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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 22-1387 <br />ARPA NEIGHBORHOOD STREETLIGHTS — PHASE I <br />DISCLOSURE OF LOBBYING ACTIVITIES <br />4vnlr•LC i s l nlJ r UluV1 1 U 1J13%_LUJr; LkJU13I 11NU A1, I IV 111CJ YUKJ UAIV I I U S I U.`.i.U. 13�IL <br />1. Type of Federal Action: 2. Status of Federal 3. Report Type: <br />Action: <br />contract a. bid/offer/application a. initial <br />b. t b. initial award b. mate/changec. co native agreement c. post-awardd. loan ForMatere. loan gu antee yearf. loan insur ce date o4. Name and Ad ss of Reporting Entity 5. If Reporting Entity in No. 4 Enter Name and Address of <br />❑ Prime Subawardee <br />Tier , if known <br />Congressional District, if knb <br />6. Federal Department/Agency: <br />8. Federal Action Number, if known: <br />10. a. Name and Address of Lobby Entity <br />(If individual, last name, first name, MI) <br />Congressional Dit1r,"meMeserin <br />t, if known <br />7. Federal [inners <br />CFDA Na Sber, if applicable <br />9. AwardZunt, if known: <br />b. dividuals Performing Services (including <br />address if different from No. IOa) <br />(last name, first name, MI) <br />(attach Continuati Sheet(s) if ne ssary) <br />11. Amount of Payment (check all that apply) 13. Type o ayment (check all that apply) <br />$ actual plann a. rria or <br />b. one-li fee <br />12. Form of Payment (check all that app }: C. eommisSL <br />Ba. cash d. contingent <br />b. in -kind; specify: natu a deferred <br />v ae f. other, specify_ <br />14. Brief Description of5ervic Performed or to be performed and Date(s) of Service, <br />officer(s), employee(s), o member(s) contacted, for Payment Indicated in Item 11: <br />(attach Continuation Sheet(s) if necessary) <br />15. Continuation , cet(s) attached: Yes No <br />16. Information req ted through this form is authorized by <br />Title 31 L1.S.0 ection 1352. This disclosure of lobbying Signature: <br />reliance laced by the tier above when his transaction <br />was made r entered into. This disclosure is required Print Name: Joh ong <br />pursua 31 U.S.C. 1352, This information will be <br />repo d to Congress semiannually and will be available for Vice President <br />pu c inspection, Any person who fails to file the required Title: <br />closure shall be subject to a civil penalty of not less than <br />10,000 and not more than $100,000 for each such failure. Telephone No.: 909-993-5470 Bate:10-5-2023 <br />Authorized for Local Reproduction <br />ederal Use Only. Standard Form - LLL <br />P-22 of P-26 <br />