|
<br />INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
<br />
<br />This disclosure form still be completed by the reporting entity, whether subawardec or prime Federal recipient, at the Initiation or receipt of a covered
<br />Federal action, or a material change to a previous filling. pursuant to title 31 U.S.c. section 1352. The filling of a form be required for each payment or
<br />agreement to make payment for any lObbying entity for influencing or attempting to influence an officer or employee of any agency, a member of
<br />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
<br />Continuation Sheet for additional information if the space on the Conn is inadequate. Complete all items that apply for both the initial filling and material
<br />change report. Refer to the Implementing guidance published by the Office of Management and Budget for additional infonnation.
<br />
<br />1. Identity the type of covered Federal Action for which lobbying activity is amVor has been secured to influence the outcome of a covered Federal
<br />action.
<br />
<br />2. Identity the status of the covered Federal action.
<br />
<br />3. Identity the appropriate classification of this report. If this is a followup report caused by a material change to the infonnation previously reported,
<br />enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this
<br />covered Federal action.
<br />
<br />4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate
<br />classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g,
<br />the first subawardee of the prime is the III tier. Seaboard include but are not limited to subcontracts, subcontracts, subgrants and contract awards
<br />under grants.
<br />
<br />5. If the organization filling the report in item 4 checks "subwardee" then enter the full name, address, city, state and zip code of the prime Federal
<br />recipient. Include Congressional District, if known.
<br />
<br />6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if
<br />known. For example. Department of Transportation, United States Coast Gaurd.
<br />
<br />7. Enter the Federal program name or description for the covered Federal action (iteml). If known, enter the full Catalog of Federal Domestic
<br />Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments.
<br />
<br />8. Enter the most appropriate Federal identitying number available for the Federal action identified in item I (e.g.) Requ~st for Proposal (RFP)
<br />number; invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control
<br />number assigned by the Federal agency). Include prefixes, e.g. "RFP-DE.90-001."
<br />
<br />9. For a covered Federal action where these has been an award or loan commitment b)' the Federal agency, enter the Federal amount of the award/loan
<br />commitment for the prime entity identified in item 4 or 5.
<br />
<br />I O. (a) Enter the full name, address, city, state and zip code of the lobb)'ing entity engaged by the reporting entity identified in item 4 to influence the
<br />covered Federal action.
<br />
<br />(b) Enter the full names of the individual(s) perfonning services, and include full address if different from 10 (a). Enter Last Name, First Name, and
<br />Middle initial (MI).
<br />
<br />11. 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
<br />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
<br />cumulative amount of payment made or planned to be made.
<br />
<br />12. Check the appropriate box(es). Check all boxes that apply, ifpaymenl is made through an in-kind contribution, specify the nature and value of the
<br />in-kind payment.
<br />
<br />13. Check the appropriate box(es). Check all boxes that apply. If other, specity nature.
<br />
<br />14. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perfo"", and the date(s) for any
<br />services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal
<br />official(s) or employee(s) contacted or the officer(s), employee(s), or Member(s) of Congress that were contacted.
<br />
<br />15. Check whether or not a SF.LLL-A Continuation Sheet(s) is attached.
<br />
<br />16. The certitying official shall sign and date the fonn, print hislher name, title, and telephone number.
<br />
<br />Public reporting burden for this collection of infonnation is estimated to average 30 minutes per response, including time for reviewing instructions
<br />searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection ofinfonnation. Send comments
<br />regarding the burden estimate or any other aspect of this collection ofinfonnation, including suggestions for reducing this burden, to the Office of
<br />Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C.20503.
<br />
<br />EXHIBIT D
<br />Part II
<br />
<br />
|