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Filing ID: 2094910

PDF: https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2094910&amendid=2

Table: cvr2_lobby_disclosure

amend_id		0		2		1
entity_cd		OWN		OWN		OWN
entity_id		1387513		1387513		1387513
enty_namf		Jerry		Jerry		Jerry
enty_naml		Jeffe		Jeffe		Jeffe
enty_nams		None		None		None
enty_namt		None		None		None
enty_title		Public Policy Consultant		Public Policy Consultant		Public Policy Consultant
filing_id		2094910		2094910		2094910
form_type		F625		F625		F625
line_item		1		1		1
rec_type		CVR2		CVR2		CVR2
tran_id		1		1		1

Table: cvr_lobby_disclosure

filing_id		2094910		2094910		2094910
amend_id		0		2		1
rec_type		CVR		CVR		CVR
form_type		F625		F625		F625
sender_id		1387513		1387513		1387513
filer_id		1387513		1387513		1387513
entity_cd		FRM		FRM		FRM
filer_naml		JEFFE, JERRY		JEFFE, JERRY		JEFFE, JERRY
filer_namf		None		None		None
filer_namt		None		None		None
filer_nams		None		None		None
report_num		000		002		001
rpt_date		2016-10-25 00:00:00		2017-05-16 00:00:00		2017-04-07 00:00:00
from_date		2016-07-15 00:00:00		2016-07-15 00:00:00		2016-07-15 00:00:00
thru_date		2016-09-30 00:00:00		2016-09-30 00:00:00		2016-09-30 00:00:00
cum_beg_dt		2016-07-15 00:00:00		2016-07-15 00:00:00		2016-07-15 00:00:00
firm_id		1387513		1387513		1387513
firm_name		None		None		None
firm_city		ELK GROVE		ELK GROVE		ELK GROVE
firm_st		CA		CA		CA
firm_zip4		95758		95758		95758
firm_phon		9165027734		9165027734		9165027734
mail_city		None		None		None
mail_st		None		None		None
mail_zip4		None		None		None
mail_phon		None		None		None
sig_date		2016-10-25 00:00:00		2017-05-16 00:00:00		2017-04-07 00:00:00
sig_loc		Elk Grove, CA		Sacramento		Sacramento, CA
sig_naml		Jeffe		Jeffe		Jeffe
sig_namf		Jerry		Jerry		Jerry
sig_namt		None		None		None
sig_nams		None		None		None
prn_naml		Jeffe		Jeffe		Jeffe
prn_namf		Jerry		Jerry		Jerry
prn_namt		None		None		None
prn_nams		None		None		None
sig_title		Public Policy Consultant		Owner		Principal
nopart1_cb		None		None		None
nopart2_cb		None		None		None
part1_1_cb		X		X		X
part1_2_cb		None		None		None
ctrib_n_cb		X		X		X
ctrib_y_cb		X		X		X
lby_actvty		None		None		None
lobby_n_cb		X		X		X
lobby_y_cb		None		None		None
major_naml		None		None		None
major_namf		None		None		None
major_namt		None		None		None
major_nams		None		None		None
rcpcmte_nm		None		None		None
rcpcmte_id		None		None		None

Table: f690p2

filing_id		2094910		2094910
amend_id		1		2
line_item		1		1
rec_type		F690		F690
form_type		F625		F625
exec_date		2016-10-31 00:00:00		2017-04-07 00:00:00
from_date		2016-07-15 00:00:00		2016-07-15 00:00:00
thru_date		2016-09-30 00:00:00		2016-09-30 00:00:00
chg_parts		First Section		II
chg_sects		Employer's Name, Address, City,Telephone		None
amend_txt1		Per Secretary of State letter dated February 21, 2017, I need to replace my name with the client's name and contact information. Changes: Delete Jerry Jeffe, P.O. Box 582351, Elk Grove, CA 95758, 916-502-7734. Replace with: California Chronic Care Coalition, 1225 8th Street, Suite 485, Sacramento, CA 95814, 916-444-1985		Incorrect Name.

