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Filing ID: 2746076

PDF: https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2746076&amendid=0

Table: cvr_lobby_disclosure

filing_id		2746076
amend_id		0
rec_type		CVR
form_type		F635
sender_id		1437517
filer_id		1437517
entity_cd		LEM
filer_naml		PARTNERS IN CARE FOUNDATION
filer_namf		None
filer_namt		None
filer_nams		None
report_num		000
rpt_date		2022-10-31 00:00:00
from_date		2022-07-01 00:00:00
thru_date		2022-09-30 00:00:00
cum_beg_dt		2021-04-01 00:00:00
firm_id		1437517
firm_name		PARTNERS IN CARE FOUNDATION
firm_city		SAN FERNANDO
firm_st		CA
firm_zip4		91340
firm_phon		(818) 837-3775
mail_city		None
mail_st		None
mail_zip4		None
mail_phon		None
sig_date		2022-10-07 00:00:00
sig_loc		SAN FERNANDO, CA
sig_naml		SIMMONS
sig_namf		JUNE
sig_namt		None
sig_nams		None
prn_naml		SIMMONS
prn_namf		JUNE
prn_namt		None
prn_nams		None
sig_title		CHIEF EXECUTIVE OFFICER
nopart1_cb		None
nopart2_cb		None
part1_1_cb		None
part1_2_cb		None
ctrib_n_cb		X
ctrib_y_cb		None
lby_actvty		DEPT OF HEALTH CARE SERVICES, DEPT OF AGING AND GOVERNOR'S OFFICE RE: CALAIM ISSUES AND IMPLEMENTATION
lobby_n_cb		None
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		1437517
filing_id		2746076
period_id		251
form_id		F635
filing_sequence		0
filing_date		2022-10-29 00:00:00
stmnt_type		10001
stmnt_status		11003
session_id		2021
user_id		CAFILER
special_audit		11003
fine_audit		11003
rpt_start		2022-07-01 00:00:00
rpt_end		2022-09-30 00:00:00
rpt_date		None
filing_type		22001

Table: filings

filing_id		2746076
filing_type		22001

Table: hdr

filing_id		2746076
amend_id		0
rec_type		HDR
ef_type		CAL
state_cd		CA
cal_ver		2.01
soft_name		NETFILE
soft_ver		1809
hdrcomment		None

Table: latt

filing_id		2746076
amend_id		0
line_item		1
rec_type		LATT
form_type		S640
tran_id		39037
entity_cd		OTH
recip_naml		[L] - CALIFORNIA HEALTH POLICY STRATEGIES, LLC
recip_namf		None
recip_namt		None
recip_nams		None
recip_city		SACRAMENTO
recip_st		CA
recip_zip4		95831
pmt_date		None
amount		12000
cum_amt		36000
cumbeg_dt		None
memo_code		None
memo_refno		None

Table: lpay

filing_id		2746076
amend_id		0
line_item		1
rec_type		LPAY
form_type		F635P3B
tran_id		38965
entity_cd		FRM
emplr_naml		CALIFORNIA HEALTH POLICY STRATEGIES, LLC
emplr_namf		None
emplr_namt		None
emplr_nams		None
emplr_city		SACRAMENTO
emplr_st		CA
emplr_zip4		95831
emplr_phon		(916) 842-0715
lby_actvty		None
fees_amt		3000
reimb_amt		0
advan_amt		0
advan_dscr		None
per_total		3000
cum_total		17000
memo_code		None
memo_refno		None
bakref_tid		None
emplr_id		None

Table: received_filings

filer_id		1437517
filing_file_name		2746076_0.cal
received_date		2022-10-29 00:00:00
filing_directory		/cafiler/disclose/ca99/cal
filing_id		2746076
form_id		F635
receive_comment		Filing accepted

Table: smry

filing_id		2746076		2746076		2746076		2746076		2746076		2746076		2746076		2746076		2746076		2746076		2746076		2746076		2746076		2746076		2746076		2746076		2746076		2746076		2746076
amend_id		0		0		0		0		0		0		0		0		0		0		0		0		0		0		0		0		0		0		0
line_item		A		B		C		D		ABCD		E		1		2		0		0		1		2		3		0		1		2		3		4		5
rec_type		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY		SMRY
form_type		F635		F635		F635		F635		F635		F635		F635P3A		F635P3A		F635P3B		F635P3C		F635P3D		F635P3D		F635P3D		F635P3E		S640		S640		S640		S640		S640
amount_a		0		3000		0		12000		15000		0		0		0		3000		0		0		12000		12000		0		0		0		0		12000		12000
amount_b		None		None		None		None		None		None		None		None		None		None		None		None		None		None		None		None		None		None		None
amount_c		None		None		None		None		None		None		None		None		None		None		None		None		None		None		None		None		None		None		None
elec_dt		None		None		None		None		None		None		None		None		None		None		None		None		None		None		None		None		None		None		None