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Filing ID: 2128622
PDF: https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2128622&amendid=0
Table: cvr2_lobby_disclosure
| amend_id |
| 0 |
| 0 |
| entity_cd |
| EMP |
| EMP |
| entity_id |
| L00659 |
| 1264205 |
| enty_namf |
| CARLYLE R. |
| STEPHEN J. |
| enty_naml |
| BRAKENSIEK |
| CATTOLICA |
| enty_nams |
| None |
| None |
| enty_namt |
| None |
| None |
| enty_title |
| None |
| None |
| filing_id |
| 2128622 |
| 2128622 |
| form_type |
| F625 |
| F625 |
| line_item |
| 1 |
| 2 |
| rec_type |
| CVR2 |
| CVR2 |
| tran_id |
| 9418 |
| 9419 |
|
Table: cvr_lobby_disclosure
| filing_id |
| 2128622 |
| amend_id |
| 0 |
| rec_type |
| CVR |
| form_type |
| F625 |
| sender_id |
| F00696 |
| filer_id |
| F00696 |
| entity_cd |
| FRM |
| filer_naml |
| ADVOCAL |
| filer_namf |
| None |
| filer_namt |
| None |
| filer_nams |
| None |
| report_num |
| 000 |
| rpt_date |
| 2017-01-26 00:00:00 |
| from_date |
| 2016-10-01 00:00:00 |
| thru_date |
| 2016-12-31 00:00:00 |
| cum_beg_dt |
| 2015-01-01 00:00:00 |
| firm_id |
| F00696 |
| firm_name |
| ADVOCAL |
| firm_city |
| SACRAMENTO |
| firm_st |
| CA |
| firm_zip4 |
| 95811 |
| firm_phon |
| (916)446-6161 |
| mail_city |
| None |
| mail_st |
| None |
| mail_zip4 |
| None |
| mail_phon |
| None |
| sig_date |
| 2017-01-26 00:00:00 |
| sig_loc |
| SACRAMENTO, CA |
| sig_naml |
| BRAKENSIEK |
| sig_namf |
| CARLYLE R. |
| sig_namt |
| None |
| sig_nams |
| None |
| prn_naml |
| BRAKENSIEK |
| prn_namf |
| CARLYLE R. |
| prn_namt |
| None |
| prn_nams |
| None |
| sig_title |
| CHAIRMAN OF THE BOARD (445000 SLM) |
| nopart1_cb |
| None |
| nopart2_cb |
| None |
| part1_1_cb |
| X |
| part1_2_cb |
| None |
| ctrib_n_cb |
| X |
| ctrib_y_cb |
| None |
| lby_actvty |
| None |
| lobby_n_cb |
| X |
| lobby_y_cb |
| None |
| major_naml |
| None |
| major_namf |
| None |
| major_namt |
| None |
| major_nams |
| None |
| rcpcmte_nm |
| None |
| rcpcmte_id |
| None |
|
Table: filer_filings
| filer_id |
| 1147273 |
| filing_id |
| 2128622 |
| period_id |
| 228 |
| form_id |
| F625 |
| filing_sequence |
| 0 |
| filing_date |
| 2017-01-31 00:00:00 |
| stmnt_type |
| 10001 |
| stmnt_status |
| 11001 |
| session_id |
| 2015 |
| user_id |
| AGLADNEY |
| special_audit |
| 11003 |
| fine_audit |
| 11001 |
| rpt_start |
| 2016-10-01 00:00:00 |
| rpt_end |
| 2016-12-31 00:00:00 |
| rpt_date |
| None |
| filing_type |
| 22001 |
|
Table: filings
| filing_id |
| 2128622 |
| filing_type |
| 22001 |
|
Table: hdr
| filing_id |
| 2128622 |
| amend_id |
| 0 |
| rec_type |
| HDR |
| ef_type |
| CAL |
| state_cd |
| CA |
| cal_ver |
| 2.01 |
| soft_name |
| NETFILE |
| soft_ver |
| 1806 |
| hdrcomment |
| None |
|
Table: loth
| filing_id |
| 2128622 |
| amend_id |
| 0 |
| line_item |
| 1 |
| rec_type |
| LOTH |
| form_type |
| F625P3B |
| tran_id |
| 30987 |
| firm_name |
| HIESTAND, APC, FRED J. |
| firm_city |
| SACRAMENTO |
| firm_st |
| CA |
| firm_zip4 |
| 95817 |
| firm_phon |
| (916)448-5100 |
| subj_naml |
| CALIFORNIA SOCIETY OF INDUSTRIAL MEDICINE & SURGERY |
| subj_namf |
| None |
| subj_namt |
| None |
| subj_nams |
| None |
| pmt_date |
| None |
| amount |
| 0 |
| cum_amt |
| 0 |
| memo_code |
| None |
| memo_refno |
| None |
|
Table: lpay
| filing_id |
| 2128622 |
| 2128622 |
| 2128622 |
| 2128622 |
| 2128622 |
| 2128622 |
| 2128622 |
| 2128622 |
| 2128622 |
| 2128622 |
| amend_id |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| line_item |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 7 |
| 8 |
| 9 |
| 10 |
| rec_type |
| LPAY |
| LPAY |
| LPAY |
