PDF: https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2112998&amendid=0
| filing_id | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | 2112998 | ||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| amend_id | 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 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | ||||||||||||||||||||||
| rec_type | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | ||||||||||||||||||||||
| form_type | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | ||||||||||||||||||||||
| tran_id | CVR200001 | CVR200002 | CVR200003 | CVR200004 | CVR200005 | CVR200006 | CVR200007 | CVR200008 | CVR200009 | CVR200010 | CVR200011 | CVR200012 | CVR200013 | CVR200014 | CVR200015 | CVR200016 | CVR200017 | CVR200018 | CVR200019 | CVR200020 | CVR200021 | CVR200022 | ||||||||||||||||||||||
| entity_cd | EMP | FRM | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | ||||||||||||||||||||||
| entity_id | 1256664 | F00933 | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | ||||||||||||||||||||||
| enty_naml | HAGAR, RANDALL L. | NIELSEN, MERKSAMER, PARRINELLO, GROSS & LEONI LLP | None | Department of Managed Health Care | Department of Insurance | Department of Consumer Affairs | Office of the Govenor | Department of Healthcare Services | Department of Corrections and Rehabilitation | Department of Social Services | Board of Registered Nurses | Department of Public Health | Office of Statewide Health Planning and Development | Board of Behavioral Sciences | Medical Board of California | Board of Psychology | Physician Assistant Board | Department of State Hospitals | Department of Education | Health and Human Services Agency | Department of Finance | Consumer and State Services Agency | ||||||||||||||||||||||
| enty_namf | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | ||||||||||||||||||||||
| enty_namt | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | ||||||||||||||||||||||
| enty_nams | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None |
| filing_id | 2112998 | |
|---|---|---|
| amend_id | 0 | |
| rec_type | CVR | |
| form_type | F603 | |
| sender_id | E24643 | |
| filer_id | E24643 | |
| entity_cd | LEM | |
| filer_naml | CALIFORNIA PSYCHIATRIC ASSOCIATION | |
| filer_namf | None | |
| filer_namt | None | |
| filer_nams | None | |
| report_num | 000 | |
| rpt_date | 2016-12-21 00:00:00 | |
| ls_beg_yr | 2017 | |
| ls_end_yr | 2018 | |
| qual_date | None | |
| eff_date | None | |
| bus_city | Sacramento | |
| bus_st | CA | |
| bus_zip4 | 95814 | |
| bus_phon | (916) 442-5196 | |
| bus_fax | 916-442-6515 | |
| bus_email | [email protected] | |
| mail_city | None | |
| mail_st | None | |
| mail_zip4 | None | |
| mail_phon | None | |
| sig_date | 2016-12-21 00:00:00 | |
| sig_loc | Sacramento CA | |
| sig_naml | Schmall | |
| sig_namf | Lila | |
| sig_namt | Ms. | |
| sig_nams | None | |
| prn_naml | Schmall | |
| prn_namf | Lila | |
| prn_namt | Ms. | |
| prn_nams | None | |
| sig_title | Executive Director | |
| stmt_firm | None | |
| ind_cb | None | |
| bus_cb | None | |
| trade_cb | X | |
| oth_cb | None | |
| a_b_name | None | |
| a_b_city | None | |
| a_b_st | None | |
| a_b_zip4 | None | |
| descrip_1 | Physicians who have completed residency in psychiatry | |
| descrip_2 | Physicians specializing in psychiatry | |
| c_less50 | None | |
| c_more50 | X | |
| ind_class | HEA | |
| ind_descr | None | |
| bus_class | None | |
| bus_descr | None | |
| auth_name | None | |
| auth_city | None | |
| auth_st | None | |
| auth_zip4 | None | |
| lobby_int | Medical care in particular the care of the mentally ill, the profession of psychiatry. | |
| influen_yn | Y | |
| firm_name | None | |
| newcert_cb | None | |
| rencert_cb | None | |
| complet_dt | None | |
| lby_reg_cb | None | |
| lby_604_cb | None | |
| st_leg_yn | None | |
| st_agency | None | |
| lobby_cb | None | |
| l_firm_cb | None |
| filer_id | 1147099 | |
|---|---|---|
| filing_id | 2112998 | |
| period_id | 228 | |
| form_id | F603 | |
| filing_sequence | 0 | |
| filing_date | 2016-12-21 00:00:00 | |
| stmnt_type | 10001 | |
| stmnt_status | 11001 | |
| session_id | 2017 | |
| user_id | PBANFORD | |
| special_audit | 11003 | |
| fine_audit | 11001 | |
| rpt_start | 2016-12-21 00:00:00 | |
| rpt_end | 2016-12-21 00:00:00 | |
| rpt_date | None | |
| filing_type | 22001 |
| filing_id | 2112998 | |
|---|---|---|
| filing_type | 22001 |
| filing_id | 2112998 | |
|---|---|---|
| amend_id | 0 | |
| rec_type | HDR | |
| ef_type | CAL | |
| state_cd | CA | |
| cal_ver | 2.01 | |
| soft_name | RUNFOROFFICE | |
| soft_ver | 2.13 | |
| hdrcomment | None |