County of Santa Clara Office of the Clerk of the Board of Supervisors County Government Center, East Wing 70 West Hedding Street San Jose, Calfornia 95110-1770 (408) 299-5001 FAX (408) 938-4525 Megan Doyle Clerk of the Board Page 1 of 12 LOBBYIST DISCLOSURE REPORT 2017 Please mark the type of reporting being filed: Initial Registration Annual Registration and Quarterly Lobbyist Disclosure Report for Oct. 1 - Dec. 31 (Due Jan. 16th) X Quarterly Lobbyist Disclosure Report for Jan. 1 - Mar. 31 (Due Apr. 17th) Quarterly Lobbyist Disclosure Report for Apr. 1 - Jun. 30 (Due Jul. 17th) Quarterly Lobbyist Disclosure Report for Jul. 1 - Sept. 30 (Due Oct. 16th) 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) X Contract Lobbyist In-House Lobbyist Expenditure Lobbyist Lobbyist Information: Lobbyist Name: Pete Carrillo Contact Name: Pete Carrillo Telephone: (408) 999-7350 Fax: Email: pete@siliconvalleyadvisors.com Street: 2311 Tulip Road City: San Jose State: CA Zip Code: 95128 Mailing Address Street: 2311 Tulip Road City: San Jose State: CA Zip Code: 95128
COUNTY OF SANTA CLARA LOBBYIST DISCLOSURE REPORT Page 2 of 12 County Official Contacted: Jeff Smith and Rene Santiago Identify Action: Discussion on Stroke Protocol LOBBYIST CONTACT SHEET Individual Who Made Contact: Pete Carrillo Date(s) of Contact: 1/12/17 County Official Contacted: Tyler Haskell, Sup. Individual Who Made Contact: Simitian Office Identify Action: Discussion on Stroke Protocol via a phone meeting Pete Carrillo Date(s) of Contact: 1/23/17 County Official Contacted: Brian Darrow, Sup. Yeager Office Individual Who Made Contact: Pete Carrilo Identify Action: Discussion on Stroke Protocol via the phone Date(s) of Contact: 2/13/17 County Official Contacted: Dr. Ken Miller and Jackie Lowther. EMS Department Individual Who Made Contact: Pete Carrillo Identify Action: Discussion on Stroke Protocol Date(s) of Contact: 2/24/2017 County Official Contacted: Sup. Cindy Chavev Individual Who Made Contact: Pete Carrillo Identify Action: Discussion on Stroke Protocol Date(s) of Contact: 3/7/2017 County Official Contacted: Sup. Mike Wasserman Individual Who Made Contact: Pete Carrillo Identify Action: Discussion on Stroke Protocol Date(s) of Contact: 3/7/2017 County Official Contacted: Supervisor. Dave Cortese Individual Who Made Contact: Pete Carrillo Identify Action: Discussion on Stroke Protocol Date(s) of Contact: 3/7/2017
COUNTY OF SANTA CLARA LOBBYIST DISCLOSURE REPORT Page 3 of 12 Describe the organization of the Lobbyist (i.e. sole proprietorship, partnership, corporation, etc.) : Organization type: Sole Proprietorship If the Lobbyist is a sole proprietorship or partnership of fewer than five people, list the names of all owners. 1. Pete Carrillo 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 Lobbyist must complete Sections IA, IB, and IC. In-House Lobbyist must complete Section II. Expenditure Lobbyist must complete Section III. ALL Lobbyists must complete Section IV, Fees and Verification.
