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INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form still be completed by the reporting entity, whether subawardee or prime Federal recipient. at the Initiation Of receipt of a covered Federal action. or a material change to a previous filling, pursuant to title 31 use. section 1352. The filling of a form be required for each payment or agreement to make payment for any lobbying entity for influencing or attempting to influence an officer or employee of any agency. a member of Congress an officer or employee of Congress. or an employee of a Member of Congress in connection with a Federal Action. Used the SF.LLL-A Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filling and material change report. Refer to the Implementing guidance published by the Office of Management and Budget for additional infonnation. I. Identify the type of covered Federal Action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. 2. Idemify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information previously reported, enter the year and quarter in which lhe change occurred. Enter the date of the last previously submiued report by this reporting entity for this covered Federal action. \ 4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or ex.pects to be, a prime or subaward recipient. Identify the tier of the subawacdee, e.g, the first subawardee of the prime is the 1'1 tier. Seaboard include but are not limited to subcontracts, subcontracts, subgrants and contract awards under grants. 5. If the organization filling the report in item 4 checks "subwacdee" then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, if known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name. if known. For ex.ample. Department of Transportation, United States Coast Gaurd. 7. Enter the Federal program name or description for the covered Federal action (iteml). If known. enter the fuB Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. 8. Enter the most appropriate Federal identifying number available for the Federal action identified in item I (e.g.) Request for Proposal (RFP) number; invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Include prefixes, e.g. "RFP-DE-90-00I." 9. For a covered Federal action where these has been an award or loan commitment by the Federal agency, enter the Federal amount of the awacd/loan commitment for the prime entity identified in item 4 or 5. 10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influence the covered Federal action. (b) Enter the full names of the individual(s) perfonning services, and include full address if different from to (a). Enter Last Name, First Name. and Middle initial (M I). II. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply, if this is a material change report, enter the cumulative amount of payment made or planned to be made. 12. Check the appropriate box(es). Check all boxes that apply, if payment is m~de through an in-kind contribution, specify the nature and value of [he in-kind payment. 13. Check the appropriate box(es). Check a1l boxes that apply. If other, specify nature. I..t Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and the date(s) for any services rendered. Include all preparatory and related activity. not just time spent in actual contact with Federal officials. Identify the Federal official(s) or employee(s) contacted or the officer(s), employee(s), or Member(s) of Congress that were contacted. 15. Check whether or not a SF-LLL-A Continuation Sheet(s) is attached. 16. The certifying official shall sign and date the form, print his/her name, title, and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response. including time for reviewing instrucrions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget. Papef\\lork Reduction Project (0348-0046), Washington. D.C.20S03. EXHIBIT D Part II .