12/15/2015 LD-2 Disclosure Form Clerk of the House of Representatives Legislative Resource Center 135 Cannon Building Washington, DC 20515 http://lobbyingdisclosure.house.gov Secretary of the Senate Office of Public Records 232 Hart Building Washington, DC 20510 http://www.senate.gov/lobby LOBBYING REPORT Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page 1. Registrant Name Organization/Lobbying Firm Wheat Government Relations Self Employed Individual 2. Address Address1 1201 South Eads Street City Address2 Suite #2 Arlington State VA Zip Code State Zip Code 22202 Country USA 3. Principal place of business (if different than line 2) City b. Telephone Number 4a. Contact Name 7. Client Name Self Country c. E-mail 5. Senate ID# 47198-1005371 Check if client is a state or local government or instrumentality National Association for Children's Behavioral Health TYPE OF REPORT 8. Year 2013 Q1 (1/1 - 3/31) Q2 (4/1 - 6/30) 9. Check if this filing amends a previously filed version of this report 10. Check if this is a Termination Report Termination Date Q3 (7/1 - 9/30) 6. House ID# 343970085 Q4 (10/1 - 12/31) 11. No Lobbying Issue Activity INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 12. Lobbying INCOME relating to lobbying activities for this reporting period was: 13. Organizations EXPENSE relating to lobbying activities for this reporting period were: Less than $5,000 Less than $5,000 $5,000 or more $ $5,000 or more $ Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the 14. REPORTING Check box to indicate expense accounting registrant by any other entity for lobbying activities on behalf of the method. See instructions for description of options. client). Method A. Reporting amounts using LDA definitions only Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code Signature Digitally Signed By: MR. ALAN WHEAT Date 4/19/2013 4:15:18 PM LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2013/Q1/300557100.xml 1/4 12/15/2015 LD-2 Disclosure Form 15. General issue area code HCR 16. Specific lobbying issues Keeping All Students Safe Act Stop Child Abuse in Residential Programs for Teens Act Issues relating to psychiatric residential treatment facilities 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Timothy Casey Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2013/Q1/300557100.xml 2/4 12/15/2015 LD-2 Disclosure Form 15. General issue area code DEF 16. Specific lobbying issues Tricare issues related to certification for psychiatric residential treatment facilities 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Timothy Casey Rachel Stevenson Suffix Covered Official Position (if applicable) 19. Interest of each foreign entity in the specific issues listed on line 16 above New Check if None Information Update Page - Complete ONLY where registration information has changed. 20. Client new address Address City State Zip Code Country State Zip Code Country 21. Client new principal place of business (if different than line 20) City 22. New General description of client’s business or activities LOBBYIST UPDATE 23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client First Name Last Name Suffix First Name 1 3 2 4 Last Name Suffix ISSUE UPDATE 24. General lobbying issue that no longer pertains http://disclosures.house.gov/ld/ldxmlrelease/2013/Q1/300557100.xml 3/4 12/15/2015 LD-2 Disclosure Form AFFILIATED ORGANIZATIONS 25. Add the following affiliated organization(s) Internet Address: Address Principal Place of Business (city and state or country) Street Address Name City State/Province Zip Country City State Country 26. Name of each previously reported organization that is no longer affiliated with the registrant or client 1 2 3 FOREIGN ENTITIES 27. Add the following foreign entities: Address Name Street Address City State/Province Country Principal place of business (city and state or country) City State Amount of Ownership contribution for percentage in lobbying activities client Country % 28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization 1 3 5 2 4 6 http://disclosures.house.gov/ld/ldxmlrelease/2013/Q1/300557100.xml 4/4 12/15/2015 LD-2 Disclosure Form Clerk of the House of Representatives Legislative Resource Center 135 Cannon Building Washington, DC 20515 http://lobbyingdisclosure.house.gov Secretary of the Senate Office of Public Records 232 Hart Building Washington, DC 20510 http://www.senate.gov/lobby LOBBYING REPORT Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page 1. Registrant Name Organization/Lobbying Firm Wheat Government Relations Self Employed Individual 2. Address Address1 1201 South Eads Street City Address2 Suite #2 Arlington State VA Zip Code State Zip Code 22202 Country USA 3. Principal place of business (if different than line 2) City b. Telephone Number 4a. Contact Name 7. Client Name Self Country c. E-mail 5. Senate ID# 47198-1005371 Check if client is a state or local government or instrumentality National Association for Children's Behavioral Health TYPE OF REPORT 8. Year 2013 Q1 (1/1 - 3/31) Q2 (4/1 - 6/30) 9. Check if this filing amends a previously filed version of this report 10. Check if this is a Termination Report Termination Date Q3 (7/1 - 9/30) 6. House ID# 343970085 Q4 (10/1 - 12/31) 11. No Lobbying Issue Activity INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 12. Lobbying INCOME relating to lobbying activities for this reporting period was: 13. Organizations EXPENSE relating to lobbying activities for this reporting period were: Less than $5,000 Less than $5,000 $5,000 or more $ 10,000.00 $5,000 or more $ Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the 14. REPORTING Check box to indicate expense accounting registrant by any other entity for lobbying activities on behalf of the method. See instructions for description of options. client). Method A. Reporting amounts using LDA definitions only Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code Signature Digitally Signed By: MR. ALAN WHEAT Date 7/17/2013 1:23:24 PM LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2013/Q2/300574064.xml 1/4 12/15/2015 LD-2 Disclosure Form 15. General issue area code DEF 16. Specific lobbying issues Tricare issues related to certification for psychiatric residential treatment facilities 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Timothy Casey Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2013/Q2/300574064.xml 2/4 12/15/2015 LD-2 Disclosure Form 15. General issue area code HCR 16. Specific lobbying issues H.R. 1893 Keeping All Students Safe Act H.R. 1981 Stop Child Abuse in Residential Programs for Teens Act H.R. 274/S.153 The Mental Health First Aid Act H.R. 628/S.195 The Mental Health in Schools Act H.R. 320 The Student Support Act S.648 The Helping Educators Support All Students Act S.116 The Garrett Lee smith Memorial Reauthorization Act S.689 The Mental Health Awareness and Improvement Act Issues relating to psychiatric residential treatment facilities 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Timothy Casey Rachel Stevenson Suffix Covered Official Position (if applicable) 19. Interest of each foreign entity in the specific issues listed on line 16 above New Check if None Information Update Page - Complete ONLY where registration information has changed. 