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DISCLOSURE OF LOBBYING ACTIVITIES <br />Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352 OMB Number: 4040-0013 <br />Expiration Date: 02/28/2022 <br />1. * Type of Federal Action: <br />2. * Status of Federal Action: <br />3. * Report Type: <br />a. contract <br />a. bid/offer/application <br />® a. initial filing <br />® b. grant <br />® b. initial award <br />b. material change <br />c. cooperative agreement <br />❑ c. post -award <br />d. loan <br />e. loan guarantee <br />f. loan insurance <br />4. Name and Address of Reporting Entity: <br />®Prime F]SubAwardee <br />Name <br />City of Santa Ana <br />Street 1 Street 2 <br />220 S. Daisy Ave <br />'City State zip <br />Santa Ana CA: California 92703-9000 <br />Congressional District, if known: CA-46 <br />5 III infity IIIII51 lilo.,11 Is Siii 3m,Wwr111fi1.11^il°° q :Until° M lilami it ani.11 Ail fillliiril:, s of I.IIlflllll e. <br />6. * Federal Department/Agency: <br />7. * Federal Program Name/Description: <br />Bureau of Reclamation <br />WaterSMART (Sustain and Manage America's Resources for Tomorrow) <br />CFDA Number, dapplicable: 15.507 <br />8. Federal Action Number, if known: <br />9. Award Amount, if known: <br />$ <br />10. a. Name and Address of Lobbying Registrant: <br />Prefix First Name N/A Middle Name <br />'Last Name N/A Suffix <br />Street 1 N/A Street 2 <br />'City N/A State zip <br />b. Individual Performing Services (including address ifdifferentfromNo. 10a) <br />Prefix First Name N/A Middle Name <br />Last Name N/A Suffix <br />Street 1 N/A Street <br />'City N/A State zip <br />11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which <br />reliance was placed by the tier above when the transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to <br />the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than <br />$10,000 and not more than $100,000 for each such failure. <br />* Signature: Completed on submission to Grants. gov <br />*Name: Prefix First Name Middle Name <br />Rudy <br />'Last Name Suffix <br />Ho sass <br />Title: Principal Civil Engineer Telephone No.: F Date: Completed on submission to Grants. gov <br />Authorized for Local Reproduction <br />PREVIEW Date: Nov 03, 2021 Workspace ID: WS00800354 Funding Opportunity Number: R22AS00023 <br />