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Docusign Envelope ID:47944A80-A4B5-4D6E-A49F-D09539A7EDB3
<br /> Exhibit 4
<br /> INSTRUCTIONS FOR COMPLETION OF
<br /> SF-LLL DISCLOSURE OF LOBBYING ACTIVITIES
<br /> This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient at the initiation or receipt of a
<br /> covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each
<br /> payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a
<br /> Member of Congress, an officer or employee of Congress. or an employee of a Member of Congress in connection with a covered Federal action.
<br /> Use the SF LLL-A Continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the
<br /> initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional
<br /> information.
<br /> 1.Identify the type of covered Federal action for which lobbying is and has been secured to influence the outcome of a covered action.
<br /> 2.Identify the status of the covered Federal action.
<br /> 3. Identify the appropriate classification of this report. If this is a follow up report caused by a material change to the information previously reported,
<br /> enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this
<br /> covered Federal action.
<br /> 4. Enter the full name, address, 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.
<br /> Identify the tier of the subawardee, e. g. the first subawardee of the prime is the 1st tier. Subawards include but are not limited to subcontracts.
<br /> subgrants and contract awards under grants.
<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.
<br /> 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if
<br /> known. For example, Department of Transportation,United States Coast Guard.
<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
<br /> Assistance(CFDA)number for grants,cooperative 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; 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 09."
<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
<br /> award/loan commitment for the primary entity identified in item 4 or 5.
<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
<br /> influence the covered Federal action.
<br /> (b) Enter the full names of the individual(s) performing services, and include full address if different from 10(a). Enter Last Name, First
<br /> Name,and Middle Initial(MI).
<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).
<br /> Indicate whether the payment has been made (actual)or will be made (planned). Check all boxes that apply. If this is a material change report
<br /> enter he cumulative amount of payment made or planned to be made.
<br /> 12. 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
<br /> the in kind payment.
<br /> 13.Check the appropriate box(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 the date(s)of any
<br /> services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal
<br /> official(s)or employee(s)contacted and the officer(s),employee(s),or Member(s)of Congress that were contacted.
<br /> 15.Check whether or not a SF LLL A Continuation Sheet(s)is attached.
<br /> 16.The certifying official shall sign and date the form,print his/her name,title,and telephone number.
<br /> Public reporting burden 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
<br /> comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden,to the
<br /> Office of Management and Budget.Paperwork Reduction Project(0348 0046)Washington D.C.,20503.
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