20. Client new address Address City State Zip Code Country State Zip Code Country 21. Client new principal place of business (if different than line 20) City 22. New General description of client's business or activities LOBBYIST UPDATE 23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client First Name Last Name Suffix First Name 1 3 2 4 http://disclosures.house.gov/ld/ldxmlrelease/2013/Q2/300574064.xml Last Name Suffix 3/4 12/15/2015 LD-2 Disclosure Form ISSUE UPDATE 24. General lobbying issue that no longer pertains AFFILIATED ORGANIZATIONS 25. Add the following affiliated organization(s) Internet Address: Address Principal Place of Business (city and state or country) Street Address Name City State/Province Zip Country City State Country 26. Name of each previously reported organization that is no longer affiliated with the registrant or client 1 2 3 FOREIGN ENTITIES 27. Add the following foreign entities: Address Name Street Address City State/Province Country Principal place of business (city and state or country) Amount of Ownership contribution for percentage in lobbying activities client City State Country % 28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization 1 3 5 2 4 6 http://disclosures.house.gov/ld/ldxmlrelease/2013/Q2/300574064.xml 4/4 12/15/2015 LD-2 Disclosure Form Clerk of the House of Representatives Legislative Resource Center 135 Cannon Building Washington, DC 20515 http://lobbyingdisclosure.house.gov Secretary of the Senate Office of Public Records 232 Hart Building Washington, DC 20510 http://www.senate.gov/lobby LOBBYING REPORT Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page 1. Registrant Name Organization/Lobbying Firm Wheat Government Relations Self Employed Individual 2. Address Address1 1201 South Eads Street City Address2 Suite #2 Arlington State VA Zip Code State Zip Code 22202 Country USA 3. Principal place of business (if different than line 2) City b. Telephone Number 4a. Contact Name 7. Client Name Self Country c. E-mail 5. Senate ID# 47198-1005371 Check if client is a state or local government or instrumentality National Association for Children's Behavioral Health TYPE OF REPORT 8. Year 2013 Q1 (1/1 - 3/31) Q2 (4/1 - 6/30) 9. Check if this filing amends a previously filed version of this report 10. Check if this is a Termination Report Termination Date Q3 (7/1 - 9/30) 6. House ID# 343970085 Q4 (10/1 - 12/31) 11. No Lobbying Issue Activity INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 12. Lobbying INCOME relating to lobbying activities for this reporting period was: 13. Organizations EXPENSE relating to lobbying activities for this reporting period were: Less than $5,000 Less than $5,000 $5,000 or more $ 10,000.00 $5,000 or more $ Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the 14. REPORTING Check box to indicate expense accounting registrant by any other entity for lobbying activities on behalf of the method. See instructions for description of options. client). Method A. Reporting amounts using LDA definitions only Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code Signature Digitally Signed By: MR. ALAN WHEAT Date 10/21/2013 11:48:46 AM LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2013/Q3/300602938.xml 1/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code HCR 16. Specific lobbying issues H.R. 1893 Keeping All Students Safe Act H.R. 1981 Stop Child Abuse in Residential Programs for Teens Act H.R. 274/S.153 The Mental Health First Aid Act H.R. 628/S.195 The Mental Health in Schools Act H.R. 320 The Student Support Act S.648 The Helping Educators Support All Students Act S.116 The Garrett Lee smith Memorial Reauthorization Act S.689 The Mental Health Awareness and Improvement Act Issues relating to psychiatric residential treatment facilities 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2013/Q3/300602938.xml 2/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code DEF 16. Specific lobbying issues Tricare issues related to certification for psychiatric residential treatment facilities 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2013/Q3/300602938.xml 3/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code MMM 16. Specific lobbying issues H.R. 2757 To amend title XIX of the Social Security Act to remove the exclusion from medical assistance under the Medicaid Program of items and services for patients in an institution for mental diseases. 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2013/Q3/300602938.xml 4/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code WEL 16. Specific lobbying issues S.1518 Improving Outcomes for Youth At Risk for Sex Trafficking Act of 2013 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix Covered Official Position (if applicable) 19. Interest of each foreign entity in the specific issues listed on line 16 above New Check if None Information Update Page - Complete ONLY where registration information has changed. 20. Client new address Address City State Zip Code Country State Zip Code Country 21. Client new principal place of business (if different than line 20) City 22. New General description of client's business or activities LOBBYIST UPDATE 23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client First Name Last Name Suffix First Name 1 3 2 4 Last Name Suffix ISSUE UPDATE 24. General lobbying issue that no longer pertains AFFILIATED ORGANIZATIONS http://disclosures.house.gov/ld/ldxmlrelease/2013/Q3/300602938.xml 5/6 12/15/2015 LD-2 Disclosure Form 25. Add the following affiliated organization(s) Internet Address: Address Street Address City Name State/Province Zip Principal Place of Business (city and state or country) Country City State Country 26. Name of each previously reported organization that is no longer affiliated with the registrant or client 1 2 3 FOREIGN ENTITIES 27. Add the following foreign entities: Address Name Street Address City State/Province Country Principal place of business (city and state or country) Amount of Ownership contribution for percentage in lobbying activities client City State Country % 28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization 1 3 5 2 4 6 http://disclosures.house.gov/ld/ldxmlrelease/2013/Q3/300602938.xml 6/6 12/15/2015 LD-2 Disclosure Form Clerk of the House of Representatives Legislative Resource Center 135 Cannon Building Washington, DC 20515 http://lobbyingdisclosure.house.gov Secretary of the Senate Office of Public Records 232 Hart Building Washington, DC 20510 http://www.senate.gov/lobby LOBBYING REPORT Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page 1. Registrant Name Organization/Lobbying Firm Wheat Government Relations Self Employed Individual 2. Address Address1 1201 South Eads Street City Address2 Suite #2 Arlington State VA Zip Code State Zip Code 22202 Country USA 3. Principal place of business (if different than line 2) City b. Telephone Number 4a. Contact