PDF: https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2535460&amendid=3
| filing_id | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | 2535460 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| amend_id | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| line_item | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| rec_type | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | 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 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| tran_id | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 2 | 3 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 1 | 2 | 3 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 2 | 3 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| entity_cd | EMP | EMP | EMP | EMP | EMP | FRM | FRM | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | EMP | EMP | EMP | FRM | FRM | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | EMP | EMP | EMP | EMP | FRM | FRM | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | EMP | EMP | EMP | FRM | FRM | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | EMP | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| entity_id | 1405706 | 1336637 | 1389352 | 1415488 | 1415644 | 1261533 | 1252406 | None | None | None | None | None | None | None | None | None | None | 1336637 | 1389352 | 1415644 | 1261533 | 1252406 | None | None | None | None | None | None | None | None | None | None | 1405706 | 1336637 | 1389352 | 1415644 | 1261533 | 1252406 | None | None | None | None | None | None | None | None | None | None | 1336637 | 1389352 | 1415644 | 1261533 | 1252406 | None | None | None | None | None | None | None | None | None | None | 1442847 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| enty_naml | CORBO | PITTMAN-SPENCER | MCCUNE | MCGREW | MORAN | POLITICAL SOLUTIONS, LLC | CARTER, WETCH & ASSOCIATES | DENTAL BOARD OF CALIFORNIA | DENTAL HYGIENE COMMITTEE OF CALIFORNIA | DEPARTMENT OF CONSUMER AFFAIRS | GOVERNOR?S OFFICE | DEPARTMENT OF INSURANCE | DEPARTMENT OF HEALTH CARE SERVICES | DEPARTMENT OF MANAGED HEALTH CARE | CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY | DEPARTMENT OF PUBLIC HEALTH | COVERED CALIFORNIA | PITTMAN-SPENCER | MCCUNE | MORAN | POLITICAL SOLUTIONS, LLC | CARTER, WETCH & ASSOCIATES | DENTAL BOARD OF CALIFORNIA | DENTAL HYGIENE COMMITTEE OF CALIFORNIA | DEPARTMENT OF CONSUMER AFFAIRS | GOVERNOR?S OFFICE | DEPARTMENT OF INSURANCE | DEPARTMENT OF HEALTH CARE SERVICES | DEPARTMENT OF MANAGED HEALTH CARE | CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY | DEPARTMENT OF PUBLIC HEALTH | COVERED CALIFORNIA | CORBO | PITTMAN-SPENCER | MCCUNE | MORAN | POLITICAL SOLUTIONS, LLC | CARTER, WETCH & ASSOCIATES | DENTAL BOARD OF CALIFORNIA | DENTAL HYGIENE COMMITTEE OF CALIFORNIA | DEPARTMENT OF CONSUMER AFFAIRS | GOVERNOR?S OFFICE | DEPARTMENT OF INSURANCE | DEPARTMENT OF HEALTH CARE SERVICES | DEPARTMENT OF MANAGED HEALTH CARE | CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY | DEPARTMENT OF PUBLIC HEALTH | COVERED CALIFORNIA | PITTMAN-SPENCER | MCCUNE | MORAN | POLITICAL SOLUTIONS, LLC | CARTER, WETCH & ASSOCIATES | DENTAL BOARD OF CALIFORNIA | DENTAL HYGIENE COMMITTEE OF CALIFORNIA | DEPARTMENT OF CONSUMER AFFAIRS | GOVERNOR?S OFFICE | DEPARTMENT OF INSURANCE | DEPARTMENT OF HEALTH CARE SERVICES | DEPARTMENT OF MANAGED HEALTH CARE | CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY | DEPARTMENT OF PUBLIC HEALTH | COVERED CALIFORNIA | MONTANO | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| enty_namf | ZACHARY | BRIANNA | MARY | DHARIA | JESSICA | None | None | None | None | None | None | None | None | None | None | None | None | BRIANNA | MARY | JESSICA | None | None | None | None | None | None | None | None | None | None | None | None | ZACHARY | BRIANNA | MARY | JESSICA | None | None | None | None | None | None | None | None | None | None | None | None | BRIANNA | MARY | JESSICA | None | None | None | None | None | None | None | None | None | None | None | None | MONICA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| enty_namt | 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 | 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 | 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 | 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 | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None |
