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<br />INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
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<br />111is disclosure form still he completed by the reporting entity; whether subawardcc 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. 111e fillin$ of a form be required for each payment or
<br />agreement to mak.c payment for any lobbying entity for intluencing or attempting La influence an omccr or employee of any agency. a member of
<br />Congress an oHiccr 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 illf'ormation jfthc space on the form is inadequate. Complete all items that apply fOf both the initial filling and material
<br />change report, Refer to the Implemcnting guidance 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 which lobbying activity\s and/or has been :secured to inlluence the outcome of a covered Federal
<br />action.
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<br />2. Identify the :status of the covered Federal action.
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<br />3. Identify the appropriate c1assilication ofthi~ report. If this is a followup report caused by a material change to the information previously reported,
<br />entcr the year and quartcr ill which the change occurred. Entcr the date of the last previously submitted report by this reporting entity for this
<br />covercd Fcderal action.
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<br />4. Entcr the full name, addres:i, 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 1.1 tier. Seaboard include but are not limited to subcontracts, subcontracts, subgrants and contract awards
<br />undcr grants.
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<br />5. If the organization filling the report in item 4 checks "subwardec" then entcr 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. Indude at least one organizational level below agency name, if
<br />knuwll. For example, Department of Transportation, United States Coast Gaurd.
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<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 />As:sistance (CFDA) number lor grants, cooperative agreements, loans, and loan commitments.
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<br />8. Enter tile most appropriate Federal identifying number available for the Federal <l(.;tion identified in item 1 (e.g.) Request 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."
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<br />9. For a covered Federal action wherc these has been an award or loan commitment by tlle Federal agency, enter the FederaJ amount of the award/loan
<br />commitment for the primc entity identified in item 4 or 5.
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<br />10. (a) Enter lhe full name, adJress, city, state and zip code of the lobbying entity engagd by the reporting entity identified in item 4 to influence the
<br />covered l-'ederal action.
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<br />(b) Enter the full names of tile individual(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 thl: amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate
<br />whethel the payment has been made (actual) or will be made (planned). Chcck all boxes that apply, if this is a material change report, enter the
<br />CUlllulati\e amount of payment made or planned to be made.
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<br />12. Check the appropriate box(cs). Check all boxes that apply, if payment is made lhrough an in~kind contribution, specify the nature and value of the
<br />in-kind payment.
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<br />13. Check lhe appropriate box(I,.'s). Check all bo\cs that apply. If other, specify nature.
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<br />14. Provide a specific and detailed Jeseription orthe services that the lobbyist has performed, or will be expected to perform, 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 />ol1icial(s) or 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~LLL~A Continuation Sheet(s) is attached.
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<br />16, lbe certifyi:lr, official shall sign and date Ule form, print his/her name, title, and telephone number.
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<br />Public reporLlng l)llrden for this collection of information 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 of information. Send comments
<br />rcgardij1g the burden estimate or any other aspect of this collection ofinfonnation, including suggestions for reducing this burden, to the Oftiee of
<br />Management ;llld Budget, Paperwork Reduction Project (0348-0046), Washington, D.C.20503.
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<br />EXHIBIT D
<br />ParlIl
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