Name 7. Client Name Self Country c. E-mail 5. Senate ID# 47198-1005371 Check if client is a state or local government or instrumentality National Association for Children's Behavioral Health TYPE OF REPORT 8. Year 2013 Q1 (1/1 - 3/31) Q2 (4/1 - 6/30) 9. Check if this filing amends a previously filed version of this report 10. Check if this is a Termination Report Termination Date 12/31/2013 Q3 (7/1 - 9/30) 6. House ID# 343970085 Q4 (10/1 - 12/31) 11. No Lobbying Issue Activity INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 12. Lobbying INCOME relating to lobbying activities for this reporting period was: 13. Organizations EXPENSE relating to lobbying activities for this reporting period were: Less than $5,000 Less than $5,000 $5,000 or more $ $5,000 or more $ Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the 14. REPORTING Check box to indicate expense accounting registrant by any other entity for lobbying activities on behalf of the method. See instructions for description of options. client). Method A. Reporting amounts using LDA definitions only Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code Signature Digitally Signed By: MR. ALAN WHEAT Date 1/20/2014 9:19:29 PM LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2013/4T/300622011.xml 1/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code DEF 16. Specific lobbying issues Tricare issues related to certification for psychiatric residential treatment facilities 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2013/4T/300622011.xml 2/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code HCR 16. Specific lobbying issues H.R. 3717 Helping Families in Mental Health Crisis Act of 2013 H.R. 1893 Keeping All Students Safe Act H.R. 1981 Stop Child Abuse in Residential Programs for Teens Act H.R. 274/S.153 The Mental Health First Aid Act H.R. 628/S.195 The Mental Health in Schools Act H.R. 320 The Student Support Act S.648 The Helping Educators Support All Students Act S.116 The Garrett Lee smith Memorial Reauthorization Act S.689 The Mental Health Awareness and Improvement Act Issues relating to psychiatric residential treatment facilities 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2013/4T/300622011.xml 3/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code WEL 16. Specific lobbying issues S.1518 Improving Outcomes for Youth At Risk for Sex Trafficking Act of 2013 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2013/4T/300622011.xml 4/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code MMM 16. Specific lobbying issues H.R. 2757 To amend title XIX of the Social Security Act to remove the exclusion from medical assistance under the Medicaid Program of items and services for patients in an institution for mental diseases. 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix Covered Official Position (if applicable) 19. Interest of each foreign entity in the specific issues listed on line 16 above New Check if None Information Update Page - Complete ONLY where registration information has changed. 20. Client new address Address City State Zip Code Country State Zip Code Country 21. Client new principal place of business (if different than line 20) City 22. New General description of client's business or activities LOBBYIST UPDATE 23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client First Name Last Name Suffix First Name 1 3 2 4 Last Name Suffix ISSUE UPDATE 24. General lobbying issue that no longer pertains http://disclosures.house.gov/ld/ldxmlrelease/2013/4T/300622011.xml 5/6 12/15/2015 LD-2 Disclosure Form AFFILIATED ORGANIZATIONS 25. Add the following affiliated organization(s) Internet Address: Address Principal Place of Business (city and state or country) Street Address Name City State/Province Zip Country City State Country 26. Name of each previously reported organization that is no longer affiliated with the registrant or client 1 2 3 FOREIGN ENTITIES 27. Add the following foreign entities: Address Name Street Address City State/Province Country Principal place of business (city and state or country) Amount of Ownership contribution for percentage in lobbying activities client City State Country % 28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization 1 3 5 2 4 6 http://disclosures.house.gov/ld/ldxmlrelease/2013/4T/300622011.xml 6/6 12/15/2015 LD-2 Disclosure Form Clerk of the House of Representatives Legislative Resource Center 135 Cannon Building Washington, DC 20515 http://lobbyingdisclosure.house.gov Secretary of the Senate Office of Public Records 232 Hart Building Washington, DC 20510 http://www.senate.gov/lobby LOBBYING REPORT Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page 1. Registrant Name Organization/Lobbying Firm Polsinelli PC (FKA Polsinelli Shughart PC) Self Employed Individual 2. Address Address1 1401 Eye Street, NW City Address2 Suite 800 Washington State DC Zip Code State Zip Code 20005 Country USA 3. Principal place of business (if different than line 2) City b. Telephone Number 4a. Contact Name 7. Client Name Self Country c. E-mail 5. Senate ID# 314911-1004140 Check if client is a state or local government or instrumentality National Association for Children's Behavioral Health TYPE OF REPORT 8. Year 2014 Q1 (1/1 - 3/31) Q2 (4/1 - 6/30) 9. Check if this filing amends a previously filed version of this report 10. Check if this is a Termination Report Termination Date Q3 (7/1 - 9/30) 6. House ID# 391710118 Q4 (10/1 - 12/31) 11. No Lobbying Issue Activity INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 12. Lobbying INCOME relating to lobbying activities for this reporting period was: 13. Organizations EXPENSE relating to lobbying activities for this reporting period were: Less than $5,000 Less than $5,000 $5,000 or more $ 10,000.00 $5,000 or more $ Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the 14. REPORTING Check box to indicate expense accounting registrant by any other entity for lobbying activities on behalf of the method. See instructions for description of options. client). Method A. Reporting amounts using LDA definitions only Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code Signature Digitally Signed By: KAREN BLITZ Date 4/9/2014 10:14:09 AM LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2014/Q1/300633480.xml 1/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code DEF 16. Specific lobbying issues Tricare issues related to certification for psychiatric residential treatment facilities 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix Covered Official Position (if applicable) New Former Member of Congress from Missouri 19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2014/Q1/300633480.xml 2/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code HCR 16. Specific lobbying issues H.R. 3717 Helping Families in Mental Health Crisis Act of 2013 H.R. 1893 Keeping All Students Safe Act H.R. 1981 Stop Child Abuse in Residential Programs for Teens Act H.R. 274/S.153 The Mental Health First Aid Act H.R. 628/S.195 The Mental Health in Schools Act H.R. 320 The Student Support Act S.648 The