3/16/2015

LD1DisclosureForm

ClerkoftheHouseofRepresentatives
LegislativeResourceCenter
B106CannonBuilding
Washington,DC20515
http://lobbyingdisclosure.house.gov

SecretaryoftheSenate
OfficeofPublicRecords
232HartBuilding
Washington,DC20510
http://www.senate.gov/lobby

LOBBYINGREGISTRATION
LobbyingDisclosureActof1995(Section4)
NewRegistrant

CheckOne:

NewClientforExistingRegistrant

Amendment
1.EffectiveDateofRegistration

2.HouseIdentification

42857

REGISTRANT
3.Registrant
Address
City

Prefix

SenateIdentification

Organization/LobbyingFirm
Mr.

First

401103587

SelfEmployedIndividual

GaylordKent

818AStreet,SE

Last

Conrad

Address2

Washington

4.Principalplaceofbusiness(ifdifferentthanline3)
City Washington

State DC

Zip

20003

Country

USA

State DC

Zip

20003

Country

USA

5.Contactnameandtelephonenumber
Contact

1/27/2015

InternationalNumber

Mr.GaylordKentConrad

Telephone

2028701984

Email

kentcnrd4@gmail.com

6.Generaldescriptionofregistrantsbusinessoractivities
Consulting

CLIENTALobbyingFirmisrequiredtofileaseparateregistrationforeachclient.Organizationsemployinginhouselobbyistsshouldcheckthebox
labeledSelfandproceedtoline10.
Self
7.Clientname

MolinaHealthcare,Inc.

Address

300UniversityAvenue

City

SACRAMENTO

8.Principalplaceofbusiness(ifdifferentthanline7)
City

State CA

Zip

95825

Country USA

State

Zip

Country

9.Generaldescriptionofclientsbusinessoractivities
Healthcare

LOBBYISTS
10.Nameofeachindividualwhohasactedorisexpectedtoactasalobbyistfortheclientidentifiedonline7.Ifanyperson
listedinthissectionhasservedasacoveredexecutivebranchofficialorcoveredlegislativebranchofficialwithin
twentyyearsoffirstactingasalobbyistfortheclient,statetheexecutiveand/orlegislativeposition(s)inwhichthepersonserved.
Name
First

Last

Suffix

GaylordKent

Conrad

CoveredOfficialPosition(ifapplicable)
UnitedStatesSenator

LOBBYINGISSUES
http://soprweb.senate.gov/index.cfm?event=getFilingDetails&filingID=AAE25CC6A6EE4BA1AE2A98534B81F722&filingTypeID=1

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3/16/2015

LD1DisclosureForm

11.Generallobbyingissueareas(Selectallapplicablecodes).
MMM

12.Specificlobbyingissues(currentandanticipated)
ProposalsrelatedtoMedicare,MedicaidandChildren'sHealthInsuranceProgram

AFFILIATEDORGANIZATIONS
13.Isthereanentityotherthantheclientthatcontributesmorethan$5,000tothelobbyingactivitiesoftheregistrantinaquarterlyperiodand
eitheractivelyparticipatesinand/orinwholeorinmajorpartsupervises,plans,orcontrolstheregistrantslobbyingactivities?
Yes>Completetherestofthissectionforeachentitymatchingthecriteria
above,thenproceedtoline14.

No>Gotoline14.

Internet
Address:

Name

Address

PrincipalPlaceofBusiness

Street
City

State/Province

Zip
Country
Code

FOREIGNENTITIES
14.Isthereanyforeignentity
a)holdsatleast20%equitableownershipintheclientoranyorganizationidentifiedonline13or
b)directlyorindirectly,inwholeorinmajorpart,plans,supervises,controls,directs,financesorsubsidizesactivitiesoftheclient
oranyorganizationidentifiedonline13or
c)isanaffiliateoftheclientoranyorganizationidentifiedonline13andhasadirectinterestintheoutcomeofthelobbying
activity?
Yes>Completetherestofthissectionforeachentitymatchingthecriteriaabove,
thensigntheregistration.

No>Signanddatetheregistration.

Address
Name

Street
City

Signature

Ownership
Principalplaceofbusiness

State/Province Country (cityandstateorcountry)

Amountofcontribution
forlobbyingactivities

DigitallySignedBy:GaylordKentConrad

http://soprweb.senate.gov/index.cfm?event=getFilingDetails&filingID=AAE25CC6A6EE4BA1AE2A98534B81F722&filingTypeID=1

Date

3/12/2015
5:25:22PM

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