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Item 19 - Appro. Adjustment of Additional Title 1 Workforce Innovation and Opportunity Act Funds
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08/17/2021 Regular
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Item 19 - Appro. Adjustment of Additional Title 1 Workforce Innovation and Opportunity Act Funds
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8/17/2023 3:45:29 PM
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City Clerk
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Agenda Packet
Agency
Clerk of the Council
Item #
19
Date
8/17/2021
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Exhibit 4 <br />DISCLOSURE OF LOBBYING ACTIVITIES <br />Comolete this form to disclose activities pursuant to 31 U.S.C 1352 <br />1.Type of Federal Actions:2.Status of Federal Actions:3.Report Type:a.contract a.bid/ off er/ application a.initial filingb.grant b.initial award b.material change <br />C. cooperative agreement C. post-awardd.loan For material change only: e.loan guarantee Year: Quarter: f.loan insurance Date of last renort: 4.Name and Address of Reporting Entity 5.If Reporting Entity in No. 4 is a Subawardee:Prime Subawardee Enter Name and Address of Prime: <br />Tier if known <br />Conaressional District, if known: Conqressional District, if known: <br />6, Federal Department/ Agency: 7.Federal Program Name/Description <br />8.Federal Action Number, if known:9.Award Amount, if known: <br />$ <br />10a. Name and Address of Lobbying Entity 10b. Individual Performing Services <br />(if individual, last name, first name, Ml): (including address if different from No. 1 0a) <br />(last name, first name, Ml): <br />/attach Continuation Sheets SF-LLL-A, if necessarvl <br />11.Amount of Payment (check all that apply):13.Type of Payment (check all that apply) <br />$ Actual a.retainerPlanned b.one-time free <br />12.Form of Payment (check all that apply):c.commission <br />a.cash d.contingent feeb.in-kind: specify:e.deferred <br />nature: f.other specify: <br />value: <br />14.Enter Description of Services performed or to be Performed and date(s) of Service, including officer(s), employee(s), or Member(s) <br />contacted, for Payment indicated on item 11: <br />15.Continuation sheet(s) SF-LLL-A attached:□Yes <br />16.Information requested through this form authorized by Title <br />31 U.S.C. Section 1352. This disclosure of lobbying activities is a Signature: <br />material representation of fact upon which reliance was placed by the <br />tier above when this transaction was made or entered into. This <br />disclosure is required pursuant to 31 U.S.C. 1352. This inform ation <br />will be reported to the Congress semiannually and will be available for Print Name: public inspection. An person who fails to file the required disclosure <br />shall be subject to a civil penalty of not less than $10,000 and not Title: more than $100,000 for each such failure.Teleph one No: <br />Date: <br />County of Orange Page 2 of 3 OC Community Resources <br />□No <br />City of Santa Ana <br />Contract# 19-28-0070-RWS <br />EXHIBIT 2
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