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Filing ID: 2748280

PDF: https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2748280&amendid=0

Table: cvr_lobby_disclosure
filing_id   2748280
amend_id   0
rec_type   CVR
form_type   F635
sender_id   1444337
filer_id   1444337
entity_cd   LEM
filer_naml   AVESIS, LLC AND ITS AFFILIATES INCLUDING ACCESS DENTAL PLAN AND PREMIER ACCESS INSURANCE COMPANY
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   2022-01-01 00:00:00
firm_id   None
firm_name   None
firm_city   PHOENIX
firm_st   AZ
firm_zip4   85021
firm_phon   8005220258
mail_city   None
mail_st   None
mail_zip4   None
mail_phon   None
sig_date   2022-10-13 00:00:00
sig_loc   Phoenix, AZ
sig_naml   Tremble
sig_namf   Tom
sig_namt   None
sig_nams   None
prn_naml   Tremble
prn_namf   Tom
prn_namt   None
prn_nams   None
sig_title   Assistant VP, Government Relations
nopart1_cb   None
nopart2_cb   None
part1_1_cb   None
part1_2_cb   None
ctrib_n_cb   X
ctrib_y_cb   None
lby_actvty   Department of Health Care Services and California Legislature regarding: Medi-Cal Dental Managed Care.
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   1444337
filing_id   2748280
period_id   251
form_id   F635
filing_sequence   0
filing_date   2022-10-31 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   22006
Table: filings
filing_id   2748280
filing_type   22001
Table: hdr
filing_id   2748280
amend_id   0
rec_type   HDR
ef_type   CAL
state_cd   CA
cal_ver   2.01
soft_name   CAL-ACCESS OBJECT MODEL
soft_ver   1.00
hdrcomment   None
Table: latt
filing_id   2748280
amend_id   0
line_item   1
rec_type   LATT
form_type   S640
tran_id   1
entity_cd   None
recip_naml   [O] - NOTHING TO ITEMIZE
recip_namf   None
recip_namt   None
recip_nams   None
recip_city   None
recip_st   None
recip_zip4   None
pmt_date   None
amount   0
cum_amt   0
cumbeg_dt   None
memo_code   None
memo_refno   1
Table: lpay
filing_id   2748280
amend_id   0
line_item   1
rec_type   LPAY
form_type   F635P3B
tran_id   2
entity_cd   None
emplr_naml   Capitol Advocacy, LLC
emplr_namf   None
emplr_namt   None
emplr_nams   None
emplr_city   Sacramento
emplr_st   CA
emplr_zip4   94814
emplr_phon   None
lby_actvty   None
fees_amt   27000
reimb_amt   0
advan_amt   0
advan_dscr   None
per_total   27000
cum_total   108000
memo_code   None
memo_refno   None
bakref_tid   None
emplr_id   None
Table: smry
filing_id   2748280   2748280   2748280   2748280   2748280   2748280   2748280   2748280   2748280   2748280   2748280   2748280   2748280   2748280   2748280   2748280   2748280   2748280   2748280
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   27000   0   3879   30879   0   0   0   27000   0   0   3879   3879   0   0   0   3879   0   3879
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