Lobbying Registration
Maryland State Ethics Commission | 45 Calvert Street, 3rd Floor, Annapolis, Maryland 21401
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Form ID: R007455
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Submission Date: 02/10/21
Registrant Information
| Individual Registrant | |
|---|---|
| Name of Registrant: Adam Dubitsky | Business Phone: 202-922-6300 |
| Organization: Adam Dubitsky | Cell Phone: 202-247-0130 |
| Address: 721 Howard's Loop , Annapolis, MD, 21401 | |
1. Are there any other individuals who are required to register on behalf of the registrant:
Adam Dubitsky?
Note: These individuals will still be required to submit their own registrations.
Note: These individuals will still be required to submit their own registrations.
No
2. Are you in compliance with the mandatory training requirements of the Public Ethics Law?
Yes, I certify that I am current in my training status.
Date of most recent training:
04/23/20
Employer Information
1. Identify the employer that compensates the registrant for lobbying activities under this registration.
| Employer of Registrant | |
|---|---|
| Organization: Treatment Advocacy Center | Website: www.treatmentadvocacycenter.org |
| Nature of Business: Advocates for improved mental health services | Phone: 703-294-6001 |
| Address: 200 North Glebe Road, Suite 801, Arlington, VA, 22203 | |
2. Does your employer claim an exemption from filing its own registration and activity reports?
Yes
3. Is the employer organized for the primary purpose of attempting to influence any legislation or executive action?
No
4. In the course of representing this employer, will you also be representing other entities from which you will not be receiving compensation and are not required to register on their behalf?
Yes
| Entity 1 | |
|---|---|
| Organization: Schizophrenia and Related Disorders Alliance of America (Maryland Chapter | Website: https://sardaa.org/ |
| Nature of Business: Advocates for improved mental health treatment | Phone: 240-423-9432 |
| Address: 2308 Mount Vernon Avenue, Suite 207, Alexandria, VA, 22301 | |
Lobbying Period & Purpose
1. Within a lobbying year, state the period for which this registration is effective. Include both a start and an end date.
Registration Period:
Custom Dates: 12/30/2020 - 10/31/2021. This Registration was terminated on: 09/30/2021
2. What type of lobbying registration are you seeking?
Legislative Action, Executive Action
3. Identify the subject matters on which the registrant expects to act, or employ someone to act during the registration period. You must identify at least one subject matter and you may select up to five.
| # | Subject Matter | Description |
|---|---|---|
| 1 | Public Health | |
| 2 | State Government - Agencies, Offices, and Officials | |
| 3 | State Government - General Assembly | |
| 4 | State Government - Regulations and Procedures |
Authorization to Lobby
The registrant is authorized to act on behalf of the employer identified above, for the period specified and as to the matters selected herein unless this authority is terminated sooner. This authorization has been granted by the representative disclosed below:
Name of Authorizer: Lisa Dailey
Title: Acting Executive Director
Email: daileyl@treatmentadvocacycenter.org
Phone: 703-294-6001
Address: 200 North Glebe Road, Suite 801, Arlington, VA, 22203
Affirmation Provision
I hereby make oath or affirm under the penalties of perjury that I am authorized to engage in lobbying activity on behalf of the employer: Treatment Advocacy Center, for the period specified and as to the matters selected herein, unless this authority is terminated sooner. This authorization has been granted to me by the representative: Lisa Dailey. I acknowledge that my electronic signature subjects me to the penalties of perjury to the same extent as an oath or affirmation made before an individual authorized to administer oaths, and swear that the contents of this registration are complete and accurate to the best of my knowledge and belief.
E-signature: Adam Dubitsky