Helping Educators Support All Students Act S.116 The Garrett Lee smith Memorial Reauthorization Act S.689 The Mental Health Awareness and Improvement Act Issues relating to psychiatric residential treatment facilities 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix Covered Official Position (if applicable) New Former Member of Congress from Missouri 19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2014/Q1/300633480.xml 3/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code MMM 16. Specific lobbying issues H.R. 2757 To amend title XIX of the Social Security Act to remove the exclusion from medical assistance under the Medicaid Program of items and services for patients in an institution for mental diseases. H.R. 4302/ Public Law No.: 113-93: Protecting Access to Medicare Act of 2014 - Including mental health provisions 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix Covered Official Position (if applicable) New Former Member of Congress from Missouri 19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2014/Q1/300633480.xml 4/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code WEL 16. Specific lobbying issues S.1518 Improving Outcomes for Youth At Risk for Sex Trafficking Act of 2013 H.R. 4058 Preventing Sex Trafficking and Improving Opportunities for Youth in Foster Care Act 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix Covered Official Position (if applicable) New Former Member of Congress from Missouri 19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None Information Update Page - Complete ONLY where registration information has changed. 20. Client new address Address City State Zip Code Country State Zip Code Country 21. Client new principal place of business (if different than line 20) City 22. New General description of client's business or activities LOBBYIST UPDATE 23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client First Name Last Name Suffix First Name 1 3 2 4 Last Name Suffix ISSUE UPDATE 24. General lobbying issue that no longer pertains http://disclosures.house.gov/ld/ldxmlrelease/2014/Q1/300633480.xml 5/6 12/15/2015 LD-2 Disclosure Form AFFILIATED ORGANIZATIONS 25. Add the following affiliated organization(s) Internet Address: Address Principal Place of Business (city and state or country) Street Address Name City State/Province Zip Country City State Country 26. Name of each previously reported organization that is no longer affiliated with the registrant or client 1 2 3 FOREIGN ENTITIES 27. Add the following foreign entities: Address Name Street Address City State/Province Country Principal place of business (city and state or country) Amount of Ownership contribution for percentage in lobbying activities client City State Country % 28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization 1 3 5 2 4 6 http://disclosures.house.gov/ld/ldxmlrelease/2014/Q1/300633480.xml 6/6 12/15/2015 LD-2 Disclosure Form Clerk of the House of Representatives Legislative Resource Center 135 Cannon Building Washington, DC 20515 http://lobbyingdisclosure.house.gov Secretary of the Senate Office of Public Records 232 Hart Building Washington, DC 20510 http://www.senate.gov/lobby LOBBYING REPORT Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page 1. Registrant Name Organization/Lobbying Firm Polsinelli PC (FKA Polsinelli Shughart PC) Self Employed Individual 2. Address Address1 1401 Eye Street, NW City Address2 Suite 800 Washington State DC Zip Code State Zip Code 20005 Country USA 3. Principal place of business (if different than line 2) City b. Telephone Number 4a. Contact Name 7. Client Name Self Country c. E-mail 5. Senate ID# 314911-1004140 Check if client is a state or local government or instrumentality National Association for Children's Behavioral Health TYPE OF REPORT 8. Year 2014 Q1 (1/1 - 3/31) Q2 (4/1 - 6/30) 9. Check if this filing amends a previously filed version of this report 10. Check if this is a Termination Report Termination Date Q3 (7/1 - 9/30) 6. House ID# 391710118 Q4 (10/1 - 12/31) 11. No Lobbying Issue Activity INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 12. Lobbying INCOME relating to lobbying activities for this reporting period was: 13. Organizations EXPENSE relating to lobbying activities for this reporting period were: Less than $5,000 Less than $5,000 $5,000 or more $ 30,000.00 $5,000 or more $ Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the 14. REPORTING Check box to indicate expense accounting registrant by any other entity for lobbying activities on behalf of the method. See instructions for description of options. client). Method A. Reporting amounts using LDA definitions only Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code Signature Digitally Signed By: KAREN BLITZ Date 7/11/2014 2:01:32 PM LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2014/Q2/300655471.xml 1/5 12/15/2015 LD-2 Disclosure Form 15. General issue area code DEF 16. Specific lobbying issues S.2276 Caring for Americas Heroes Act S.2333 Caring for Military Children with Developmental Disabilities Act of 2014 Tricare issues related to certification for psychiatric residential treatment facilities 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Defense - Dept of (DOD) 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2014/Q2/300655471.xml 2/5 12/15/2015 LD-2 Disclosure Form 15. General issue area code HCR 16. Specific lobbying issues S. 2461 CHIP Extension Act of 2014 S.2434 Family Coverage Act H.R. 4574 Strengthening Mental Health in Our Communities Act H.R. 4390/S.2211 At-Risk Youth Medicaid Protection Act of 2014 H.R. 3717 Helping Families in Mental Health Crisis Act of 2013 H.R. 1893 Keeping All Students Safe Act H.R. 1981 Stop Child Abuse in Residential Programs for Teens Act H.R. 274/S.153 The Mental Health First Aid Act H.R. 628/S.195 The Mental Health in Schools Act H.R. 320 The Student Support Act S.648 The Helping Educators Support All Students Act H.R. 2734/S.116 The Garrett Lee smith Memorial Reauthorization Act of 2013 S.689 The Mental Health Awareness and Improvement Act S. 380 Childrens Recovery from Trauma Act S. 648 The Helping Educators Support All Students Act Issues relating to psychiatric residential treatment facilities 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, White House Office 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2014/Q2/300655471.xml 3/5 12/15/2015 LD-2 Disclosure Form 15. General issue area code WEL 16. Specific lobbying issues S.1518 Improving Outcomes for Youth At Risk for Sex Trafficking Act of 2013 H.R. 4058 Preventing Sex Trafficking and Improving Opportunities for Youth in Foster Care Act H.R.4124 Protecting Youth From Solitary Confinement Act H.R. 4123 Prohibiting Detention of Youth Status Offenders Act of 2014 S. 1878 Protecting Youth At-Risk for Sex Trafficking Act H.R.4980 Preventing Sex Trafficking and Strengthening Families Act H.R. 4909 Permanent Families for All Children Act 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix Covered Official Position (if applicable) 19. Interest of each foreign entity in the specific issues listed on line 16 above New Check if None Information Update Page - Complete ONLY where registration information has changed. 