| filing_id | 2535460 | 2535460 | 2535460 | 2535460 | ||||
|---|---|---|---|---|---|---|---|---|
| amend_id | 0 | 2 | 1 | 3 | ||||
| rec_type | CVR | CVR | CVR | CVR | ||||
| form_type | F603 | F603 | F603 | F603 | ||||
| sender_id | E24727 | E24727 | E24727 | E24727 | ||||
| filer_id | E24727 | E24727 | E24727 | E24727 | ||||
| entity_cd | LEM | LEM | LEM | LEM | ||||
| filer_naml | CALIFORNIA DENTAL ASSOCIATION AND ITS WHOLLY OWNED SUBSIDIARIES | CALIFORNIA DENTAL ASSOCIATION AND ITS WHOLLY OWNED SUBSIDIARIES | CALIFORNIA DENTAL ASSOCIATION AND ITS WHOLLY OWNED SUBSIDIARIES | CALIFORNIA DENTAL ASSOCIATION AND ITS WHOLLY OWNED SUBSIDIARIES | ||||
| filer_namf | None | None | None | None | ||||
| filer_namt | None | None | None | None | ||||
| filer_nams | None | None | None | None | ||||
| report_num | 000 | 002 | 001 | 003 | ||||
| rpt_date | 2020-11-19 00:00:00 | 2021-10-22 00:00:00 | 2021-09-30 00:00:00 | 2022-01-04 00:00:00 | ||||
| ls_beg_yr | 2021 | 2021 | 2021 | 2021 | ||||
| ls_end_yr | 2022 | 2022 | 2022 | 2022 | ||||
| qual_date | 2021-01-01 00:00:00 | 2021-01-01 00:00:00 | 2021-01-01 00:00:00 | 2021-01-01 00:00:00 | ||||
| eff_date | None | None | None | None | ||||
| bus_city | SACRAMENTO | SACRAMENTO | SACRAMENTO | SACRAMENTO | ||||
| bus_st | CA | CA | CA | CA | ||||
| bus_zip4 | 95814 | 95814 | 95814 | 95814 | ||||
| bus_phon | 9165544984 | 9165544984 | 9165544984 | 9165544984 | ||||
| bus_fax | 9164986145 | 9164986145 | 9164986145 | 9164986145 | ||||
| bus_email | FPPC@BMHLAW.COM | FPPC@BMHLAW.COM | FPPC@BMHLAW.COM | FPPC@BMHLAW.COM | ||||
| mail_city | None | None | None | None | ||||
| mail_st | None | None | None | None | ||||
| mail_zip4 | None | None | None | None | ||||
| mail_phon | None | None | None | None | ||||
| sig_date | 2020-11-11 00:00:00 | 2021-10-22 00:00:00 | 2021-09-30 00:00:00 | 2022-01-03 00:00:00 | ||||
| sig_loc | None | None | None | None | ||||
| sig_naml | HILTACHK | TITUS | HILTACHK | HILTACHK | ||||
| sig_namf | THOMAS W. | ASHLEE N. | THOMAS W. | THOMAS W. | ||||
| sig_namt | None | None | None | None | ||||
| sig_nams | None | None | None | None | ||||
| prn_naml | HILTACHK | TITUS | HILTACHK | HILTACHK | ||||
| prn_namf | THOMAS W. | ASHLEE N. | THOMAS W. | THOMAS W. | ||||
| prn_namt | None | None | None | None | ||||
| prn_nams | None | None | None | None | ||||
| sig_title | ATTORNEY/AGENT FOR FILER | ATTORNEY/AGENT FOR FILER | ATTORNEY/AGENT FOR FILER | ATTORNEY/AGENT FOR FILER | ||||
| stmt_firm | None | None | None | None | ||||
| ind_cb | None | None | None | None | ||||
| bus_cb | None | None | None | None | ||||
| trade_cb | X | X | X | X | ||||
| oth_cb | None | None | None | None | ||||
| a_b_name | None | None | None | None | ||||
| a_b_city | None | None | None | None | ||||
| a_b_st | None | None | None | None | ||||
| a_b_zip4 | None | None | None | None | ||||
| descrip_1 | DENTISTRY | DENTISTRY | DENTISTRY | DENTISTRY | ||||
| descrip_2 | DENTISTRY | DENTISTRY | DENTISTRY | DENTISTRY | ||||
| c_less50 | None | None | None | None | ||||
| c_more50 | X | X | X | X | ||||
| ind_class | HEA | HEA | HEA | HEA | ||||
| ind_descr | None | None | None | None | ||||
| bus_class | None | None | None | None | ||||
| bus_descr | None | None | None | None | ||||
| auth_name | None | None | None | None | ||||
| auth_city | None | None | None | None | ||||
| auth_st | None | None | None | None | ||||
| auth_zip4 | None | None | None | None | ||||
| lobby_int | LEGISLATION RELATING TO THE PRACTICE OF DENTISTRY, GOVERNMENT DENTAL PROGRAMS, DENTAL INSURANCE, AND DENTIST PROFESSION. | LEGISLATION RELATING TO THE PRACTICE OF DENTISTRY, GOVERNMENT DENTAL PROGRAMS, DENTAL INSURANCE, AND DENTIST PROFESSION. | LEGISLATION RELATING TO THE PRACTICE OF DENTISTRY, GOVERNMENT DENTAL PROGRAMS, DENTAL INSURANCE, AND DENTIST PROFESSION. | LEGISLATION RELATING TO THE PRACTICE OF DENTISTRY, GOVERNMENT DENTAL PROGRAMS, DENTAL INSURANCE, AND DENTIST PROFESSION. | ||||
