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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 12587 Fair Lakes Circle #348 |
Address2 |
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| City | FAIRFAX |
State | VA |
Zip Code | 22033-3822 |
Country | USA |
3. Principal place of business (if different than line 2)
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5. Senate ID# 3402-12
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6. House ID# 315470000
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| TYPE OF REPORT | 8. Year | 2025 |
Q1 (1/1 - 3/31) | Q2 (4/1 - 6/30) | Q3 (7/1 - 9/30) | Q4 (10/1 - 12/31) |
9. Check if this filing amends a previously filed version of this report
| 10. Check if this is a Termination Report | Termination Date |
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11. No Lobbying Issue Activity |
| INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 | |||||||||
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| 12. Lobbying | 13. Organizations | ||||||||
| INCOME relating to lobbying activities for this reporting period was: | EXPENSE relating to lobbying activities for this reporting period were: | ||||||||
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| Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the registrant by any other entity for lobbying activities on behalf of the client). | 14. REPORTING Check box to indicate expense accounting method. See instructions for description of options. | ||||||||
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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 |
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| Signature | Digitally Signed By: Mark Cribben |
Date | 10/13/2025 11:43:54 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.
15. General issue area code MMM
16. Specific lobbying issues
Oppose: H.R. 3164, the Ensuring Community Access to Pharmacist Services (ECAPS) Act, - would allow pharmacists to perform services that would normally only be authorized and covered if they were furnished by a physician.
Support: Resident Physician Shortage Reduction Act (S.2439/H.R.4731)- increase the number of Graduate Medical Education (GME) residency positions by an additional 2,000 residency positions each year for seven years to tackle the severe physician manpower shortage.
Telehealth: calling on Congress to advance access to healthcare through telehealth by ensuring Medicare beneficiaries are able to access the same telehealth services that they have been relying on for the past five years.
Oppose: S. 2426, the Equitable Community Access to Pharmacist Services (ECAPS) Act. - inappropriately allowing pharmacists to perform services that would normally only be authorized and covered if they were furnished by a physician.
CMS: expressing deep concerns with the Wasteful and Inappropriate Service Reduction (WISeR) Model in the Medicare Fee-for-Service (FFS) program.
CMS: 2026 Proposed Medicare Physician Fee Schedule: Comments submitted.
Dept of Education: letter to Linda McMahon, Secretary of the Department of Education, expressing concerns with the language limiting student loans in the One Big Beautiful Bill Act (OBBBA, P.L. 119-21) passed by Congress earlier this year.
DHS: letter to the Secretary of Homeland Security strongly urging the Secretary to issue clarifying guidance that determines that H-1B physicians entry into the U.S. is in the national interest of the country and therefore exempt from White House proclamation necessitating a payment of $100,000 to accompany each visa petition
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Centers For Medicare and Medicaid Services (CMS), Education - Dept of, Homeland Security - Dept of (DHS)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Mark |
Cribben |
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Amanda |
Wiegrefe |
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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
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21. Client new principal place of business (if different than line 20)
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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
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ISSUE UPDATE
24. General lobbying issue that no longer pertains
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AFFILIATED ORGANIZATIONS
25. Add the following affiliated organization(s)
Internet Address:
| Name | Address |
Principal Place of Business (city and state or country) |
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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:
| Name | Address |
Principal place of business (city and state or country) |
Amount of contribution for lobbying activities | Ownership percentage in client | ||||||||||
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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 |
CONVICTIONS DISCLOSURE
29. Have any of the lobbyists listed on this report been convicted in a Federal or State Court of an offense involving bribery,
extortion, embezzlement, an illegal kickback, tax evasion, fraud, a conflict of interest, making a false statement, perjury, or money laundering?
| Lobbyist Name | Description of Offense(s) |