20. Client new address Address City State Zip Code Country State Zip Code Country 21. Client new principal place of business (if different than line 20) City 22. New General description of client's business or activities LOBBYIST UPDATE 23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client First Name Last Name Suffix First Name 1 3 2 4 Last Name Suffix ISSUE UPDATE http://disclosures.house.gov/ld/ldxmlrelease/2014/Q2/300655471.xml 4/5 12/15/2015 LD-2 Disclosure Form 24. General lobbying issue that no longer pertains AFFILIATED ORGANIZATIONS 25. Add the following affiliated organization(s) Internet Address: Address Principal Place of Business (city and state or country) Street Address Name City State/Province Zip Country City State Country 26. Name of each previously reported organization that is no longer affiliated with the registrant or client 1 2 3 FOREIGN ENTITIES 27. Add the following foreign entities: Address Name Street Address City State/Province Country Principal place of business (city and state or country) Amount of Ownership contribution for percentage in lobbying activities client City State Country % 28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization 1 3 5 2 4 6 http://disclosures.house.gov/ld/ldxmlrelease/2014/Q2/300655471.xml 5/5 12/15/2015 LD-2 Disclosure Form Clerk of the House of Representatives Legislative Resource Center 135 Cannon Building Washington, DC 20515 http://lobbyingdisclosure.house.gov Secretary of the Senate Office of Public Records 232 Hart Building Washington, DC 20510 http://www.senate.gov/lobby LOBBYING REPORT Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page 1. Registrant Name Organization/Lobbying Firm Polsinelli PC (FKA Polsinelli Shughart PC) Self Employed Individual 2. Address Address1 1401 Eye Street, NW City Address2 Suite 800 Washington State DC Zip Code State Zip Code 20005 Country USA 3. Principal place of business (if different than line 2) City b. Telephone Number 4a. Contact Name 7. Client Name Self Country c. E-mail 5. Senate ID# 314911-1004140 Check if client is a state or local government or instrumentality National Association for Children's Behavioral Health TYPE OF REPORT 8. Year 2014 Q1 (1/1 - 3/31) Q2 (4/1 - 6/30) 9. Check if this filing amends a previously filed version of this report 10. Check if this is a Termination Report Termination Date Q3 (7/1 - 9/30) 6. House ID# 391710118 Q4 (10/1 - 12/31) 11. No Lobbying Issue Activity INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 12. Lobbying INCOME relating to lobbying activities for this reporting period was: 13. Organizations EXPENSE relating to lobbying activities for this reporting period were: Less than $5,000 Less than $5,000 $5,000 or more $ 10,000.00 $5,000 or more $ Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the 14. REPORTING Check box to indicate expense accounting registrant by any other entity for lobbying activities on behalf of the method. See instructions for description of options. client). Method A. Reporting amounts using LDA definitions only Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code Signature Digitally Signed By: KAREN BLITZ Date 10/15/2014 4:03:36 PM LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2014/Q3/300677068.xml 1/5 12/15/2015 LD-2 Disclosure Form 15. General issue area code DEF 16. Specific lobbying issues S.2276 Caring for Americas Heroes Act S.2333 Caring for Military Children with Developmental Disabilities Act of 2014 Tricare issues related to certification for psychiatric residential treatment facilities 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Defense - Dept of (DOD) 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2014/Q3/300677068.xml 2/5 12/15/2015 LD-2 Disclosure Form 15. General issue area code HCR 16. Specific lobbying issues S. 2461 CHIP Extension Act of 2014 S.2434 Family Coverage Act H.R. 4574 Strengthening Mental Health in Our Communities Act H.R. 4390/S.2211 At-Risk Youth Medicaid Protection Act of 2014 H.R. 3717 Helping Families in Mental Health Crisis Act of 2013 H.R. 1893 Keeping All Students Safe Act H.R. 1981 Stop Child Abuse in Residential Programs for Teens Act H.R. 274/S.153 The Mental Health First Aid Act H.R. 628/S.195 The Mental Health in Schools Act H.R. 320 The Student Support Act S.648 The Helping Educators Support All Students Act H.R. 2734/S.116 The Garrett Lee Smith Memorial Reauthorization Act of 2013 S.689 The Mental Health Awareness and Improvement Act S. 380 Childrens Recovery from Trauma Act Issues relating to psychiatric residential treatment facilities Child Welfare Financing Reform Issues 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2014/Q3/300677068.xml 3/5 12/15/2015 LD-2 Disclosure Form 15. General issue area code WEL 16. Specific lobbying issues S.1518 Improving Outcomes for Youth At Risk for Sex Trafficking Act of 2013 H.R. 4058 Preventing Sex Trafficking and Improving Opportunities for Youth in Foster Care Act H.R.4124 Protecting Youth From Solitary Confinement Act H.R. 4123 Prohibiting Detention of Youth Status Offenders Act of 2014 S. 1878 Protecting Youth At-Risk for Sex Trafficking Act H.R.4980, Public Law No: 113-183 Preventing Sex Trafficking and Strengthening Families Act H.R. 4909 Permanent Families for All Children Act Child Welfare Financing Reform Issues 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix Covered Official Position (if applicable) 19. Interest of each foreign entity in the specific issues listed on line 16 above New Check if None Information Update Page - Complete ONLY where registration information has changed. 20. Client new address Address City State Zip Code Country State Zip Code Country 21. Client new principal place of business (if different than line 20) City 22. New General description of client's business or activities LOBBYIST UPDATE 23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client First Name Last Name Suffix First Name 1 3 2 4 Last Name Suffix ISSUE UPDATE http://disclosures.house.gov/ld/ldxmlrelease/2014/Q3/300677068.xml 4/5 12/15/2015 LD-2 Disclosure Form 24. General lobbying issue that no longer pertains AFFILIATED ORGANIZATIONS 25. Add the following affiliated organization(s) Internet Address: Address Principal Place of Business (city and state or country) Street Address Name City State/Province Zip Country City State Country 26. Name of each previously reported organization that is no longer affiliated with the registrant or client 1 2 3 FOREIGN ENTITIES 27. Add the following foreign entities: Address Name Street Address City State/Province Country Principal place of business (city and state or country) Amount of Ownership contribution for percentage in lobbying activities client City State Country % 28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization 1 3 5 2 4 6 http://disclosures.house.gov/ld/ldxmlrelease/2014/Q3/300677068.xml 5/5 12/15/2015 LD-2 Disclosure Form Clerk of the House of Representatives Legislative