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<br />INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
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<br />This discbsure form shall be completed by the reporting entity, whether subawardeeor prime Federal recipient. at the initiation or recel"pt of a covered Federal
<br />action, or a material change to a previous filing, pursuant to tide 31 U.S.C. section 1352. The filing of a form Is required for each paymentor agreement to make
<br />payment to 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
<br />Congress, or an employeeof a Member of Congress In connectlonwith a covered Federal action. Use the SF-LLlA ContinuationSheet for additionaflnformalion if
<br />the space on the fonn is inadequate. Complete ell items that apply for both the initial filing and material change report. Refer to the implementing guidance
<br />published by the Office of Management and Budget for additional Information.
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<br />1. Identify the type of covered Federal action for whlch lobbying activity is and/or has been secured to influence the outcome of a covered Federal action.
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<br />2. Identify the status of the covered Federal action.
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<br />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
<br />the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal
<br />action.
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<br />4. Enter the full name, address, city, Slate and zip code of the reporting entity. Include CongresslonalDlstrict,lf known. Check the appropriateclassificatJon
<br />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., the first subawardee
<br />of the prime is the 1 st tIer. Subawards include but are not limited 10 subcontracts, subgrants and contract awards under grants.
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<br />5. If the organization filing the report in item 4 checks "Subawardee," then enter the full name, address, city, State and zip code of the prime Federal
<br />recipient Include Congressional District, if known.
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<br />6. Enter the name of the Federal agency makIng the award or loan commitment. Include at least one organlzationallevel below agency name, If known. For
<br />example, Department of Transportation, United Slates Coast Guard.
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<br />7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance
<br />(CFDA) number for grants, cooperative agreements, loans, and loan commitments.
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<br />8. Enter the most appropriate FederalldentJfying number avaUablefor the Federal action identified In item 1 (e.g., Request for Proposal (RFP) number;
<br />Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number
<br />assigned by the Federal agency). Include prefixes, e.g., "RFP.OE.90-o01,.
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<br />9. For a covered Federal actIon where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the aW8rdlloan
<br />commitment for the prime entity identified in item 4 or 5.
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<br />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
<br />Federal action.
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<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).
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<br />11. Enterthe amount of compensation paid or reasonablyexpectedto be paid by the reporting enUty(item 4) to the lobbying entity (Item 10). Indicate whether
<br />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
<br />amount of payment made or planned to be made.
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<br />12. Check the appropriatebox{es). Check all boxes that apply .If paymentis made through an irrkind contribution, specify the nature and valueof the in-kJnd
<br />payment.
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<br />13. Check the appropriate box{es). Check all boxes that apply. If other, specify nature.
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<br />14. Provide a specific and detailed description of the servIces that the lobbyist has performed, or will be expected to perform, and the date(s) of any services
<br />rendered. Include all preparatory and related activity, not just time spent In actual contact with Federal officials. Identify the Federal official{s) or
<br />employee(s) contacted or the officer(s}, employee{s), or Member(s) of Congress that were contacted.
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<br />15. Check whether or not a SF-lLLA Continuation Sheet{s) Is attached.
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<br />16. The certifying official shall sign and date the form. prinl hls/her name, tide, and te~phone number.
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<br />According to the Paperwork Reduction Act, as amended, no persons are requIred to respond to a collection of Information unless it displays a valid OMB Control
<br />Number. The valid OMB control number for this lnfonnatlon collectlon is OMB No. 0348-Q046. Public reporting burden for this collectlon of Informotion is
<br />estimated to average 30 minutes per response, including time for reviewing InstrucUons, searching existing data sources, gathering and maintainIng the data
<br />needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of
<br />information. including suggestions for reducing this burden, to the Office of Managementand Budget, Paperworic. Reduction Project (0348-0046), Washington,
<br />DC 20503.
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