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EXHIBIT 1
<br />This disclosure form shall be completed by the reporting entity, whether subawardea or prime Federal recipient, at the initiation
<br />or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S,C, Section 1352, The
<br />filing of a form is required for each payment or agreement to make payment to any lobbying entity for Influencing or attempting
<br />to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee
<br />of Congress, or an employee of a Member of Congress In connection with a covered Federal action. Use the SF-LLL-A
<br />Continuation Sheet for additional information if the space on the form is Inadequate, Complete all Items that apply for both the
<br />Initial filing and material change report. Refer to the Implementing guidance published by the Office of Management and Budget
<br />for additional information.
<br />1. Identify the type of covered Federal action for which lobbying activity Is and/or has been secured to influence the
<br />outcome of a covered Federal action.
<br />2, Identify the status of the covered Federal action.
<br />3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the
<br />information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last
<br />previously submitted report by this reporting entity for this covered Federal action,
<br />4, Enter the full name, address, city, state, and zip code of the reporting entity, Include Congressional District, if known.
<br />Check the appropriate classificatlon of the reporting entlty that designates if it is, or expects to be, a prime or
<br />subaward recipient, identify the tler of the subawardea, e,g„ the first subawardea of the prime is the 1st tier,
<br />Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.
<br />6. If the organization filing the report In Item 4 checks "Subawardee", then enter the full name, address, city, state, and
<br />zip code of the prime Federal recipient, Include Congressional District, if known.
<br />6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational
<br />level below agency name, If known. For example, Department of Transportation, United States Coast Guard.
<br />7, Enter the Federal program name or description for the covered Federal action (item 1). if known, enter the full
<br />Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan
<br />commitment.
<br />8. Enter the most appropriate Federal identifying number available for the Federal action identified In item 1 (e.g.,
<br />Request for Proposal (RFP) number, Invitation for laid (IFS) number, grant announcement number, the contract, grant,
<br />or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes,
<br />e.g„ "RFP-DIE-90-001."
<br />9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the
<br />Federal amount of the award/loan commitment for the prime entity identified in €tam 4 or B.
<br />10. (a) Enter the full name, address, city, state, and zip code of the lobbying entity engaged by the reporting entity
<br />Identified in item 4 to influence the covered Federal action.
<br />(b) Enter the full names of the individual(s) performing services, and include full address If different from 10 (a).
<br />Enter Last Name, First Name, and Middle Initial (MI).
<br />11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the
<br />lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all
<br />boxes thatapply. If this is a material change report, enter the cumulative ameunt of payment made or planned to be
<br />made,
<br />12. Check the appropriate box(es). Check all boxes that apply. If payment Is made through an In -kind contribution,
<br />specify the nature and value of the In -kind payment.
<br />13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature.
<br />14. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to
<br />perform, and the date(s) of any services rendered. Include all preparatory and related activity, not Just time spent In
<br />actual contact with Federal officials. Identify the Federal offioial(s) or omployee(s) contacted or the offlcer(s),
<br />empioyes(s), or Member(s) of Congress that were contacted.
<br />16. Check whether or not a SF-LLL-A Continuation Sheet(s) is attached.
<br />16. The certifying official shall sign and date the form, print his/her name, title, and telephone number.
<br />A
<br />Federal Uso Only, Authorized for local Reproduction
<br />Standard Form • LLL A (Rev. 7-97)
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