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<br />INSTRUCTIONS FOR COMPLETION OF SF.LLL, DISCLOSURE OF LOBBYING ACTIVITIES
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<br />This discklsure form shall be completed by the reporting entity. whether subawarcleeor prime Federal recipient, at the initiation or receipt of a covered Federal
<br />actlon,ors material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form Is required for each payment or agreement to make
<br />paymentto any lobbying entity for influencing or attempting to Influence an officer or employee of any agency,s Member of Congress, an offICer or employee of
<br />Congress. or an employeeof a Memberof Congress In connectlonwith a covered Federal action. Use the SF.lLLA Continuation Sheet for additional Information if
<br />the space on the form is inadequate. Complete all items that apply for both the inilial 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. Identity 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.
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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, State and zip code of the reporting entity. Include Congressional District, If known. Check the appropriateclassificalion
<br />of the reporting entity that designates if it is, or expects to be, a prime or subaward reclplenlldentify the tier of the subawardee,e.g., the flrst subawardee
<br />of the prime is the 1 st tier. Sub awards Include but are not limited to 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 States 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 Federal Identifying number available for the Federal acUon 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-DE-90..Q01."
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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 awardl10an
<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 Indlvidual(s) performing 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. Enter the amount of compensation paId or reasonablyexpec1edto be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether
<br />the payment has been made (actual) or wm 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 approprlatebox(es). Check all boxes that apply .If payment!s made through an in~klnd contribution, specify the nature and value of the In-klnd
<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. Providea 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 officlal(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, print hislher name, titis, and telephone number.
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<br />According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of rnfonnatlon unless it displays a valid OMS Control
<br />Number. Ttle valid OMB control number for this Information collection Is OMB No. 0348..()O46. Public reporting burden for this collect10n of Information is
<br />estimated to average 30 minutes per response, including time for reviewing Instructions, 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 />infonnation, Including suggestions for reducing this burden. to the Office of Managementand Budget, Paperwork Reduction Project (0348-0046), Washington,
<br />DC 20503.
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