SECTION IA CONTRACT LOBBYIST INFORMATION Page 4 of 12 Contract Lobbyist 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. Government Relations, Lobbying and Land Use Planning EMPLOYEE ENGAGED IN LOBBY ACTIVITY If the Contract Lobbyist is an entity, name of each person working for the Contract Lobbyist who contracts County Officials on behalf of the lobbyist, and list his or her clients. Lobbyist Client(s)
SECTION IB. CONTRACT LOBBYIST INFORMATION Page 5 of 12 CURRENT AND FORMER CLIENT LIST LIST ALL CURRENT CLIENTS Client Name Effective Date Aramark 1/1/2016 American Beverage Association 3/1/2013 Kaiser Permanente 11/1/2016 McDonalds 3/1/2010 Outfront Media - CBS Outdoor 1/1/2014 Housing Authority of Santa Clara County 6/1/2012 LIST ALL CLIENTS TERMINATED DURING THE PREVIOUS QUARTER Client Name Termination Date
SECTION IC. CONTRACT LOBBYIST INFORMATION Page 6 of 12 CLIENT INFORMATION Contract Lobbyists must complete this form for all current clients. Current Client Information: Name: Aramark Telephone: (424) 327-1398 Fax: Email: mcgraw.meghan@aramark.com Street: 230 Warrenville Road, City: Downers Grove State: IL Zip Code: 60515 Describe the nature and purpose of the Client's business. Food and Commissary Provider 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. No action this quarter COMPENSATION The total compensation promised or received from the Client for lobbyist services: $0.00-$500 $501-$1,000 $1,001-$10,000 X $10,001-$100,00 $100,001-$200,000 $200,001-$300,000 $300,001-$400,000 Over $400,001
SECTION IC. CONTRACT LOBBYIST INFORMATION Page 7 of 12 CLIENT INFORMATION Contract Lobbyists must complete this form for all current clients. Current Client Information: Name: American Beverage Association Telephone: (202) 463-6768 Email: Street: 1101 16th St NM City: Washington State: DC Zip Code: 20036 Describe the nature and purpose of the Client's business. Trade Organization to represent their members 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. Fax: 1. No action this quarter COMPENSATION The total compensation promised or received from the Client for lobbyist services: $0.00-$500 $501-$1,000 $1,001-$10,000 X $10,001-$100,00 $100,001-$200,000 $200,001-$300,000 $300,001-$400,000 Over $400,001
SECTION IC. CONTRACT LOBBYIST INFORMATION Page 8 of 12 CLIENT INFORMATION Contract Lobbyists must complete this form for all current clients. Current Client Information: Name: Kaiser Permanente Telephone: (510) 987-3793 Email: Street: 1950 Franklin St 3rd Floor City: Oakland State: CA Zip Code: 94612 Describe the nature and purpose of the Client's business. Healthcare 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. Fax: 1. Discussion on Stroke Protocol COMPENSATION The total compensation promised or received from the Client for lobbyist services: $0.00-$500 $501-$1,000 $1,001-$10,000 X $10,001-$100,00 $100,001-$200,000 $200,001-$300,000 $300,001-$400,000 Over $400,001
SECTION IC. CONTRACT LOBBYIST INFORMATION Page 9 of 12 CLIENT INFORMATION Contract Lobbyists must complete this form for all current clients. Current Client Information: Name: McDonalds Telephone: (630) 623-5724 Fax: Email: Street: Campus Office Building, 2915 Jorie Blvd. City: Oakbrook State: IL Zip Code: 65023 Describe the nature and purpose of the Client's business. McDonald's Corporation is a national quick service restaurant 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. No action this quarter COMPENSATION The total compensation promised or received from the Client for lobbyist services: $0.00-$500 $501-$1,000 $1,001-$10,000 X $10,001-$100,00 $100,001-$200,000 $200,001-$300,000 $300,001-$400,000 Over $400,001
SECTION IC. CONTRACT LOBBYIST INFORMATION Page 10 of 12 CLIENT INFORMATION Contract Lobbyists must complete this form for all current clients. Current Client Information: Name: Outfront Media - CBS Outdoor Telephone: (510) 559-1125 Fax: Email: Street: 1695 Eastshore Hwy. City: Berkeley State: CA Zip Code: 94710 Describe the nature and purpose of the Client's business. Outdoor Advertising 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. No action this quarter COMPENSATION The total compensation promised or received from the Client for lobbyist services: $0.00-$500 $501-$1,000 $1,001-$10,000 X $10,001-$100,00 $100,001-$200,000 $200,001-$300,000 $300,001-$400,000 Over $400,001
SECTION IC. CONTRACT LOBBYIST INFORMATION Page 11 of 12 CLIENT INFORMATION Contract Lobbyists must complete this form for all current clients. Current Client Information: Name: Housing Authority of Santa Clara County Telephone: (408) 993-2905 Email: Street: 505 West Julian St. City: San Jose State: CA Zip Code: 95110 Describe the nature and purpose of the Client's business. Education on Housing Authority Programs and Services 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. Fax: 1. terminated contract COMPENSATION The total compensation promised or received from the Client for lobbyist services: X $0.00-$500 $501-$1,000 $1,001-$10,000 $10,001-$100,00 $100,001-$200,000 $200,001-$300,000 $300,001-$400,000 Over $400,001
SECTION IV. FEES AND VERIFICATION Page 12 of 12 FEES DUE Initial Registration Fee - $180 (filed between January 1 - June 29 for period ending December 31) $ 0 Reduced Registration Fee - $90 (filed between June 30 - December 31 for period ending December 31) $ 0 Annual Registration Fee - $60 (due by January 15th) $ 0 Penalty for Delinquent Filing of Registration - $60 per calendar day $ 0 Penalty for Delinquent Filing of Quarterly Disclosure Report - $10 $ 0 VERIFICATION (Check all verifications) Total Payment Due with Report $ 0 X I acknowledge that each Lobbyist is required to file an Annual Registration Report and pay annual fees due on the 15th of January. X 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. X 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 Pete Carrillo Title Owner Signature Pete CarrilloTrue (FILED ELECTRONICALLY) Date 4/16/2017