LOBBYIST DISCLOSURE REPORT

Transcription

1 County ofsanta Clara Offce ofthe Clerk ofthe Board ofsupervsors County Government Center, East Wng 70 West Heddng Street San Jose, Calforna (408) FAX Megan Doyle Clerk ofthe Board Page 1 of 9 LOBBYIST DISCLOSURE REPORT se mark the type of report beng fled: Intal Regstraton Annual Regstraton and Quarterly Lobbyst Dsclosure Report for Oct. 1 - Dec. 31 (Due Jan. 15) Quarterly Lobbyst Dsclosure Report for Jan. 1 - Mar. 31 (Due Apr. 15th) Quarterly Lobbyst Dsclosure Report for Apr. 1 - Jun. 30 (Due Jul. 15th) Quarterly Lobbyst Dsclosure Report for Jul. 1 - Sept. 30 (Due Oct. 15th) Amendment to Dsclosure Fled: Termnaton of Lobbyng Actvty (A lobbyst termnaton sheet must also be completed) Report each category oflobbyst: (Check all that apply) / Contract Lobbyst In-House Lobbyst Expendture Lobbyst Lobbyst Informaton: Name: Natonal Strateges, LLC Telephone: (202) Fax: (202) Emal: MLKngsley@natonalstrateges.eom BusnessAddress Street: 1990 K St NW Ste 320 Cty: Washngton State: DC Zp Code: MalngAddress Street: SAME AS BUSINESS ADDRESS, SHOWN ABOVE Cty: State: Zp Code:

2 ! COUNTY OF SANTA CLARA LOBBYIST DISCLOSURE REPORT Page 2 of9 1! LOBBYIST CONTACT SHEET County Offcal Contacted: Identfy Aco. NO ACTIVITY TO REPORT.,, WA...,,,, (1) (2-5) (6-10) County Offcal Contacted: County Offcal Contacted: County Offcal Contacted: ^ County Offcal Contacted: Clent County Offcal Contacted: Ths page may be duplcated. Check the box fths page s duplcated.

3 COUNTY OF SANTA CLARA LOBBYIST DISCLOSURE REPORT Page 3 of9 Descrbe the organzaton ofthe Lobbyst (.e. sole propretorshp, partnershp, corporaton, etc.) : Lmted Lablty Corporaton Itf the Lobbyst s a sole propretorshp or partnershp of fewer than fve people, lst the names of all owners. Pl 2. ^3. h 5. ) Ifthe Lobbyst s a corporaton, lst the names ofthe offcers and agent for servces ofprocess. 1. A! Gordon, CEO 2. Tm Onoff, Presdent I Agent: The remander ofthe Lobbyst Dsclosure Report s dvded nto 4 sectons. Contract Lobbysts must complete Sectons LA, IB, and IC. In-House Lobbysts must complete Secton 11. Expendture Lobbysts must complete Secton III. All Lobbysts must complete Secton IV. Fees and Verfcaton.

4 SECTION la. CONTRACT LOBBYIST INFORMATION Page 4 of9 Contract Lobbysts must complete the followm forms: L\: Contract Lobbyst Informaton (Ths Form) IB: Current and Former Clent Lst IC; Current Clent Dsclosures THE NATURE OF I HE BUSINESS, ORGANIZATION OR ASSOCIATION Descrbe the purpose ofthe Contract Lobbyst's busness. Procurement and polcy advocacy for Clent EMPLOYEES ENGAGED IN LOBBY ACTIVITY If the Contract Lobbyst s an entty, name of each person workng for the Contract Lobbyst who contacts County Offcals on behalfofthe lobbyst, and lst hs or her clents. Lobbyst Clent(s) Catherne Matsuyo Tompkson - Owner & Presdent, The Tompkson Group Securus Technologes, Inc \ \ 6. \

5 E«ocsccMj!»s»!»scaS5radBa!t»4^s«w»S!es!»!5!SSJR(W4<s3SK«S!asaae>saffls;s<stsBas'»soRWsM'3tMMe!ffl'»saeasBo<t^^ SECTION IB. CONTRACT LOBBYIST INFORMATION Page 5of9 CURRENT AND FORMER CLIENT LIST : LIST ALL CURRENT CLIENTS Clent Name Effectve Date ^ - SECURUS TECHNOLOGIES, INC. 12/08/ ! ( j j ) LISJ AU^CLIENTS TERMINATED DURING THEPREVIOUS QUARTER Clent Name NONE- Termnaton Date - I :Ths page may be duplcated. Check the box "f ths page s duplcated. It

