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Filing ID: 2193722

PDF: https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2193722&amendid=0

Table: cvr_lobby_disclosure
filing_id   2193722
amend_id   0
rec_type   CVR
form_type   F625
sender_id   1304270
filer_id   1304270
entity_cd   FRM
filer_naml   Sierra Health Group
filer_namf   None
filer_namt   None
filer_nams   None
report_num   000
rpt_date   2017-10-31 00:00:00
from_date   2017-07-01 00:00:00
thru_date   2017-09-30 00:00:00
cum_beg_dt   2017-01-01 00:00:00
firm_id   1304270
firm_name   Sierra Health Group
firm_city   Golden
firm_st   CO
firm_zip4   80403
firm_phon   303-642-0396
mail_city   None
mail_st   None
mail_zip4   None
mail_phon   None
sig_date   2017-10-31 00:00:00
sig_loc   Golden, CO 80403
sig_naml   Bryant
sig_namf   William
sig_namt   None
sig_nams   None
prn_naml   Bryant
prn_namf   William
prn_namt   None
prn_nams   None
sig_title   Owner
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   1304270
filing_id   2193722
period_id   231
form_id   F625
filing_sequence   0
filing_date   2017-10-31 00:00:00
stmnt_type   10001
stmnt_status   11001
session_id   2017
user_id   AGLADNEY
special_audit   11003
fine_audit   11001
rpt_start   2017-07-01 00:00:00
rpt_end   2017-09-30 00:00:00
rpt_date   None
filing_type   22001
Table: filings
filing_id   2193722
filing_type   22001
Table: hdr
filing_id   2193722
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
Table: loth
filing_id   2193722   2193722   2193722
amend_id   0   0   0
line_item   1   2   3
rec_type   LOTH   LOTH   LOTH
form_type   F625P3B   F625P3B   F625P3B
tran_id   LOTH00001   LOTH00002   LOTH00003
firm_name   Capitol Partners, LLC   Capitol Partners, LLC   Capitol Partners, LLC
firm_city   Sacramento   Sacramento   Sacramento
firm_st   CA   CA   CA
firm_zip4   95814   95814   95814
firm_phon   (916) 930-0609   (916) 930-0609   (916) 930-0609
subj_naml   Air Methods Corporation   Reach Air Medical Services   PHI Air Medical, LLC
subj_namf   None   None   None
subj_namt   None   None   None
subj_nams   None   None   None
pmt_date   None   None   None
amount   0   0   0
cum_amt   15765   15765   15765
memo_code   N   N   N
memo_refno   None   None   None
Table: lpay
filing_id   2193722   2193722   2193722
amend_id   0   0   0
line_item   1   2   3
rec_type   LPAY   LPAY   LPAY
form_type   F625P2   F625P2   F625P2
tran_id   LPAY00001   LPAY00002   LPAY00003
entity_cd   LEM   LEM   LEM
emplr_naml   PHI Air Medical, LLC   Reach Air Medical Services   Air Methods Corporation
emplr_namf   None   None   None
emplr_namt   None   None   None
emplr_nams   None   None   None
emplr_city   Phoenix   Santa Rosa   Englewood
emplr_st   AZ   CA   CO
emplr_zip4   85008   95403   80112-4133
emplr_phon   602-224-3500   707-324-2400   303-792-7509
lby_actvty   AB 1410, Audit Committee   AB 1410, Audit Committee   AB 1410, Audit Committee
fees_amt   12000   24000   12000
reimb_amt   0   0   0
advan_amt   0   0   0
advan_dscr   None   None   None
per_total   12000   24000   12000
cum_total   36000   72000   24000
memo_code   N   N   N
memo_refno   None   None   None
bakref_tid   None   None   None
emplr_id   None   None   None
Table: received_filings
filer_id   1304270
filing_file_name   2193722_0.cal
received_date   2017-10-31 00:00:00
filing_directory   /cafiler/disclose/ca99/cal
filing_id   2193722
form_id   F625
receive_comment   Filing accepted
Table: smry
filing_id   2193722   2193722   2193722   2193722   2193722   2193722   2193722   2193722   2193722
amend_id   0   0   0   0   0   0   0   0   0
line_item   A   B   C   D   0   1   2   3   0
rec_type   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY
form_type   F625   F625   F625   F625   F625P2   F625P3A   F625P3A   F625P3A   F625P3B
amount_a   48000   0   0   0   48000   0   0   0   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