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Fill and Sign the Aga Timesheet Form

Fill and Sign the Aga Timesheet Form

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GOVERNMENT OF THE DISTRICT OF COLUMBIA OFFICE OF CAMPAIGN FINANCE WASHINGTON, DC 20009 Page 1 of 8 YEAR: 2006 LOBBYIST ACTIVITY REPORT Year: Type of Report: 2006 1. (a) Registrant's Name (c) Permanent Address Carefirst BlueCross BlueShield ID#: LOBOOO060484 (b) Daytime Phone Number ( 410) 998-7297 10455 Mill Run Circle Owings Mill MD 21117 (Street Address) (d) Temporary Address (while lobbying) July 10th Report (City, State, Zip Code ) 550 12th St. SW Washington DC 20065 (Street Address) (City, State, Zip Code ) REMINDER - Each new or previously registered Lobbyist must file a Lobbyist Registration Form by January 15th of each year. 2. Lobbyist(s) working for Registrant: Name Hatton, Julie Address 550 12th St., SW Washingon DC 20065 Daytime Phone Number ( 410) 998-7297 Name Kevin Chavous Address 1301 K Street, NW, 8th floor East Washington DC 20005 Daytime Phone Number ( 202) 408-6381 Name Tony Bullock Address 1901 L Street, NW Washington DC 20036 Daytime Phone Number ( 202) 452-9503 Name Jeff Trammell Address 1220 19th Street, Suite 804 Washington DC 20036 Daytime Phone Number ( 202) 223-3305 Name Andrew Marks Address 1001 Pennsyslvania Avenue, NW Washington DC 20004 Daytime Phone Number ( 202) 624-2500 Name William Lewis Address 10455 Mill Run Circle Owings Mills MD 21117 Daytime Phone Number ( 410) 998-5253 Name Ann Gallant Address 10455 Mill Run Circle Owings Mills MD 21117 Daytime Phone Number ( 410) 998-6000 Name David Wolf Address 10455 Mill Run Circle Owings Mills MD 21117 Daytime Phone Number ( 410) 998-5553 Name Jeff Valentine Address 10455 Mill Run Circle Owings Mills, MD 21117 Daytime Phone Number ( 410) 998-5681 REMINDER - Each new or previously registered Lobbyist must file a Lobbyist Registration Form by January 15th of each year. 3. Person Compensating Registrant: (a) Name CareFirst BlueCross BlueShield (c) Address 10455 Mill Run Circle Owings Mill MD 21117 (Street Address) 4. Terms of Compensation: (b) Daytime Phone Number ( 410) 998-5496 (City, State, Zip Code ) (a) 70000.00 Salary (b) 3 years Duration of Employment 5. Identify matter(s) by subject and formal designation Subject: Health Insurance All matters relating to health insurance, health care cost containment and health insurance regulation 6. Identify the official in the Executive or Legislative Branch with whom the registrant has had oral or written communication during the reporting period relating to lobbying activities, and the date that communication was made. Name Lagomarsino, Gina Date 03/17/2006 Name Graham, Jim Date 04/11/2006 REMINDER - Each new or previously registered Lobbyist must file a Lobbyist Registration Form by January 15th of each year. OFFICE OF CAMPAIGN FINANCE LOBBYIST/EMPLOYEE LOBBYIST'S ACTIVITY REPORT SCHEDULE A - COMPENSATION/RECEIPTS Type of report: July 10th Report Period Coverings: 01/01/2006 through LOBBYIST/EMPLOYEE LOBBYIST'S NAME : Page 1 of 1 06/30/2006 Carefirst BlueCross BlueShield PART I. PAYMENT RECEIVED IN CONNECTION WITH LOBBYING ACTIVITY ( AMOUNTS MAY BE ROUNDED OFF TO WHOLE DOLLARS) TOTAL THIS PERIOD EMPLOYER'S NAME, ADDRESS AND TELEPHONE NUMBER FEES/RETAINER COMPENSATION GIFTS HONORARIA (FEES/ COMPENSATION) CUMULATIVE TOTAL (FEES/ COMPENSATION) CONTRIBUTION REMINDER - Each new or previously registered Lobbyist must file a Lobbyist Registration Form by January 15th of each year. OFFICE OF CAMPAIGN FINANCE LOBBYIST/EMPLOYEE LOBBYIST'S ACTIVITY REPORT SCHEDULE A-1 - OTHER COMPENSATION/RECEIPTS Type of report: July 10th Report Period Coverings: 01/01/2006 through Page 1 of 1 06/30/2006 Carefirst BlueCross BlueShield LOBBYIST/EMPLOYEE LOBBYIST'S NAME : PART I - COMPENSATION/RECEIPTS RECEIVED IN CONNECTION WITH LOBBYING ACTIVITIES SECTION A: OTHER LOBBYING ACTIVITIES COMPENSATION/RECEIPTS 1. COMPENSATION/RECEIPTS