6 SECTION IC. CONTRACT LOBBYIST INFORMATION Page 6 of9 CLIENT INFORMATION Current Clent Informaton: Name: Securus Technologes, Inc. Telephone: Fax: Emal: djorgenson@securustechnologles.eom BusnessAddress Street: Dallas Pkwy, Ste 600 Cty: Dallas State: TX Zp Code: Descrbe the nature and purpose ofthe Clent's busness. Cvl and crmnal Justce technology solutons for publc safety, nvestgaton, correctons and montorng Descrbe n detal the legslatve or admnstratve acton(s) the ContractLobbystwas retanedto nfluence and the outcome sought. j Procurement &polcy advocacy related to promotng and protectng clent's servces &products The total compensaton promsedor recevedfrom the Clent for lobbystservces $0.00-S500 ;501-$1,000 1,001 - $10,000 S10,001 - $100, c

7 SECTION n. IN-HOUSE LOBBYIST Page 7 of 9 :' EMPLOYE^jENGAGED IN LOB^AGTIVITY Name of each owner, compensated offcer, or compensated employee engaged n lobbyng actvty on be halfofthe In-House Lobbyst: 1 U. THE PURPOSE OF Tfff IN^HOUSE LOBBYISTENTITY Descrbe the nature and purpose ofthe In-House Lobbyst's busness. : ; LEGISLATIVE ORADMINISTRATIVE AGTON(S) LOBBYIST SpKS_TO INFLUENCE.l. Descrbe n detal the legslatve or admnstratve acton(s) the In-House Lobbyst seeks to nfluence and the outcome sought.

8 SECTION III. EXPENDITURE LOBBYIST EMPLOYEES ENGAGED IN LOBBY ACTIVITY Name ofeach person workng for the Expendture Lobbyst that s engaged n lobbyng actvty: Amount ofexpendture: $ PUI^SE OF THE BUSINESS, ORGANIZATION ORASSOCIATION Descrbe the purpose ofthe Expendture Lobbyst's busness. LEGISLATIVE OR ADMINISTRATIVE.ACTION(S) LOBBYIST SEEKS TO INFLUENCE Descrbe n detal the legslatve or admnstratve acton(s) the Expendture Lobbyst seeks to nfluence and the outcome sought.

9 SECTION IV. FEES AND VERIFICATION Page 9 of9 Intal Regstraton Fee -$180 $ Q-QQ (fled between January 1 - June 29for perod endng December 31) Reduced Intal Regstraton Fee - $90 $ 9Q-QQ (fled between June 30 - December 31forperodendng December 31) Annual Regstraton Fee - $60 (due by January 15th) $ 0-00 Penalty for Delnquent Flng ofregstraton-$60 per calendar day $ Q-QQ Penalty for Delnquent Flng ofquarterly Dsclosure Report - $10 $ QQQ (reports receved after Aprl 15th, July 15th and October 15th) [verfcaton (Check all verfcatons) Total Payment Due wth Report $^ I acknowledge that each Lobbyst s requred to fle an Annual RegstratonReport and pay annual fees due on the 15th ofjanuary. I acknowledge that each Lobbyst s requred to fle a Quarterly Lobbyst Dsclosure Report due on the 15th ofeach month followng the calendar quarter. I acknowledge that a late fee wll be assessed for late annual and quarterly reports. I certfy that I have been authorzed by the Lobbyst(s) dentfed above to make ths verfcaton. I have revewed the requrements ofthe provsons ofthe County of Santa Clara Ordnance Code Dvson A3, Chapter VII, relatng to Lobbyng. I certfy under penalty ofperjury under the laws of the State of Calfor na that I have revewed ths LobbystReport and to the best ofmy knowledge the nformaton contaned heren s true, correct, and complete. Prnt Name l<f/ncfs.l^y Ttle I V Sgnature Date