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EXHIBIT H Page 2 of 3 DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose activities pursuant to 31 U.S.C 1352 (See reverse for public burden disclosure) 1. Type of Federal Actions: 2. Status of Federal Actions: 3. Report Type: a. contract a. bid/offer/application a. initial filing b. grant b. initial award b. material change c. cooperative agreement c. post-award d. loan For Material Change Only: e. loan guarantee [qot: Applicable Year Quarter__ f. loan insurance Date of last report. 4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is a Subawardee. Pdme Subawardee Enter Name and Address of Prime: Tier ;if known: Congressional District~ if known: Congressional District, if known: 6. Federal Department / Agency: 7. Federal Program Name/Description: CFDA Number~ if known: 8, Federal Action Number, if known: 9. Award Amount, if known: 10a. Name and Address of Lobbying Entity 10b. Individual Performing Services (if individual, last name, first name, MI): (including address if different from No. 10a.) (last name, first name, MI): (attach Continuation Sheets SF-LLL-A, if necessary) 11. Amount of Payment (check all that apply): 13. Type of Payment (check all that apply): a. retainer $ actual planned b. one-time free 12. Form of Payment (check all that apply): c. commission a. cash d. contingent fee b. in-kind: specify: e. deferred nature: f. other specify:. value: 14. Enter Description of Services performed or to be Performed and date(s) of Service, including officer(s), employee(s), or Member(s) contacted, for Payment indicated on item 11: 15. Continuation sheet(s) SF-LLL-A attached: r-]Yes [] No 16. information requested through this form authorized by Title 31 U.S.C. Section 1352 This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier Signature: above when this transaction was made or entered into. This disclosure is required pursuant to 31 Print Name: U.S.C 1352. This information will be reported to the Congress semiannually and will be available for Title: public inspection. Any person who fails to file the required disclosure snail be subject to a civil penalty Telephone No. of not less than $10,000 and not more than $100.000 for each such failure Date: