PDF: https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2746714&amendid=0
amend_id | 0 | |
---|---|---|
entity_cd | OWN | |
entity_id | L00674 | |
enty_namf | PETER | |
enty_naml | KELLISON | |
enty_nams | None | |
enty_namt | None | |
enty_title | None | |
filing_id | 2746714 | |
form_type | F625 | |
line_item | 1 | |
rec_type | CVR2 | |
tran_id | 8208 |
filing_id | 2746714 | |
---|---|---|
amend_id | 0 | |
rec_type | CVR | |
form_type | F625 | |
sender_id | 1223222 | |
filer_id | 1223222 | |
entity_cd | FRM | |
filer_naml | KELLISON COMPANY, INC. | |
filer_namf | None | |
filer_namt | None | |
filer_nams | None | |
report_num | 000 | |
rpt_date | 2022-10-16 00:00:00 | |
from_date | 2022-07-01 00:00:00 | |
thru_date | 2022-09-30 00:00:00 | |
cum_beg_dt | 2021-01-01 00:00:00 | |
firm_id | 1223222 | |
firm_name | KELLISON COMPANY, INC. | |
firm_city | SACRAMENTO | |
firm_st | CA | |
firm_zip4 | 95814 | |
firm_phon | (916) 441-1011 | |
mail_city | None | |
mail_st | None | |
mail_zip4 | None | |
mail_phon | None | |
sig_date | 2022-10-16 00:00:00 | |
sig_loc | SACRAMENTO, CA | |
sig_naml | KELLISON | |
sig_namf | PETER | |
sig_namt | None | |
sig_nams | None | |
prn_naml | KELLISON | |
prn_namf | PETER | |
prn_namt | None | |
prn_nams | None | |
sig_title | PRESIDENT | |
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 |
filer_id | 1223222 | |
---|---|---|
filing_id | 2746714 | |
period_id | 251 | |
form_id | F625 | |
filing_sequence | 0 | |
filing_date | 2022-10-30 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 |
filing_id | 2746714 | |
---|---|---|
filing_type | 22001 |
filing_id | 2746714 | |
---|---|---|
amend_id | 0 | |
rec_type | HDR | |
ef_type | CAL | |
state_cd | CA | |
cal_ver | 2.01 | |
soft_name | NETFILE | |
soft_ver | 1809 | |
hdrcomment | None |
filing_id | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
amend_id | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||||||||||
line_item | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | |||||||||||||||
rec_type | LPAY | LPAY | LPAY | LPAY | LPAY | LPAY | LPAY | LPAY | LPAY | LPAY | LPAY | LPAY | LPAY | LPAY | LPAY | |||||||||||||||
form_type | F625P2 | F625P2 | F625P2 | F625P2 | F625P2 | F625P2 | F625P2 | F625P2 | F625P2 | F625P2 | F625P2 | F625P2 | F625P2 | F625P2 | F625P2 | |||||||||||||||
tran_id | 8209 | 8211 | 8212 | 8210 | 8221 | 8214 | 8213 | 8215 | 8216 | 8217 | 8218 | 8219 | 8220 | 8222 | 8223 | |||||||||||||||
entity_cd | LEM | FRM | FRM | None | FRM | FRM | FRM | FRM | FRM | FRM | FRM | FRM | LEM | FRM | LEM | |||||||||||||||
emplr_naml | CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME | CLEAR ADVOCACY, LLC (ON BEHALF OF ASSOCIATED CALIFORNIA SELF INSURED BUSINESSES) | CLEAR ADVOCACY, LLC (ON BEHALF OF ASSOCIATION FOR ACCESSIBLE MEDICINES) | CLEAR ADVOCACY, LLC (ON BEHALF OF CALIFORNIA ASSISTED LIVING ASSOCIATION) | CLEAR ADVOCACY, LLC (ON BEHALF OF CALIFORNIA ASSOCIATION OF MEDICAL PRODUCT SUPPLIERS) | CLEAR ADVOCACY, LLC (ON BEHALF OF CALIFORNIA BROADCASTERS ASSN) | CLEAR ADVOCACY, LLC (ON BEHALF OF CALIFORNIA HOSPICE & PALLIATIVE CARE ASSN) | CLEAR ADVOCACY, LLC (ON BEHALF OF CALIFORNIA SOCIETY OF ALLERGY, ASTHMA AND IMMUNOLOGY (CSAII)) | CLEAR ADVOCACY, LLC (ON BEHALF OF MISSION HEALTHCARE) | CLEAR ADVOCACY, LLC (ON BEHALF OF NATIONAL CONFECTIONERS ASSOCIATION) | CLEAR ADVOCACY, LLC (ON BEHALF OF PEDIATRIC DAY HEALTH CARE COALITION) | CLEAR ADVOCACY, LLC (ON BEHALF OF U.S. RENAL CARE) | SHARPS COMPLIANCE, INC. | ST. PAUL'S SENIOR HOMES AND SERVICES | WALGREEN COMPANY | |||||||||||||||
emplr_namf | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||
emplr_namt | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||
emplr_nams | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||
emplr_city | SACRAMENTO | SACRAMENTO | SACRAMENTO | SACRAMENTO | SACRAMENTO | SACRAMENTO | SACRAMENTO | SACRAMENTO | SACRAMENTO | SACRAMENTO | SACRAMENTO | SACRAMENTO | HOUSTON | SAN DIEGO | DEERFIELD | |||||||||||||||
emplr_st | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | CA | TX | CA | IL | |||||||||||||||
emplr_zip4 | 95834 | 95814 | 95814 | 95814 | 95814 | 95814 | 95814 | 95814 | 95814 | 95814 | 95814 | 95814 | 77054 | 92103 | 60015 | |||||||||||||||
emplr_phon | (916) 641-5795 | (916) 479-7400 | (916) 479-7400 | (916) 479-7400 | (916) 479-7400 | (916) 479-7400 | (916) 479-7400 | (916) 479-7400 | (916) 479-7400 | (916) 479-7400 | (916) 479-7400 | (916) 479-7400 | (713) 660-3514 | (619) 239-6900 | (847) 315-4683 | |||||||||||||||
lby_actvty | AB 2069, 2673; Dept of Health Care Services re: Home Health Medi-Cal Rates | NONE | AB 1880 | SB 707 | NONE | NONE | AB 1852, 2673 | NONE | AB 2673 | SB 54 | NONE | Legislature re: Dialysis wages, Ballot Measure-Prop 29 | NONE | NONE | AB 852 | |||||||||||||||
fees_amt | 8000 | 15000 | 22500 | 10000 | 0 | 3000 | 20000 | 1875 | 11250 | 3750 | 6500 | 22500 | 13500 | 28000 | 84000 | |||||||||||||||
reimb_amt | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||||||||||
advan_amt | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||||||||||
advan_dscr | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||
per_total | 8000 | 15000 | 22500 | 10000 | 0 | 3000 | 20000 | 1875 | 11250 | 3750 | 6500 | 22500 | 13500 | 28000 | 84000 | |||||||||||||||
cum_total | 83000 | 110000 | 137500 | 105000 | 10000 | 21000 | 100000 | 11250 | 57500 | 27083 | 55250 | 157500 | 94906 | 73500 | 308000 | |||||||||||||||
memo_code | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||
memo_refno | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||
bakref_tid | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | |||||||||||||||
emplr_id | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None |
filing_id | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | 2746714 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | 249875 | 0 | 0 | 0 | 249875 | 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 |