Resource Center 135 Cannon Building Washington, DC 20515 http://lobbyingdisclosure.house.gov Secretary of the Senate Office of Public Records 232 Hart Building Washington, DC 20510 http://www.senate.gov/lobby LOBBYING REPORT Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page 1. Registrant Name Organization/Lobbying Firm Polsinelli PC Self Employed Individual 2. Address Address1 1401 Eye Street, NW City Address2 Suite 800 Washington State DC Zip Code State Zip Code 20005 Country USA 3. Principal place of business (if different than line 2) City b. Telephone Number 4a. Contact Name 7. Client Name Self Country c. E-mail 5. Senate ID# 314911-1004140 Check if client is a state or local government or instrumentality National Association for Children's Behavioral Health TYPE OF REPORT 8. Year 2014 Q1 (1/1 - 3/31) Q2 (4/1 - 6/30) 9. Check if this filing amends a previously filed version of this report 10. Check if this is a Termination Report Termination Date Q3 (7/1 - 9/30) 6. House ID# 391710118 Q4 (10/1 - 12/31) 11. No Lobbying Issue Activity INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 12. Lobbying INCOME relating to lobbying activities for this reporting period was: 13. Organizations EXPENSE relating to lobbying activities for this reporting period were: Less than $5,000 Less than $5,000 $5,000 or more $ 10,000.00 $5,000 or more $ Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the 14. REPORTING Check box to indicate expense accounting registrant by any other entity for lobbying activities on behalf of the method. See instructions for description of options. client). Method A. Reporting amounts using LDA definitions only Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code Signature Digitally Signed By: KAREN BLITZ Date 1/20/2015 11:57:13 AM LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2014/Q4/300702770.xml 1/5 12/15/2015 LD-2 Disclosure Form 15. General issue area code DEF 16. Specific lobbying issues S.2276 Caring for Americas Heroes Act S.2333 Caring for Military Children with Developmental Disabilities Act of 2014 Tricare issues related to certification for psychiatric residential treatment facilities 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Defense - Dept of (DOD) 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2014/Q4/300702770.xml 2/5 12/15/2015 LD-2 Disclosure Form 15. General issue area code HCR 16. Specific lobbying issues S. 2461 CHIP Extension Act of 2014 S.2434 Family Coverage Act H.R. 4574 Strengthening Mental Health in Our Communities Act H.R. 4390/S.2211 At-Risk Youth Medicaid Protection Act of 2014 H.R. 3717 Helping Families in Mental Health Crisis Act of 2013 H.R. 1893 Keeping All Students Safe Act H.R. 1981 Stop Child Abuse in Residential Programs for Teens Act H.R. 274/S.153 The Mental Health First Aid Act H.R. 628/S.195 The Mental Health in Schools Act H.R. 320 The Student Support Act S.648 The Helping Educators Support All Students Act H.R. 2734/S.116 The Garrett Lee smith Memorial Reauthorization Act of 2013 S.689 The Mental Health Awareness and Improvement Act S. 380 Childrens Recovery from Trauma Act Issues relating to psychiatric residential treatment facilities Child Welfare Financing Reform Issues 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2014/Q4/300702770.xml 3/5 12/15/2015 LD-2 Disclosure Form 15. General issue area code WEL 16. Specific lobbying issues H.R.4124 Protecting Youth From Solitary Confinement Act H.R. 4123 Prohibiting Detention of Youth Status Offenders Act of 2014 H.R. 4909 Permanent Families for All Children Act Child Welfare Financing Reform Issues 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shoyer Rachel Stevenson Suffix Covered Official Position (if applicable) 19. Interest of each foreign entity in the specific issues listed on line 16 above New Check if None Information Update Page - Complete ONLY where registration information has changed. 20. Client new address Address City State Zip Code Country State Zip Code Country 21. Client new principal place of business (if different than line 20) City 22. New General description of client's business or activities LOBBYIST UPDATE 23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client First Name Last Name Suffix First Name 1 3 2 4 Last Name Suffix ISSUE UPDATE 24. General lobbying issue that no longer pertains http://disclosures.house.gov/ld/ldxmlrelease/2014/Q4/300702770.xml 4/5 12/15/2015 LD-2 Disclosure Form AFFILIATED ORGANIZATIONS 25. Add the following affiliated organization(s) Internet Address: Address Principal Place of Business (city and state or country) Street Address Name City State/Province Zip Country City State Country 26. Name of each previously reported organization that is no longer affiliated with the registrant or client 1 2 3 FOREIGN ENTITIES 27. Add the following foreign entities: Address Name Street Address City State/Province Country Principal place of business (city and state or country) City State Amount of Ownership contribution for percentage in lobbying activities client Country % 28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization 1 3 5 2 4 6 http://disclosures.house.gov/ld/ldxmlrelease/2014/Q4/300702770.xml 5/5 12/15/2015 LD-2 Disclosure Form Clerk of the House of Representatives Legislative Resource Center 135 Cannon Building Washington, DC 20515 http://lobbyingdisclosure.house.gov Secretary of the Senate Office of Public Records 232 Hart Building Washington, DC 20510 http://www.senate.gov/lobby LOBBYING REPORT Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page 1. Registrant Name Organization/Lobbying Firm Polsinelli PC Self Employed Individual 2. Address Address1 1401 Eye Street, NW City Address2 Suite 800 Washington State DC Zip Code State Zip Code 20005 Country USA 3. Principal place of business (if different than line 2) City b. Telephone Number 4a. Contact Name 7. Client Name Self Country c. E-mail 5. Senate ID# 314911-1004140 Check if client is a state or local government or instrumentality National Association for Children's Behavioral Health TYPE OF REPORT 8. Year 2015 Q1 (1/1 - 3/31) Q2 (4/1 - 6/30) 9. Check if this filing amends a previously filed version of this report 10. Check if this is a Termination Report Termination Date Q3 (7/1 - 9/30) 6. House ID# 391710118 Q4 (10/1 - 12/31) 11. No Lobbying Issue Activity INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 12. Lobbying INCOME relating to lobbying activities for this reporting period was: 13. Organizations EXPENSE relating to lobbying activities for this reporting period were: Less than $5,000 Less than $5,000 $5,000 or more $ 10,000.00 $5,000 or more $ Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the 14. REPORTING Check box to indicate expense accounting registrant by any other entity for lobbying activities on behalf of the method. See instructions for description of options. client). Method A. Reporting amounts using LDA definitions only Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code Signature Digitally Signed By: KAREN BLITZ Date 4/17/2015 11:48:05 AM LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2015/Q1/300718544.xml 1/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code DEF 16. Specific lobbying issues Tricare issues related to certification for psychiatric residential treatment facilities Issues identified in the July 2014 DOD Report to Congressional Defense Committees: Study on Health Care and Related Support for Children of Members of the Armed Forces 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2015/Q1/300718544.xml 2/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code HCR 16. Specific lobbying issues Issues relating to psychiatric residential treatment facilities and the Medicaid Institution for Mental Disease (IMD) exclusion for beneficiaries under the age of 21. 