LOBBYIST DISCLOSURE REPORT
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1 County of Santa Clara Office of the Clerk of the Board of Supervisors County Government Center, East Wing 70 West Hedding Street San Jose, California (408) FAX Megan Doyle Clerk of the Board Page 1 of 9 LOBBYIST DISCLOSURE REPORT Please mark the type of report being filed: Initial Registration Annual Registration and Quarterly Lobbyist Disclosure Report for Oct. 1 - Dec. 31 (Due Jan. 15) Quarterly Lobbyist Disclosure Report for Jan. 1 - Mar. 31 (Due Apr. 15th) Quarterly Lobbyist Disclosure Report for Apr. 1 - Jun. 30 (Due Jul. 15th ) Quarterly Lobbyist Disclosure Report for Jul. 1 - Sept. 30 (Due Oct. 15th) Amendment to Disclosure Filed: Termination of Lobbying Activity (A lobbyist termination sheet must also be completed) Report each category of lobbyist: (Check all that apply) Contract Lobbyist In-House Lobbyist Expenditure Lobbyist Lobbyist Information: Name:Ash Pirayou Telephone: (650) Fax: (650) apirayou0rutan.com Business Address Street: Five Palo Alto, 3000 El Camino Real, Ste. 200 City: Palo Alto State: Zip Code: Mailing Address Street: same as above. City: State: Zip Code:
2 COUNTY OF SANTA CLARA LOBBYIST DISCLOSURE REPORT Page 2 of 9 LOBBYIST CONTACT SHEET County Official Contacted: Mike Donohoe Individual Who Made Contact: Ash Pirayou Identify Action' '~ anc ' USB ' ssues P er l a ' n ' n 9 Use P erm it NO P & related matters, including opposing and defeating local ordinance relating to tracking. Date(s) of Contact: 3/18/16 (teleconference) 1/6/16 (electronic correspondence), 1/13/16 (electronic correspondence), 2/15/16 (electronic correspondence, 2/16/16 (meeting), Client: Patriot Resources Contacts (1) x (2-5) (6-10) (11 or more) County Official Contacted: Mike Donohoe Individual Who Made Contact: Ash Pirayou Identify Action: Pursue public-private partnership relating to wireless infrastructure opportunities. Date(s) of Contact: 02/16/16 (meeting) Client: Crown Castle Contacts x (1) (2-5) (6-10) (11 or more) County Official Contacted Individual Who Made Contact: Identify Action: Date(s) of Contact: Client: Contacts (1) (2-5) (6-10) (11 or more) County Official Contacted: Individual Who Made Contact: Identify Action: - Date(s) of Contact: Client: Contacts (1) (2-5) (6-10) (11 or more) County Official Contacted: Identify Action: Individual Who Made Contact: Date(s) of Contact: Client: Contacts (1) (2-5) (6-10) (11 or more) County Official Contacted: Individual Who Made Contact: Identify Action: Date(s) of Contact: Client: Contacts (1) (2-5) (6-10) (11 or more) This page may be duplicated. Check the box if this page is duplicated.
3 COUNTY OF SANTA CLARA LOBBYIST DISCLOSURE REPORT Page 3 of 9 Describe the organization of the Lobbyist (i.e. sole proprietorship, partnership, corporation, etc.) Limited Liability Partnership (LLP) If the Lobbyist is a sole proprietorship or partnership of fewer than five people, list the names of all owners If the Lobbyist is a corporation, list the names of the officers and agent for services of process Agent: The remainder of the Lobbyist Disclosure Report is divided into 4 sections. Contract Lobbyists must complete Sections IA, IB, and IC. In-House Lobbyists must complete Section II. Expenditure Lobbyists must complete Section III. All Lobbyists must complete Section IV. Fees and Verification.
