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Filing ID: 2436534

PDF: https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2436534&amendid=1

Table: cvr3_verification_info
filing_id   2436534   2436534
amend_id   1   0
line_item   1   1
rec_type   CVR3   CVR3
form_type   F461   F461
tran_id   1   1
entity_cd   OFF   OFF
sig_date   2020-01-28 00:00:00   2019-01-27 00:00:00
sig_loc   None   None
sig_naml   Feldman   Feldman
sig_namf   Chani   Chani
sig_namt   None   None
sig_nams   None   None
Table: cvr_campaign_disclosure
filing_id   2436534   2436534
amend_id   0   1
rec_type   CVR   CVR
form_type   F461   F461
filer_id   1379116   1379116
entity_cd   MDI   MDI
filer_naml   MAXIM HEALTHCARE SERVICES INC.   MAXIM HEALTHCARE SERVICES INC.
filer_namf   None   None
filer_namt   None   None
filer_nams   None   None
report_num   000   001
rpt_date   2020-01-27 00:00:00   2020-01-28 00:00:00
stmt_type   None   None
late_rptno   None   None
from_date   2019-10-01 00:00:00   2019-10-01 00:00:00
thru_date   2019-12-31 00:00:00   2019-12-31 00:00:00
elect_date   None   None
filer_city   COLUMBIA   COLUMBIA
filer_st   MD   MD
filer_zip4   21046   21046
filer_phon   4109101623   4109101623
filer_fax   None   None
file_email   None   None
mail_city   None   None
mail_st   None   None
mail_zip4   None   None
tres_naml   Feldman   Feldman
tres_namf   Chani   Chani
tres_namt   None   None
tres_nams   None   None
tres_city   None   None
tres_st   None   None
tres_zip4   None   None
tres_phon   None   None
tres_fax   None   None
tres_email   None   None
cmtte_type   None   None
control_yn   None   None
sponsor_yn   None   None
primfrm_yn   None   None
brdbase_yn   None   None
amendexp_1   None   This amendment corrects the verification date from 1/27/2019 to 1/28/2020.
amendexp_2   None   None
amendexp_3   None   None
rpt_att_cb   None   None
cmtte_id   None   None
reportname   None   None
rptfromdt   None   None
rptthrudt   None   None
emplbus_cb   None   None
bus_name   None   None
bus_city   None   None
bus_st   None   None
bus_zip4   None   None
bus_inter   None   None
busact_cb   X   X
busactvity   Healthcare   Healthcare
assoc_cb   None   None
assoc_int   None   None
other_cb   None   None
other_int   None   None
cand_naml   None   None
cand_namf   None   None
cand_namt   None   None
cand_nams   None   None
cand_city   None   None
cand_st   None   None
cand_zip4   None   None
cand_phon   None   None
cand_fax   None   None
cand_email   None   None
bal_name   None   None
bal_num   None   None
bal_juris   None   None
office_cd   None   None
offic_dscr   None   None
juris_cd   None   None
juris_dscr   None   None
dist_no   None   None
off_s_h_cd   None   None
sup_opp_cd   None   None
employer   None   None
occupation   None   None
selfemp_cb   None   None
bal_id   None   None
cand_id   None   None
Table: filer_filings
filer_id   1379116   1379116
filing_id   2436534   2436534
period_id   240   240
form_id   F461   F461
filing_sequence   1   0
filing_date   2020-01-28 00:00:00   2020-01-27 00:00:00
stmnt_type   10002   10001
stmnt_status   11001   11001
session_id   2019   2019
user_id   GTAYLOR   GTAYLOR
special_audit   11003   11003
fine_audit   11001   11001
rpt_start   2019-10-01 00:00:00   2019-10-01 00:00:00
rpt_end   2019-12-31 00:00:00   2019-12-31 00:00:00
rpt_date   2020-01-28 00:00:00   2020-01-27 00:00:00
filing_type   22006   22006
Table: filings
filing_id   2436534
filing_type   22001
Table: hdr
filing_id   2436534   2436534
amend_id   1   0
rec_type   HDR   HDR
ef_type   CAL   CAL
state_cd   CA   CA
cal_ver   2.01   2.01
soft_name   CAL-ACCESS OBJECT MODEL   CAL-ACCESS OBJECT MODEL
soft_ver   1.00   1.00
hdrcomment   None   None
Table: received_filings
filer_id   1379116   1379116
filing_file_name   2436534_1.cal   2436534_0.cal
received_date   2020-01-28 00:00:00   2020-01-27 00:00:00
filing_directory   /cafiler/disclose/ca99/cal   /cafiler/disclose/ca99/cal
filing_id   2436534   2436534
form_id   F461   F461
receive_comment   Filing accepted   Filing accepted
Table: smry
filing_id   2436534   2436534   2436534   2436534   2436534   2436534   2436534   2436534   2436534   2436534
amend_id   0   0   0   0   0   1   1   1   1   1
line_item   1   2   3   4   5   1   2   3   4   5
rec_type   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY
form_type   F461   F461   F461   F461   F461   F461   F461   F461   F461   F461
amount_a   0   0   0   20500   20500   0   0   0   20500   20500
amount_b   None   None   None   None   None   None   None   None   None   None
amount_c   None   None   None   None   None   None   None   None   None   None
elec_dt   None   None   None   None   None   None   None   None   None   None