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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 17-6897 <br />FLOWER STREET BIKEWAY <br />FEDERAL PROJECT NO: HSIPL 5063 (187) <br />DISCLOSURE OF LOBBYING ACTIVITIES <br />DISCLOSURE OF LOBBYING ACTIVITIES Afpe by oue <br />Campy, this Porn to dmdose lobbying activities pursuant to 31 U_S.C. 1352 ik3aeaaua <br />See reverse for pubnfic burden disdowre_ <br />.Type of Federal Action- <br />2 Say.. of Federa4 Action: <br />3- Report Type: <br />a_ corrtract <br />�a- Udtotfer,'applica6om <br />a. irW.1 filing <br />b_ gram <br />b. initial award <br />b. manorial charge <br />c. operatmre agreement <br />c. pcstaward <br />For Material Change Only: <br />d- <br />year qumEer <br />e_ ban arantee <br />dam of last report <br />f I.,race <br />4. Name and Add s of Reporting Entity: <br />5_ M Reporting Entity in No_ 4 n a Sub , Erder Name <br />❑ prloo simanmare <br />and Address of Prime: <br />T ffknawn: <br />C Sio w Dist, ifAwww: <br />concovessi.1 Distract, ifk ww- <br />b. Federal De!parft nUAgency: <br />i_ Federal Program N crfption- <br />CFdA. N¢mober, W fir"e: <br />8. Federal Action Number, tirknown- <br />9_ ward Arwu if knoum- <br />S <br />10 a_ Name and Address of Lobbying Entity b_ Indav- Performing Services (vrcfudaag address i3 <br />(rfind vdUall, fast name, orstnarsae. MJ)_ t Nc. 10ay <br />name. name. A,}t"A' <br />!cram coanm !+J/� <br />�4 +APrsre a <br />I1_ Amount of Payr ent gcheck aN duts appPy): <br />13. Type of Payment (check ! drat apply9: <br />S ❑ aeetiul ❑ p <br />❑> wvftww <br />❑ Rorw-ilme tee <br />❑ c-coum,�,cm <br />12 Form of Payment 4.dreak aP that _ <br />❑ %ew+n <br />❑ deontlrvganttmr <br />Elib_ 1—M spewity: na0H2 <br />El9. dateri -j <br />Ydwne <br />Elt_ en:0 , ao?c : <br />11_ Brief Description of Se " s Pealorned ar to be Performed and Dates) of Service, vrdudmg officers <br />employee(sj, or Mem sl conbcted, fo Payment Indicated m ftem 11: <br />gram Cmoamuotra M!22j.^. F4 AX <br />15. ConS .l SF4LLLA attached: Lj You <br />5 nbure: <br />sum ,.tio.�gr!Ka.r we.. wr.!n. e.waw. nor <br />Pdnt Mame' <br />.I011n AoriA <br />�Y brwabf M tiCraq�✓♦'snl Y �if6 b <br />TitJe' <br />Vice Pr rat <br />Telephone No_ 909-993-5470 Dam: 5/19/2020 <br />Federal Use Only: <br />at�mrtaca fx�r°dcum <br />7�11 <br />P-36 ofP-52 <br />