4 SECTION IA. CONTRACT LOBBYIST INFORMATION Page 4 of 9 Contract Lobbyists must, complete the following forms: IA: Contract Lobbyist Information (This Form) IB: Current and Former Client List IC: Current Client Disclosures THE NATURE OF THE BUSINESS, ORGANIZATION OR ASSOCIATION Describe the purpose of the Contract Lobbyist's business. Law firm. EMPLOYEES ENGAGED IN LOBBY ACTIVITY If the Contract Lobbyist is an entity, name of each person working for the Contract Lobbyist who contacts County Officials on behalf of the lobbyist, and list his or her clients. Lobbyist Client(s) 1_Ash Pirayou Patriot Resources, LLC 2. Ash Pirayou Crown Castle U.S.A., Inc
5 SECTION IB. CONTRACT LOBBYIST INFORMATION Page 5 of 9 CURRENT AND FORMER CLIENT LIST LIST ALL CURRENT CLIENTS Client Name Effective Date Patriot Resources, LLC 11/21/2014 Crown Castle U.S.A., Inc. 04/13/2015 LIST ALL CLIENTS TERMINATED DURING THE PREVIOUS QUARTER Client Name Termination Date This page may be duplicated. Check the box if this page is duplicated.
6 SECTION IC. CONTRACT LOBBYIST INFORMATION Page 6 of 9 CLIENT INFORMATION Contract Lobbyists must complete this form for all current clients. Current Client Information: Name: Steve Coombs Telephone: (559) Fax: (559) sfc@patriotresourcesllc. com Business Address Street: 1565 Las Canoas Road City: Santa Barbara State: CA Zip Code: Describe the nature and purpose of the Client's business. Oil and gas extraction company. LEGISLATIVE OR ADMINISTRATIVE ACTION(S) LOBBYIST SEEKS TO INFLUENCE Describe in detail the legislative or administrative action(s) the Contract Lobbyist was retained to influence and the outcome sought. Land use issues pertaining to Use Permit No P and related matters, 1,. including opposing and defeating local ordinance relating to fracking COMPENSATION The total compensation promised or received from the Client for lobbyist services: $0.00-$500 $501-$1,000 $1,001 - $10,000 I [$10,001 - $100,000 I $ 100,001 - $200,000 $200,001 - $300,000 $300,001 - $400,000 This page may be duplicated. Check the box if this page is duplicated. Over $400,001 3
7 SECTION IC. CONTRACT LOBBYIST INFORMATION Page 6 of 9 CLIENT INFORMATION Contract Lobbyists must complete this form for all current clients. Current Client Information: Name: Carl Pfatteicher Telephone: (724) Fax: (724) Carl. PfatteicherOcrowncastle. com Business Address Street: 2000 Corporate Drive City: Canonsburg State: PA Zip Code: Describe the nature and purpose of the Client's business. Telecommunications company. LEGISLATIVE OR ADMINISTRATIVE ACTION(S) LOBBYIST SEEKS TO INFLUENCE Describe in detail the legislative or administrative action(s) the Contract Lobbyist was retained to influence and the outcome sought. 1,, Pursue public-private partnership relating to wireless infrastructure opportunities COMPENSATION The total compensation promised or received from the Client for lobbyist services: $ $500 Qsoi-$1,000 I $L001 -$10,000 I [$10,001-$100,000 I 1$ 100,001 - $200,000 [$200,001 - $300,000 $300,001 - $400,000 I lover $400,001 This page may be duplicated. Check the box if this page is duplicated.
8 SECTION IV. FEES AND VERIFICATION Page 9 of 9 FEES DUE Initial Registration Fee - $180 (filed between January 1 - June 29 for period ending December 31) $ Reduced Registration Fee - $90 (filed between June 30 - December 31 for period ending December 31) Annual Registration Fee - $60 (due by January 15th) Penalty for Delinquent Filing of Registration - $60 per calendar day Penalty for Delinquent Filing of Quarterly Disclosure Report - $10 Total Payment Due with Report $ $ $ $ VERIFICATION (Check all verifications) I acknowledge that each Lobbyist is required to file an Annual Registration Report and pay annual fees due on the 15th of January. I acknowledge that each Lobbyist is required to file a Quarterly Lobbyist Disclosure Report due on the 15th of each month following the calendar quarter. I acknowledge that a late fee will be assessed for late annual and quarterly reports. I certify that I have been authorized by the Lobbyist(s) identified above to make this verification. I have reviewed the requirements of the provisions of the County of Santa Clara Ordinance Code Division A3, Chapter VII, relating to Lobbying. I certify under penalty of perjury under the laws of the State of California that I have reviewed this Lobbyist Report and to the best of my knowledge the information contained herein is true, correct, and complete. Print Name Ash pira y u Title Partner Signature ft \ I Date jfll ((A
Megan Doyle Clerk of the Board Page 1 of 12 LOBBYIST DISCLOSURE REPORT 2017
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