 1373426 | 1377614 | 1373652 | 1373559 | 741666 | 1252379 | 1252379 | 1373673 | 1373673 | 1373601 | 1373566 | 1371609 | 1374225 | 1373775 | 1373597 | 1374569 | 1353520 | 1373708 | 1373492 | 1373710 | 1373771 | |||||||||||||||||||||||||
| tres_naml | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| tres_namf | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| tres_namt | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| tres_nams | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| tres_city | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| tres_st | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| tres_zip4 | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| cand_naml | Raul Bocanegra | Rob Bonta | Rob Bonta | Phil Ting | Rob Bonta | Ling-Ling Chang | Ken Cooley | Tom Daly | California Democratic Party | Disability PAC; Sponsored by Association of California Life & Health Insurance Companies | Disability PAC; Sponsored by Association of California Life & Health Insurance Companies | Mike Gatto | Mike Gatto | Jimmy Gomez | Lorena Gonzalez | Isadore Hall | Brian Maienschein | Holly Mitchell | Jim Nielsen | Jim Patterson | Richard Roth | Rudy Salas | Miguel Santiago | Marc Steinorth | Tony Thurmond | |||||||||||||||||||||||||
| cand_namf | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| cand_namt | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| cand_nams | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| office_cd | ASM | ASM | ASM | ASM | ASM | SEN | ASM | ASM | None | None | None | SEN | SEN | ASM | ASM | SEN | ASM | SEN | SEN | ASM | SEN | ASM | ASM | ASM | ASM | |||||||||||||||||||||||||
| offic_dscr | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| juris_cd | ASM | ASM | ASM | ASM | ASM | SEN | ASM | ASM | None | None | None | SEN | SEN | ASM | ASM | SEN | ASM | SEN | SEN | ASM | SEN | ASM | ASM | ASM | ASM | |||||||||||||||||||||||||
| juris_dscr | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| dist_no | 39 | 18 | 18 | 19 | 18 | 29 | 8 | 69 | None | None | None | 25 | 25 | 51 | 80 | 35 | 77 | 30 | 4 | 23 | 31 | 32 | 53 | 40 | 15 | |||||||||||||||||||||||||
| off_s_h_cd | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| bal_name | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| bal_num | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| bal_juris | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| sup_opp_cd | S | S | S | S | S | S | S | S | S | S | S | S | S | S | S | S | S | S | S | S | S | S | S | S | S | |||||||||||||||||||||||||
| memo_code | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| memo_refno | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| bakref_tid | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| g_from_e_f | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| xref_schnm | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||||||||||||
| xref_match | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None |
| filer_id | 1010653 | |
|---|---|---|
| filing_id | 1980084 | |
| period_id | 222 | |
| form_id | F461 | |
| filing_sequence | 0 | |
| filing_date | 2015-07-30 00:00:00 | |
| stmnt_type | 10001 | |
| stmnt_status | 11001 | |
| session_id | 2015 | |
| user_id | JINGRAM | |
| special_audit | 11003 | |
| fine_audit | 11001 | |
| rpt_start | 2015-04-01 00:00:00 | |
| rpt_end | 2015-06-30 00:00:00 | |
| rpt_date | 2015-07-28 00:00:00 | |
| filing_type | 22001 |
| filing_id | 1980084 | |
|---|---|---|
| filing_type | 22001 |
| filing_id | 1980084 | |
|---|---|---|
| amend_id | 0 | |
| rec_type | HDR | |
| ef_type | CAL | |
| state_cd | CA | |
| cal_ver | 2.01 | |
| soft_name | NETFILE | |
| soft_ver | 154 | |
| hdrcomment | None |
| filing_id | 1980084 | 1980084 | 1980084 | 1980084 | 1980084 | |||||
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 67462 | 0 | 67462 | 61800 | 129262 | |||||
| amount_b | None | None | None | None | None | |||||
| amount_c | None | None | None | None | None | |||||
| elec_dt | None | None | None | None | None |