INCURRED BY THE LOBBYIST AND/OR LOBBYIST EMPLOYEE AND PAID BY COMPENSATING REGISTRANT FOR ACTIVITIES RELATIVE TO LOBBYIST ACTIVITIES IN THE DISTRICT TOTAL THIS PERIOD EMPLOYER'S NAME, ADDRESS AND TELEPHONE NUMBER CUMULATIVE TOTAL CareFirst BlueCross BlueShield 10455 Mill Run Circle Owings Mills MD 21117 OFFICE EXPENSES $0.00 ADVERTISING & PUBLICATION EXP. $0.00 PERSONAL EXPENSES $0.00 TRAVEL EXPENSES $42.74 COMPENSATION TO OTHER $0.00 OTHER EXPENSES TOTAL THIS PERIOD EMPLOYER'S NAME, ADDRESS AND TELEPHONE NUMBER $81.58 $42.74 $0.00 CUMULATIVE TOTAL CareFirst BlueCross BlueShield 10455 Mill Run Circle Owings Mills MD 21117 OFFICE EXPENSES $0.00 ADVERTISING & PUBLICATION EXP. $0.00 PERSONAL EXPENSES $0.00 TRAVEL EXPENSES $38.84 COMPENSATION TO OTHER $0.00 OTHER EXPENSES $0.00 $38.84 REMINDER - Each new or previously registered Lobbyist must file a Lobbyist Registration Form by January 15th of each year. $81.58 OFFICE OF CAMPAIGN FINANCE COMPENSATING REGISTRANT'S ACTIVITY REPORT SCHEDULE B - EXPENDITURES Type of report: July 10th Report Period Coverings: 01/01/2006 LOBBYIST/EMPLOYEE LOBBYIST'S NAME : through Page 1 of 1 06/30/2006 Carefirst BlueCross BlueShield PART I - PAYMENTS MADE IN CONNECTION WITH LOBBYING ACTIVITIES SECTION A: LOBBYING ACTIVITY EXPENSES 1. ACTIVITY EXPENSES INCURRED, OR PAID BY THE COMPENSATING REGISTRANT TO THE LOBBYIST AND/OR IN HOUSE EMPLOYEE LOBBYIST FOR LOBBYING ACTIVITIES IN THE DISTRICT DATE 06/30/2006 NAME AND ADDRESS OF PAYEE Sonnerschein, Nath & Rosenthal, LLP 1301 K Street NW Suite 500E Washington DC 06/30/2006 06/30/2006 06/30/2006 Lobbying - DC $60,000.00 $60,000.00 Lobbying - DC $39,000.00 $39,000.00 Lobbying - DC $1,600.00 $1,600.00 Lobbying -DC $18,000.00 $18,000.00 20004 Trammell & Company 1220 19th Street Washington DC CUMULATIVE TOTAL 20036 Crowell & Moring, LLP 1001 Pennsylvania Avenue NW Washington DC TOTAL THIS PERIOD 20005 Ogilvy Public Relations 1111 19th Street NW 10th Floor Washington DC PURPOSE OF COMPENSATION 20036 REMINDER - Each new or previously registered Lobbyist must file a Lobbyist Registration Form by January 15th of each year. OFFICE OF CAMPAIGN FINANCE LOBBYIST/COMPENSATING REGISTRANT'S ACTIVITY REPORT SCHEDULE B-1 - OTHER EXPENDITURES Type of report: July 10th Report Period Coverings: 01/01/2006 LOBBYIST/EMPLOYEE LOBBYIST'S NAME : through Page 1 of 1 06/30/2006 Carefirst BlueCross BlueShield PART I - OTHER PAYMENTS MADE IN CONNECTION WITH LOBBYING ACTIVITIES SECTION A: LOBBYING ACTIVITY FOR OTHER EXPENSES 1. OTHER ACTIVITY EXPENSES INCURRED, OR PAID BY THE COMPENSATING REGISTRANT TO THE LOBBYIST AND/OR IN-HOUSE EMPLOYEE LOBBYIST FOR ACTIVITIES RELATIVE TO LOBBYING ACTIVITIES IN THE DISTRICT DATE NAME AND RECIPIENT DESCRIPTION OF CONSIDERATION TYPE OF COMPENSATION PAID (CONTRIBUTION, GIFT, HONORARIA, ETC.) TOTAL PAYMENT Julie Hatton 03/17/2006 10455 Mill Run Circle travel Owings Mills MD 21117 REMINDER - Each new or previously registered Lobbyist must file a Lobbyist Registration Form by January 15th of each year. $42.74 OCF LOBBYIST ACTIVITY REPORT SCHEDULE C Page 1 of 1 Type of report: July 10th Report Period Coverings: 01/01/2006 LOBBYIST/EMPLOYEE LOBBYIST'S NAME : DATE through 06/30/2006 Carefirst BlueCross BlueShield NATURE OF EMPLOYMENT WITH REGISTRANT NAME I, the undersigned , declare under oath and on penalty of perjury that the statements contained on this Lobbyist Activity Report are to the best of my knowledge, true, correct, and complete. Signature of Registrant (or, if not an individual, an authorized officer or agent* of registrant must sign). * The lobbyist retained by contract to provide lobbying services may not sign on behalf of the compensating registrant. Subscribed and sworn to before me on this day of , My commission Expires: Notary Public REMINDER - Each new or previously registered Lobbyist must file a Lobbyist Registration Form by January 15th of each year.

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