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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 18-6906 <br />EDINGER AVE. AND BRISTOL ST. CLASS 11 BICYCLE LANES <br />FEDERAL PROJECT NO: HSIPL 5063(180) <br />DISCLOSURE OF LOBBYING ACTIVITIES <br />DISCLOSURE OF LOBBYING ACTIVITIES pppmep ty O1e <br />Complete this form to disclose lobbying activities pursuant b 31 U.S.C. 1352 nvamas <br />Type of Federal Action: <br />2. Status of Federal Action: Vw w <br />3. Report Type: <br />a. contract <br />❑a. bitl/ofler/application <br />a. majal filing <br />,grant <br />b. initial award <br />b. material change <br />c:`cooperative agreement <br />C. postwward <br />For Material Change Only: <br />d. loan <br />uarter <br />e. loanguaranteedate <br />of last report <br />f. Ican insurance <br />4. Name and Address of Reporting Entity: <br />5. If Reporting Entity in No. 4 is a Subawa- Etter Name <br />in <br />❑ pny -[] sucreereer <br />and Address of Prime: <br />'Tyr— ifknown: <br />Congressional District. ifknown; <br />Congressional District. ifk=&im- <br />6. Federal DepartrrsenUAgerwy: <br />T- Federal Program Name/Description: <br />CFDA Number, dapphcvble: <br />1. Federal Action Number, ryinorn: <br />9. Award Amount, if known: <br />1 <br />10. a. Name and Address of Lobbying Entity b-Individuals Performing Servicas (snci dng.addesr if <br />(ifind'vidual. last none. first name, k4f: ddWent from No. 10a) <br />(hat name, r"t name. Ml ): <br />IY <br />I <br />/alb0'1 CmMatbn sneayil SF�tt-A 1neR <br />11. Amount of Payment (check all Nut apply): <br />13. Type of Payment (cheek aft that apply): <br />3 ❑clear ❑ oana <br />❑ a. -nrr <br />❑ n orrarrr PrO <br />❑ c. contneutm <br />12- Form of Payment (check a1 Mat apply): <br />❑ a cant <br />❑ a aorrur4pot roe <br />❑ o Ot-kata rprtlfy: nature <br />❑ 1. arrNd <br />Value <br />❑ f. gnat Opacity: <br />la. Brief Description of Services Performed or to be Performed and Date(s) of Service, including officer(s), <br />employee(s), or Member(s) contacted, for Payment Indicated in Item 11: <br />J9 Calrr/alaun sl Sr-iult yneat,aa <br />15. Continuation Sheets SF-LLLA attached: Yu I Ina <br />16.,s rOMy.�r re�•r�,r„rrr.. >�uac.�. <br />Sgnaturs: <br />rre.�r.. <br />Pn. Nam Edward J. Carlson <br />Trtle: Vice President <br />•n,neye^rerr r�..r rr sr.®.r �r �.rnm®r <br />Telephone No.: (9511 736-7600 Date: 'y'j.gi',. <br />Federal Use Only: <br />AUIneiM b heal nrroaran <br />(Nei. 19T1 <br />P-24 of P-40 <br />20D-38 <br />