Clerk of the House of RepresentativesLegislative Resource CenterB-106 Cannon BuildingWashington, DC 20515http://lobbyingdisclosure.house.govhttp://www.senate.gov/lobbySecretary of the SenateOffice of Public Records232 Hart BuildingWashington, DC 20510
Lobbying Disclosure Act of 1995 (Section 4)
New RegistrantNew Client for Existing RegistrantAmendment
1. Effective Date of Registration
2. House IdentificationSenate Identification
Organization/Lobbying FirmSelf Employed Individual
Country4. Principal place of business (if different than line 3)CityStateZip
Country5. Contact name and telephone number
ContactTelephoneE-mail6. General description of registrant's business or activities
A Lobbying Firm is required to file a separate registration for each client. Organizations employing in-house lobbyists should check the boxlabeled "Self" and proceed to line 10.
7. Client nameAddressCityStateZip
Country8. Principal place of business (if different than line 7)CityStateZip
Country9. General description of client's business or activities
10. Name of each individual who has acted or is expected to act as a lobbyist for the client identified on line 7. If any person listed inthis section has served as a “covered executive branch official” or “covered legislative branch official” within twenty years of firstacting as a lobbyist for the client,
state the executive and/or legislative position(s) in which the person served.
NameCovered Official Position (if applicable)FirstLastSuffix
Page _____ of ______
Protect Medicare beneficiaries through legislation.
COLUMBIA SQUARE555 THIRTEENTH STREET NW
Law Firm401 Carlson Parkway
Hogan Lovells US LLP