Table: filer_filings

filer_id		1387513		1387513		1387513
filing_id		2094910		2094910		2094910
period_id		227		227		227
form_id		F625		F625		F625
filing_sequence		0		1		2
filing_date		2016-10-25 00:00:00		2017-04-07 00:00:00		2017-05-16 00:00:00
stmnt_type		10001		10002		10002
stmnt_status		11001		11001		11001
session_id		2015		2015		2015
user_id		AGLADNEY		AGLADNEY		AGLADNEY
special_audit		11003		11003		11003
fine_audit		11001		11001		11001
rpt_start		2016-07-15 00:00:00		2016-07-15 00:00:00		2016-07-15 00:00:00
rpt_end		2016-09-30 00:00:00		2016-09-30 00:00:00		2016-09-30 00:00:00
rpt_date		None		None		None
filing_type		22006		22006		22006

Table: filings

filing_id		2094910
filing_type		22001

Table: hdr

filing_id		2094910		2094910		2094910
amend_id		0		1		2
rec_type		HDR		HDR		HDR
ef_type		CAL		CAL		CAL
state_cd		CA		CA		CA
cal_ver		2.01		2.01		2.01
soft_name		CAL-ACCESS OBJECT MODEL		CAL-ACCESS OBJECT MODEL		CAL-ACCESS OBJECT MODEL
soft_ver		1.00		1.00		1.00
hdrcomment		None		None		None

Table: lpay

filing_id		2094910		2094910		2094910
amend_id		2		1		0
line_item		1		1		1
rec_type		LPAY		LPAY		LPAY
form_type		F625P2		F625P2		F625P2
tran_id		2		2		2
entity_cd		None		None		None
emplr_naml		California Chronic Care Coalition		Jerry Jeffe		Jerry Jeffe
emplr_namf		None		None		None
emplr_namt		None		None		None
emplr_nams		None		None		None
emplr_city		Sacramento		Elk Grove		Elk Grove
emplr_st		CA		CA		CA
emplr_zip4		95814		95758		95758
emplr_phon		9163008684		9165027734		9165027734
lby_actvty		Legislature: AB 1114, AB 1823, AB 1954, AB 2179, AB 2424, SB 586, SB 1010 Department of Managed Health Care: Regulations related to implementation on provider directories (SB 137)		Legislature: AB 1114, AB 1823, AB 1954, AB 2179, AB 2424, SB 586, SB 1010 Department of Managed Health Care: Regulations related to implementation on provider directories (SB 137)		Legislature: AB 1114, AB 1823, AB 1954, AB 2179, AB 2424, SB 586, SB 1010 Department of Managed Health Care: Regulations related to implementation on provider directories (SB 137)
fees_amt		3000		3000		3000
reimb_amt		0		0		0
advan_amt		0		0		0
advan_dscr		None		None		None
per_total		3000		3000		3000
cum_total		3000		3000		3000
memo_code		None		None		None
memo_refno		2		2		2
bakref_tid		None		None		None
emplr_id		None		None		None

Table: smry

filing_id		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910		2094910
amend_id		0		0		0		0		0		0		0		0		0		1		1		1		1		1		1		1		1		1		2		2		2		2		2		2		2		2		2
line_item		A		B		C		D		0		1		2		3		0		A		B		C		D		0		1		2		3		0		A		B		C		D		0		1		2		3		0
rec_type		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY
form_type		F625		F625		F625		F625		F625P2		F625P3A		F625P3A		F625P3A		F625P3B		F625		F625		F625		F625		F625P2		F625P3A		F625P3A		F625P3A		F625P3B		F625		F625		F625		F625		F625P2		F625P3A		F625P3A		F625P3A		F625P3B
amount_a		3000		0		0		0		3000		0		0		0		0		3000		0		0		0		3000		0		0		0		0		3000		0		0		0		3000		0		0		0		0
amount_b		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		None		None
amount_c		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		None		None
elec_dt		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		None		None