| influen_yn | Y | Y | Y | Y | ||||
| firm_name | None | None | None | None | ||||
| newcert_cb | None | None | None | None | ||||
| rencert_cb | None | None | None | None | ||||
| complet_dt | None | None | None | None | ||||
| lby_reg_cb | None | None | None | None | ||||
| lby_604_cb | None | None | None | None | ||||
| st_leg_yn | None | None | None | None | ||||
| st_agency | None | None | None | None | ||||
| lobby_cb | None | None | None | None | ||||
| l_firm_cb | None | None | None | None |
| filer_id | 1147177 | 1147177 | 1147177 | 1147177 | ||||
|---|---|---|---|---|---|---|---|---|
| filing_id | 2535460 | 2535460 | 2535460 | 2535460 | ||||
| period_id | 244 | 247 | 249 | 248 | ||||
| form_id | F603 | F603 | F603 | F603 | ||||
| filing_sequence | 0 | 1 | 3 | 2 | ||||
| filing_date | 2020-11-19 00:00:00 | 2021-09-30 00:00:00 | 2022-01-04 00:00:00 | 2021-10-22 00:00:00 | ||||
| stmnt_type | 10001 | 10002 | 10002 | 10002 | ||||
| stmnt_status | 11001 | 11003 | 11001 | 11003 | ||||
| session_id | 2021 | 2021 | 2021 | 2021 | ||||
| user_id | MMERCHANT | CAFILER | MMERCHANT | CAFILER | ||||
| special_audit | 11003 | 11003 | 11003 | 11003 | ||||
| fine_audit | 11003 | 11003 | 11003 | 11003 | ||||
| rpt_start | 2020-11-19 00:00:00 | 2021-09-30 00:00:00 | 2022-01-04 00:00:00 | 2021-10-22 00:00:00 | ||||
| rpt_end | 2020-11-19 00:00:00 | 2021-09-30 00:00:00 | 2022-01-04 00:00:00 | 2021-10-22 00:00:00 | ||||
| rpt_date | None | None | None | None | ||||
| filing_type | 22006 | 22006 | 22006 | 22006 |
| filing_id | 2535460 | |
|---|---|---|
| filing_type | 22001 |
| filing_id | 2535460 | 2535460 | 2535460 | 2535460 | ||||
|---|---|---|---|---|---|---|---|---|
| amend_id | 0 | 2 | 1 | 3 | ||||
| rec_type | HDR | HDR | HDR | HDR | ||||
| ef_type | CAL | CAL | CAL | CAL | ||||
| state_cd | CA | CA | CA | CA | ||||
| cal_ver | 2.01 | 2.01 | 2.01 | 2.01 | ||||
| soft_name | CAL-ACCESS OBJECT MODEL | CAL-ACCESS OBJECT MODEL | CAL-ACCESS OBJECT MODEL | CAL-ACCESS OBJECT MODEL | ||||
| soft_ver | 1.00 | 1.00 | 1.00 | 1.00 | ||||
| hdrcomment | None | None | None | None |
| filing_id | 2535460 | 2535460 | 2535460 | |||
|---|---|---|---|---|---|---|
| amend_id | 3 | 2 | 1 | |||
| rec_type | F605 | F605 | F605 | |||
| form_type | F603 | F603 | F603 | |||
| exec_date | 2022-01-03 00:00:00 | 2021-10-22 00:00:00 | 2021-09-30 00:00:00 | |||
| from_date | 2021-01-01 00:00:00 | 2021-01-01 00:00:00 | 2021-01-01 00:00:00 | |||
| thru_date | 2022-12-31 00:00:00 | 2022-12-31 00:00:00 | 2022-12-31 00:00:00 | |||
| add_l_cb | X | None | None | |||
| add_l_eff | 2022-01-01 00:00:00 | None | None | |||
| a_l_naml | MONTANO | None | None | |||
| a_l_namf | MONICA | None | None | |||
| a_l_namt | None | None | None | |||
| a_l_nams | None | None | None | |||
| del_l_cb | None | X | X | |||
| del_l_eff | None | 2021-10-22 00:00:00 | 2021-09-30 00:00:00 | |||
| d_l_naml | None | CORBO | MCGREW | |||
| d_l_namf | None | ZACHARY | DHARIA | |||
| d_l_namt | None | None | None | |||
| d_l_nams | None | None | None | |||
| add_le_cb | None | None | None | |||
| add_le_eff | None | None | None | |||
| a_le_naml | None | None | None | |||
| a_le_namf | None | None | None | |||
| a_le_namt | None | None | None | |||
| a_le_nams | None | None | None | |||
| del_le_cb | None | None | None | |||
| del_le_eff | None | None | None | |||
| d_le_naml | None | None | None | |||
| d_le_namf | None | None | None | |||
| d_le_namt | None | None | None | |||
| d_le_nams | None | None | None | |||
| add_lf_cb | None | None | None | |||
| add_lf_eff | None | None | None | |||
| a_lf_name | None | None | None | |||
| del_lf_cb | None | None | None | |||
| del_lf_eff | None | None | None | |||
| d_lf_name | None | None | None | |||
| other_cb | None | None | None | |||
| other_eff | None | None | None | |||
| other_desc | None | None | None | |||
| f606_yes | None | X | X | |||
| f606_no | None | None | None |