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2015/Q1/300718544.xml 3/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code WEL 16. Specific lobbying issues Child Welfare Financing Reform Issues 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shoyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2015/Q1/300718544.xml 4/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code EDU 16. Specific lobbying issues Elementary and Secondary Education Act and how it relates to national military dependent student identifiers. 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix Covered Official Position (if applicable) 19. Interest of each foreign entity in the specific issues listed on line 16 above New Check if None Information Update Page - Complete ONLY where registration information has changed. 20. Client new address Address City State Zip Code Country State Zip Code Country 21. Client new principal place of business (if different than line 20) City 22. New General description of client's business or activities LOBBYIST UPDATE 23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client First Name Last Name Suffix First Name 1 3 2 4 Last Name Suffix ISSUE UPDATE 24. General lobbying issue that no longer pertains AFFILIATED ORGANIZATIONS http://disclosures.house.gov/ld/ldxmlrelease/2015/Q1/300718544.xml 5/6 12/15/2015 LD-2 Disclosure Form 25. Add the following affiliated organization(s) Internet Address: Address Street Address City Name State/Province Zip Principal Place of Business (city and state or country) Country City State Country 26. Name of each previously reported organization that is no longer affiliated with the registrant or client 1 2 3 FOREIGN ENTITIES 27. Add the following foreign entities: Address Name Street Address City State/Province Country Principal place of business (city and state or country) Amount of Ownership contribution for percentage in lobbying activities client City State Country % 28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization 1 3 5 2 4 6 http://disclosures.house.gov/ld/ldxmlrelease/2015/Q1/300718544.xml 6/6 12/15/2015 LD-2 Disclosure Form Clerk of the House of Representatives Legislative Resource Center 135 Cannon Building Washington, DC 20515 http://lobbyingdisclosure.house.gov Secretary of the Senate Office of Public Records 232 Hart Building Washington, DC 20510 http://www.senate.gov/lobby LOBBYING REPORT Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page 1. Registrant Name Organization/Lobbying Firm Polsinelli PC Self Employed Individual Text 2. Address Address1 1401 Eye Street, NW City Address2 Suite 800 Washington State DC Zip Code State Zip Code 20005 Country USA 3. Principal place of business (if different than line 2) City b. Telephone Number 4a. Contact Name 7. Client Name Self Country c. E-mail 5. Senate ID# 314911-1004140 Check if client is a state or local government or instrumentality National Association for Children's Behavioral Health TYPE OF REPORT 8. Year 2015 Q1 (1/1 - 3/31) Q2 (4/1 - 6/30) 9. Check if this filing amends a previously filed version of this report 10. Check if this is a Termination Report Termination Date Q3 (7/1 - 9/30) 6. House ID# 391710118 Q4 (10/1 - 12/31) 11. No Lobbying Issue Activity INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 12. Lobbying INCOME relating to lobbying activities for this reporting period was: 13. Organizations EXPENSE relating to lobbying activities for this reporting period were: Less than $5,000 Less than $5,000 $5,000 or more $ 10,000.00 $5,000 or more $ Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the 14. REPORTING Check box to indicate expense accounting registrant by any other entity for lobbying activities on behalf of the method. See instructions for description of options. client). Method A. Reporting amounts using LDA definitions only Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code Signature Digitally Signed By: KAREN BLITZ Date 7/14/2015 2:48:45 PM LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2015/Q2/300734206.xml 1/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code DEF 16. Specific lobbying issues Tricare issues related to certification for psychiatric residential treatment facilities Issues identified in the July 2014 DOD Report to Congressional Defense Committees: Study on Health Care and Related Support for Children of Members of the Armed Forces H.R. 1735, S.1376 National Defense Authorization Act of 2016 - TRICARE issues 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2015/Q2/300734206.xml 2/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code HCR 16. Specific lobbying issues Issues relating to psychiatric residential treatment facilities and the Medicaid Institution for Mental Disease (IMD) exclusion for beneficiaries under the age of 21. H.R. 1988 Breaking Addiction Act of 2015 H.R. 546, S. 298 The Advancing Care for Exceptional (ACE) Kids Act of 2015 H.R. 938, S. 1299 Garrett Lee Smith Memorial Act Reauthorization of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act Congregate Care Study Stop Child Abuse in Residential Programs for Teens Act 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2015/Q2/300734206.xml 3/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code WEL 16. Specific lobbying issues Child Welfare Financing Reform Issues 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shoyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2015/Q2/300734206.xml 4/6 12/15/2015 LD-2 Disclosure Form 15. General issue area code EDU 16. Specific lobbying issues H.R. 5 Student Success Act - how it relates to national military dependent student identifiers S.1177 Every Child Achieves Act of 2015- how it relates to national military dependent student identifiers 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix Covered Official Position (if applicable) 19. Interest of each foreign entity in the specific issues listed on line 16 above New Check if None Information Update Page - Complete ONLY where registration information has changed. 