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CAREER BEGINNINGS OF ORANGE COUNTY 4-2002
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CAREER BEGINNINGS OF ORANGE COUNTY 4-2002
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Last modified
1/3/2012 3:08:30 PM
Creation date
4/13/2006 4:07:01 PM
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Contracts
Company Name
Career Beginnings of O.C.
Contract #
A-2002-105-09
Agency
Community Development
Expiration Date
6/30/2003
Destruction Year
2011
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<br />\".; ..,.,. <br />Disclosure of Lobbying Activities <br /> <br />Approved by OMB 0348-0046 <br /> <br />Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 <br />(See reverse side for Instructions and Public Reportlng burden statement) <br /> <br />1. Type of Federal Action 2. Status of Federal Action 3. Report Type <br /> o a. contract D a. bid/offer/application D a. initial filing <br /> b. grant b. initial award b. material change <br /> c. cooperative agreement c. post-award For Material Change Only <br /> d. loan year (yyyy) ______ quarter ~___ <br /> e. loan guarantee <br /> f. loan insurance date of last report (mm/dd/yyyy) ______ <br />4. Name and Address:of Reporting Entity 5. If Reporting Entity In No.4 Is Subawardee, enter Name and Address <br /> OPrima D Subawardee Tier _____ . if known: 01 Prime <br /> Congressional District, if known Congressional District, if known <br />6. Federal Department/Agency 7. Federal Program Name/Description <br /> - <br /> CFDA Number, if applicable <br />8. Federal Action Number, if known 9. Award Amount, if known <br /> $ <br />10a. Name and Address of Lobbying Registrant b. Individuals Performing Services (including address if different from No. 10a.) <br /> (if individual, last name, first name, Ml) (last name, first name, MI) <br /> <br />(attach continuation sheet{s) if necessary) <br />13. Type of Payment (check all that apply) <br />o a. retainer <br />o b. one-time fee <br /> <br />o c. commission <br /> <br />D d. contingent fee <br /> <br />D e. deferred <br /> <br />D f. other (specify)_______________________ <br /> <br />14. Brief Description of Services Perfonned or to be Perfonned and Date{s) of Service,lncluding officer{s), employee(s), or Member(s) contacted, <br />for Payment Indicated in Item 11 <br /> <br />11. Amount of Payment (check all that apply) <br /> <br />$ <br /> <br />actual <br /> <br />planned <br /> <br />12. Form of Payment (check all that apply) <br /> <br />Da <br />Db <br /> <br />cash <br /> <br />in.kind; specify: nature __________________ <br /> <br />value ___________________________ <br /> <br />(attach continuation sheet(s) if necessary) <br /> <br />15. Continuation sheets attached DYes 0 No <br /> <br />16. Information requested through this form is authorized by Sec.319, <br />Pub. L. 101-121, 103 Stat. 750, as amended by sec. 10; Pub. L. 104- <br />65. Slat. 700 (31 U.S.C. 1352). This disclosure of lobbying activities <br />is a material representation of fact upon which reliance was placed <br />by the above when this transaction was made or entered into. This <br />disclosure is required pursuant to 31 U.S.C. 1352. This information <br />wiil be reported to the Congress semiannuaily and wiil be availabie <br />for pUbiic inspection. Any person who faiis to file the required <br />disclosure shail be subject to a civii penalty of not less than $10,000 <br />and not more than $100,000 for each such failure. <br /> <br />Federal Use Only: <br /> <br />Signature <br /> <br />Print Name <br /> <br />Title <br /> <br />Telephone No. <br /> <br />Dale (mm/dd/yyyy) <br /> <br />Authorized for Local Reproduction <br />Standard Form-LLL (7/97) <br />
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