Laserfiche WebLink
CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 18-6903 <br />HAZARD AVENUE PROTECTED BIKE LANES <br />FEDERAL PROJECT NO: CML-5063 (182) <br />DISCLOSURE OF LOBBYING ACTIVITIES <br />DISCLOSURE OF LOBBYING ACTIVITIES Appiovedby Okla <br />Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1362 034&Dfi46 <br />See reverse for Public burden disclosure. <br />1. Type of Federal Action: <br />2. Status of Federal Action: <br />3. Report Type: <br />® a. contract. <br />®a. bidioffer/application <br />® a. initial filing <br />b. grant <br />b. Initial award <br />b. malarial change <br />c. cooperative agreement <br />c. post -award <br />For Materiat Change Only: <br />d. loan <br />year quarter <br />e. Man guarantee <br />date of last report <br />f loan insurance <br />d. Name and Address of Reporting Entity: <br />5. N Reporting Entity In No. 4 is a Subawardee, Enter Name <br />Prim ❑ sutumaro" <br />and Address of Prime- <br />Tier .. ffknown: <br />N/A <br />Con sessional District, ifkyrown: <br />Congressional District, if known <br />S. Federal Department/Agency: <br />7. Federal Program NamelDescription: <br />N/A <br />N/A <br />CFDA Number. ffappllcable: <br />8. Federal Action Number, tfknowa: N/A <br />8_ Award Amount, ifknown: N/A <br />f0, a. Name and Address of lobbying Entity b. Individuals Performing Services [including address if <br />(lfindfvidual, fast name, firstrame, Mly d0larentfrom NO, 10a) <br />(last name, first name, Mi): <br />N/A N/A <br />aaadi ConanWam Sae bSF"Aff. <br />11. Amount of Payment (check aNMat apply): <br />13. Type of Payment (checked thatapply): <br />S N/A ❑ annul ❑ planned <br />❑ a. mini"" <br />❑tone Ornstee <br />N/A <br />12. Form <br />of Payment(cheak ay that applyy <br />❑a. calnlmon <br />❑ a. ama <br />N /A <br />❑ d. ambelpattea <br />❑ e. mkleo: apedly: nature <br />❑ 9. aea nod <br />value. <br />❑ Lomer. Rmaay: <br />14. Brief Description of Services Performed or to be Performed and Date(s) of Service, including officer(s), <br />employee(s), or Member(s) contacled, for Payment Indicated in Item 11: <br />N/A <br />a!,= CAMnWma bYAP aSFLLLA yraaeua <br />15. Continuation Sheets SF-L atf ohed: yes No <br />16. i ..,acm r.pa.wd w uoMo �++.Xss M�a n�iwrwisu. st ue a a.mw <br />fssa. xu. rrms.n. u .r 1 UAna, a sax <br />Signature: <br />ra am eon <br />Print Name: <br />.far�.a.n ~ <br />arard iro, rra ,e,a.a.. r r,yY.d quarae m ar uea usa tu, <br />iTelephoneNoz <br />Title: President <br />bMmeen W fn rrra.al ti«, Cuarw, rA.ahwsMy and MJ M.w1'.Va M <br />.„a maaepney«mrxr«.1 Fw airs m.« 1i0gtW k <br />..haw.fdrvr, <br />714-523-2372 Oats• 26 2O2 <br />Federal Use Only: . '.. <br />Aanalrnd %r Local Reprow-dnn <br />5t31MM Fame LLL Res. 79 <br />P-24 of P-39 <br />