| LPAY |
| LPAY |
| LPAY |
| LPAY |
| LPAY |
| LPAY |
| LPAY |
| form_type |
| F625P2 |
| F625P2 |
| F625P2 |
| F625P2 |
| F625P2 |
| F625P2 |
| F625P2 |
| F625P2 |
| F625P2 |
| F625P2 |
| tran_id |
| 21476 |
| 9424 |
| 14082 |
| 9427 |
| 9426 |
| 24628 |
| 21477 |
| 26083 |
| 26550 |
| 9431 |
| entity_cd |
| LEM |
| LEM |
| LEM |
| LEM |
| LEM |
| LEM |
| LEM |
| LEM |
| LEM |
| None |
| emplr_naml |
| CALIFORNIA CHAPTER, INTERNATIONAL ASSOCIATION OF REHABILITATION PROFESSIONALS |
| CALIFORNIA COIN AND BULLION MERCHANTS ASSOCIATION, INC. |
| CALIFORNIA NEUROLOGY SOCIETY |
| CALIFORNIA SOCIETY OF INDUSTRIAL MEDICINE AND SURGERY |
| CALIFORNIA SOCIETY OF PHYSICAL MEDICINE AND REHABILITATION |
| CALIFORNIA WORKERS' COMPENSATION INTERPRETERS ASSOCIATION |
| CALIFORNIA WORKERS' COMPENSATION SERVICES ASSOCIATION |
| COUNCIL FOR THE ECONOMIC DEVELOPMENT OF SINALOA, MEXICO |
| REGISTRATION SERVICES ASSOCIATION |
| MAXIMUM MEDICAL, INC. |
| emplr_namf |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| emplr_namt |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| emplr_nams |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| emplr_city |
| SAN DIEGO |
| WOODLAND HILLS |
| SACRAMENTO |
| SACRAMENTO |
| LAS VEGAS |
| STUDIO CITY |
| SANTA ANA |
| SACRAMENTO |
| SACRAMENTO |
| IRVINE |
| emplr_st |
| CA |
| CA |
| CA |
| CA |
| NV |
| CA |
| CA |
| CA |
| CA |
| CA |
| emplr_zip4 |
| 92111 |
| 91367 |
| 95811 |
| 95811 |
| 89139 |
| 91604 |
| 92705 |
| 95811 |
| 95811 |
| 92614 |
| emplr_phon |
| (916) 446-6161 |
| (916) 446-6161 |
| (916) 457-2236 |
| (916)446-4199 |
| (916)446-5165 |
| (916) 446-6161 |
| (916) 446-6161 |
| (916) 446-6161 |
| (916) 446-5277 |
| (949) 794-3446 |
| lby_actvty |
| NONE |
| NONE |
| ASSEMBLY HEALTH COMM. RE: OVERSIGHT HEARING, PRESCRIPTION DRUG INDUSTRY |
| AB 1570; SB 1160; ASSEMBLY HEALTH COMM. RE: OVERSIGHT HEARING, PRESCRIPTION DRUG INDUSTRY |
| NONE |
| SB 1160; DIV OF WORKERS COMPENSATION, CA WORKERS COMPENSATION INTERPRETERS ASSOCIATION RE: INTERPRETER FEE SCHEDULE ISSUES |
| NONE |
| NONE |
| NONE |
| NONE |
| fees_amt |
| 0 |
| 4500 |
| 2000 |
| 39972 |
| 2000 |
| 8000 |
| 0 |
| 0 |
| 0 |
| 4500 |
| reimb_amt |
| 0 |
| 0 |
| 0 |
| 0 |
| 151 |
| 151 |
| 0 |
| 0 |
| 0 |
| 0 |
| advan_amt |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| advan_dscr |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| per_total |
| 0 |
| 4500 |
| 2000 |
| 39972 |
| 2151 |
| 8151 |
| 0 |
| 0 |
| 0 |
| 4500 |
| cum_total |
| 0 |
| 30406 |
| 13620 |
| 608650 |
| 23136 |
| 51062 |
| 8102 |
| 0 |
| 1463 |
| 28918 |
| memo_code |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| memo_refno |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| bakref_tid |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| emplr_id |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
|
Table: smry
| filing_id |
| 2128622 |
| 2128622 |
| 2128622 |
| 2128622 |
| 2128622 |
| 2128622 |
| 2128622 |
| 2128622 |
| 2128622 |
| amend_id |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| line_item |
| A |
| B |
| 2 |
| 3 |
| 0 |
| C |
| D |
| 0 |
| 1 |
| rec_type |
| SMRY |
| SMRY |
| SMRY |
| SMRY |
| SMRY |
| SMRY |
| SMRY |
| SMRY |
| SMRY |
| form_type |
| F625 |
| F625 |
| F625P3A |
| F625P3A |
| F625P3B |
| F625 |
| F625 |
| F625P2 |
| F625P3A |
| amount_a |
| 61274 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 61274 |
| 0 |
| amount_b |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| amount_c |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| elec_dt |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
| None |
|