RUDE GUERRILLA PRODUCTIONS 1 - 2002

Home Browse Search

oi!closure of Lobbying Activities"'" Approved by OMB 0348-0046 Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 (See reverse side for Instructions and Public Reporting burden statement) 1. Type of Federal Action 2. Status of Federal Action 3. Report Type D a. contract D a. bid/offer/application D a. initial filing b. grant b. initial award b. material change c. cooperative agreement c. post-award For Material Change Only d. loan year (yyyy) ______ quarter ___~_~__ e. loan guarantee f. loan insurance date of last report (mmfdd/YYYYl______ 4. Name and Address I" of Reporting Entity 5. If Reporting Entity in No.4 is Subawardee. enter Name and Address Dprime D Subawardee Tier ____ , if known: of Prime Congressional District, if known Congressional District, if known 6. Federal Department/Agency 7. Federal Program Name/Description .. CFOA Number, if applicable _______ 8. Federal Action Number, if known 9. Award Amount, if known $ 10a. Name and Address of lobbying Registrant b. Individuals Performing Services (including address if different from No. 10a.) (if individual, last name, first name, MI) (last name, first name, MI) 11. Amount of Payment (check all that apply) (attach continuation sheel{s) If necessary) 13. Type of Payment (check all that apply) 12. Form of Payment (check all that apply) D a. retainer D b. one-time fee o c. commission o d. contingent fee D e. deferred o f. other (specify)______________________~~~_ 14. Brief Description of Services Performed orto be Performed and Date(s) of Service, including officer(s), employee(s), or Member(s) contacted, for Payment Indicated in Item 11 Da Db cash $ ----------- actual planned in-kind; specify: nature value (attach continuation sheet(s) if necessary) 15. Continuation sheets attached DYes D No 16. Information requested through this form is authorized by Sec.319, Pub. L. 101-121, 103 Stat. 750, as amended by sec. 10; Pub. L. 104- 65. Stat. 700 (31 U.S.C. 1352). This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S,C. 1352. This information wiil be reported to the Congress semiannuaily and wiil be avaiiable for public inspection. Any person who fails to file the required disclosura shail be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Signature Print Name Title Telephone No. Dale (mm/dd/yyyy) Federal Use Only: Authorized for Local Reproduction Standard Form.LLL (7/97)