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INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES <br />This disclosure form still be completed by the reporting entity, whether subawardee or prime Fedeml recipient, at the Initiation or receipt mf a wvered <br />Federal action, or a material change [o a previous filling, pursuant m title 31 U.S.C. section 1352. The filling of a form be required for each payment nr <br />agreement to make payment for any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a member of <br />Congress an officer or employee of Coneress, or an employee of a Member of Congress in connection with a Federal Action. Used [he SF-LLL. A <br />Continuation Sheet for additional information if [he space on the form is inadequate. Complete all items [haz apply for both the initial filling and material <br />change report. Refer to the Implementing guidance published by [he Office of Management and Budget for additional information. <br />I Identify [he type of covered Federal Action for which lobbying activity is andfur has been secured to influence [he outcome of a covered Federal <br />action. <br />2. Identity the status of the wvered Federal action. <br />3 Identify the appropriate classification of [his report. If this is a fellowup report caused by a material change m the information previously reported, <br />enter [he year and quarter in which the change occurted. Enter the daze of [he last previously submitted report by this reporting entity fur this <br />covered Federal action. <br />4. Enter [he full name, address, city, s[ace and zip code of the reporting entity Include Congressional District, if known. Check the appropriate <br />classification of the reporting entity that designates if i[ is, or expects to be, a prime or subaward recipient Identify the tier of [he subawardee, e.g <br />the first subawardee of [he prime is [he ly tier. Seaboard include but are no[ limited m subcontracts, subcontracts, subgrants and contract awards <br />under grants. <br />5 If the organization filling the report in item 4 checks "subwardee" then enter the full name, address, city, s[aze and zip code of [he prime Federal <br />recipient. Include Congressional District, ifknown. <br />b. Fn[er the name of the Federal agency making the award or loan commitment Include at leas[ one organizational level below agency name, if <br />known. For example, Department of Transportation, United States Coast Gourd. <br />7 Enter [he Federal program name or description for the covered Fedeml action (ireml). ]f known, enter the full Cazalog of Federal Domestic <br />Assistance (CFDA) number for grants, woperative agreements, loans, and loan commitments. <br />8. Enter the most appropriate Federal identifying number available far [he Federal action identified in item 1 (e.g.) Request for Proposal (RFP) <br />number; invitation for Bid (1FB) number: gran[ announcement number: [he contract, grant, or loan award number; [he application/proposal control <br />number assiened h}'the Federal agency). Include prefixes, e.g. "RPP-DF.-90-001" <br />9 For a covered Federal action where these has been an award or loan commitment by the Federal agency, enter the Federal amount of the awardAoan <br />wmmi[ment for the prime entity identified in item 4 or 5. <br />10. (al Enter the full name, address, city, state and zip code of the lobbying en[iTy engaged by the reporting entity identified in item 4 [o influence the <br />covered Federal action. <br />Ibl F;nter [he full names of [he individual(s) performing services, and include full address if diflbren[ from 10 (a). Enter Last Name, Firs[ Name, and <br />Middle initial (Mp. <br />I L F.nler the amount of compensation paid or reasonably expected to be paid by [he reporting entity (item 4) to the lobbying entity (item 10). Indicate <br />whether the payment has been made lacmall or will be made (planned). Check all boxes that apply, if this is a material change report, enter the <br />cumulative amount of payment made or planned [o be made. <br />12. Check the appropriate boxles). Check all boxes [hat apply', if payment is made through an in-kind contribution, specify [he nature and value of the <br />in-kind pavmen[. <br />13. Check the appropriae bol(es). Check all boxes that apply. If other, specify nature. <br />14. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and [he dale(s) for any <br />services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify [he Federal <br />of3icial(s) or employee(s) contacted or the officer(s), employee(s), or Member(s) of Congress [hat were contacted. <br />I5. Check whether or not a SF-LhI. A Continuation Sheet(s) is attached. <br />1 F. The certifying official shall sign and date the forth, print hisPoer name, title, and telephone number. <br />Public reporting burden fm this wllection of information is es[imazed [o average 30 minutes per response, including time for reviewing instmctions <br />searching existing dara sources, gathering and maintaining the data needed, and completing and reviewing [he wllection of intDrtnation. Send comments <br />regarding the burden estimate or any other aspect of this wllection of informaion, including suggestions for reducing this burden, to [he Office of <br />Management and Budge[, Paperwork Reduction Project (0348-0046), Washington, D.C20503. <br />EXHIBIT D <br />Part Il <br />