20. Client new address Address City State Zip Code Country State Zip Code Country 21. Client new principal place of business (if different than line 20) City 22. New General description of client's business or activities LOBBYIST UPDATE 23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client First Name Last Name Suffix First Name 1 3 2 4 Last Name Suffix ISSUE UPDATE 24. General lobbying issue that no longer pertains http://disclosures.house.gov/ld/ldxmlrelease/2015/Q2/300734206.xml 5/6 12/15/2015 LD-2 Disclosure Form AFFILIATED ORGANIZATIONS 25. Add the following affiliated organization(s) Internet Address: Address Principal Place of Business (city and state or country) Street Address Name City State/Province Zip Country City State Country 26. Name of each previously reported organization that is no longer affiliated with the registrant or client 1 2 3 FOREIGN ENTITIES 27. Add the following foreign entities: Address Name Street Address City State/Province Country Principal place of business (city and state or country) Amount of Ownership contribution for percentage in lobbying activities client City State Country % 28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization 1 3 5 2 4 6 http://disclosures.house.gov/ld/ldxmlrelease/2015/Q2/300734206.xml 6/6 12/15/2015 LD-2 Disclosure Form Clerk of the House of Representatives Legislative Resource Center 135 Cannon Building Washington, DC 20515 http://lobbyingdisclosure.house.gov Secretary of the Senate Office of Public Records 232 Hart Building Washington, DC 20510 http://www.senate.gov/lobby LOBBYING REPORT Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page 1. Registrant Name Organization/Lobbying Firm Polsinelli PC Self Employed Individual 2. Address Address1 1401 Eye Street, NW City Address2 Suite 800 Washington State DC Zip Code State Zip Code 20005 Country USA 3. Principal place of business (if different than line 2) City b. Telephone Number 4a. Contact Name 7. Client Name Self Country c. E-mail 5. Senate ID# 314911-1004140 Check if client is a state or local government or instrumentality National Association for Children's Behavioral Health TYPE OF REPORT 8. Year 2015 Q1 (1/1 - 3/31) Q2 (4/1 - 6/30) 9. Check if this filing amends a previously filed version of this report 10. Check if this is a Termination Report Termination Date Q3 (7/1 - 9/30) 6. House ID# 391710118 Q4 (10/1 - 12/31) 11. No Lobbying Issue Activity INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 12. Lobbying INCOME relating to lobbying activities for this reporting period was: 13. Organizations EXPENSE relating to lobbying activities for this reporting period were: Less than $5,000 Less than $5,000 $5,000 or more $ 10,000.00 $5,000 or more $ Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the 14. REPORTING Check box to indicate expense accounting registrant by any other entity for lobbying activities on behalf of the method. See instructions for description of options. client). Method A. Reporting amounts using LDA definitions only Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code Signature Digitally Signed By: KAREN BLITZ Date 10/13/2015 5:20:00 PM LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2015/Q3/300752700.xml 1/7 12/15/2015 LD-2 Disclosure Form 15. General issue area code DEF 16. Specific lobbying issues Tricare issues related to certification for psychiatric residential treatment facilities Issues identified in the July 2014 DOD Report to Congressional Defense Committees: Study on Health Care and Related Support for Children of Members of the Armed Forces H.R. 1735, S.1376 National Defense Authorization Act of 2016 - TRICARE issues 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2015/Q3/300752700.xml 2/7 12/15/2015 LD-2 Disclosure Form 15. General issue area code HCR 16. Specific lobbying issues Issues relating to psychiatric residential treatment facilities and the Medicaid Institution for Mental Disease (IMD) exclusion for beneficiaries under the age of 21. H.R. 1988 Breaking Addiction Act of 2015 H.R. 546, S. 298 The Advancing Care for Exceptional (ACE) Kids Act of 2015 H.R. 938, S. 1299 Garrett Lee Smith Memorial Act Reauthorization of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act H.R. 3060 Stop Child Abuse in Residential Programs for Teens Act of 2015 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2015/Q3/300752700.xml 3/7 12/15/2015 LD-2 Disclosure Form 15. General issue area code WEL 16. Specific lobbying issues Child Welfare Financing Reform Issues 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shoyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2015/Q3/300752700.xml 4/7 12/15/2015 LD-2 Disclosure Form 15. General issue area code EDU 16. Specific lobbying issues H.R. 5 Student Success Act - how it relates to national military dependent student identifiers S.1177 Every Child Achieves Act of 2015- how it relates to national military dependent student identifiers 17. House(s) of Congress and Federal agencies Check if None U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix 19. Interest of each foreign entity in the specific issues listed on line 16 above Covered Official Position (if applicable) New Check if None LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed. http://disclosures.house.gov/ld/ldxmlrelease/2015/Q3/300752700.xml 5/7 12/15/2015 LD-2 Disclosure Form 15. General issue area code MMM 16. Specific lobbying issues Proposed rule modernizing the Medicaid managed care regulations. Proposed rule regarding the application of the Mental Health Parity and Addiction Equity Act (MHPAEA) to Medicaid and CHIP services provided by managed care organizations. 17. House(s) of Congress and Federal agencies Check if None Centers For Medicare and Medicaid Services (CMS) 18. Name of each individual who acted as a lobbyist in this issue area First Name Last Name Alan Wheat Julie Shroyer Rachel Stevenson Suffix Covered Official Position (if applicable) New Former Member of Congress from Missouri 19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None Information Update Page - Complete ONLY where registration information has changed. 20. Client new address Address City State Zip Code Country State Zip Code Country 21. Client new principal place of business (if different than line 20) City 22. New General description of client's business or activities LOBBYIST UPDATE 23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client First Name Last Name Suffix First Name 1 3 2 4 Last Name Suffix ISSUE UPDATE 24. General lobbying issue that no longer pertains http://disclosures.house.gov/ld/ldxmlrelease/2015/Q3/300752700.xml 6/7 12/15/2015 LD-2 Disclosure Form AFFILIATED ORGANIZATIONS 25. Add the following affiliated organization(s) Internet Address: Address Street Address City Name State/Province Zip Principal Place of Business (city and state or country) Country City State Country 26. Name of each previously reported organization that is no longer affiliated with the registrant or client 1 2 3 FOREIGN ENTITIES 27. Add the following foreign entities: Address Name Street Address City State/Province Country Principal place of business (city and state or country) City State Amount of Ownership contribution for percentage in lobbying activities client Country % 28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization 1 3 5 2 4 6 http://disclosures.house.gov/ld/ldxmlrelease/2015/Q3/300752700.xml 7/7