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INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTMTIES
<br />This disclosure form still be completed by the reporting entity, whether subawardee or prime Federal recipient, at the Initiation or receipt of a covered
<br />Federal action, or a material change to a previous filling, pursuam m title 31 U.S.C. section 1352. The filling of a form be required for each payment or
<br />agreement m make payment for any lobbying entity for influrncing or attempting m influrnce rn officer or employee of airy agency, a member of
<br />Congress an officer or empbyee of Congress, or en employee of a Member of Congress in connection wiOr a Federal Action. Used the SF-LIY-A
<br />ContlnuaOon Sheet for addhional information if the space on the form is irmdequate. Complete all itans tltm appy for both the initial filling and material
<br />change report. Refer m the Implememing guidance published by the ()<t'ice of Management and Budget for additional information.
<br />1. Identify the type of covered Federal Action for which lobbying activity is and/or has been secured m influence the outcome of a covered Federal
<br />action.
<br />2. Identify the crams of the covered Federal action.
<br />3. Identify the appropriate classification of this report. If this is a followup report caused by a material change [o the information previously reported,
<br />enter the year and quarter m which the change occurred. Enter the dme of the last previously submitted report by this reporting entity fbr this
<br />covered Federal action.
<br />4. Enter the fu0 name, address, city, state and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate
<br />classification of the reporting amity [hat designates if it is, or expects m be, a prime or subaward recipient. Identify the tier of the subawardee, e.g,
<br />the first subawardee of the prime is the 1° tier. Seaboard include but are not limited to subwntrects, subcontracts, subgraMS and corrtract awards
<br />under grants.
<br />5. If the organization filling the report in item 4 checks "subwardee" then enter the full name, address, city, state and zip code of [he prime Federal
<br />recipient. Include Congressional District, if known.
<br />6. Enter the name of the Federal agency making the award or loan wmmitment. Include ai least one organva[ienal level below agency name, if
<br />known. For example, Department of Transportation, United States Coast Gourd.
<br />7. Enter the Federal progrwn name or description for the covered Federal action (iteml). If known, enter the full Camlog of Federal Domestic
<br />Assismnce (CFDA) number for gmmts, cmoperaOve agreements, loans, and loan commitments.
<br />8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g.) Request for Proposal (RFP)
<br />number; invimtion for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the applicationlproposal control
<br />number assigned by the Federal agency). Include prefixes, e.g. "RFP-DE-90-001"
<br />9 For a covered Federal action where these has bcen an award or loan commitment by Ote Federal agency, enter the Federal amount of Ute award/loan
<br />commitment for the prime amity idrntified in rtem 4 or 5.
<br />10. (a) Enter the full name, address, city, stace and zip code of the lobbying entity engaged by the reporting entity identified in item 4 m influence the
<br />covered Federal action.
<br />(b) Enter the full names of the individual(s) performing services, and include full address if diBerem from 10 (a). Enter Last Name, First Name, and
<br />Middle initial (Mf).
<br />11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate
<br />whether the payment has been made (actual) m will be made (planned). Check all boxes that apply, if this is a material change report, enter [he
<br />cumulative amount of payment made m planned m be made.
<br />L2. Check the appropriate box(es). Check all boxes that apply, if payment is made through an in-kind contribution, specify the nature and value of the
<br />in-kind payment.
<br />13. Check the appropriate box(es). Check all boxes Otat appy. If other, specify nature.
<br />14. Provide a specific and derailed description of the services that Me 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 m acntal contact with Federal officials. Identify the Federal
<br />officislfs) or employee(s) wmacted or the officer(s), employee(s), or Member(s) of Congress that were contacted.
<br />I5. Check whether ornot a SF-LLL-A ConOnuation Sheet(s) is attached.
<br />16. lire certifying official shall sign and date the form, print his/her name, title, and telephone number.
<br />Public reporting 6urdeo for this collectoa of information is estimated to average 30 minutes per response, including time for reviewing insrruaions
<br />searching existing dam sources, gathering and maintaining the data needed, and completing amd reviewing the collection of information. Send comments
<br />regrading Ore burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, m the Office of
<br />Managemem and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C.20503.
<br />EXHIBIT D
<br />Part R
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