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Local Assistance Procedures Manual EXHBIT 10-Q Disclosure of Lobbying Activities EXHIBIT 10-Q DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. 'Type of Federal Action: 2. Status of Federal Action: 3. Report Type: a. contract a. bid/offer/application ❑ a, initial h. grant b. initial award ® b. material change c. cooperative agreement c. post -award d. loan e. loan guarantee f. loan insurance 4. Name and Address of Reporting Entity ElPrime Subawardee Tier if known _F Congressional District, if known 6. Federal Department/Agency: 8. Federal Action Number, if known: 10, Name and Address of Lubby'Entity 12. 13. 15. For Material Change Only: year_ quarter_ date of last report 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime: Congressional District, if known 7. Federal Program Namc/Description: C.FDA Number ,if applicable �tvard Amo` unt, if known: 'duals Performing Services (If individual, last name, first name,�MI) ding address if different from No. 10) st name, first name, MI) (attach Continuation Sheet(s) ifnecessary) Amount of Payment (check all that apply) 14. Type of Payment (check all that apply) S actual Q planned a. retainer b. one-time fee Form of Payment (cheek all that apply): c. commission ®a. cash d. contingent fee b. in -kind; specify: nature e deferred Value f other, specify Brief Description of Services Performed or to be performed and Date(s) of Service, including officer(s), employee(s), or member(s) contacted, for Payment Indicated in Item 12: (attach Continuation Sheet(s) if necessary) 16, Continuation Sheet(s) attached: YesEl No 17. Information requested through this form is authorized by Title 31 U.S.G. Section 1352. This disclosure of lobbying reliance Signature: was placed by the tier above when his transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. Print Name: pat Somerville 1352, This information will be reported to Congress ll d b f ' semiannua y an wille available or pu tc mspectron. Any Title: Associate Principal + Division Manager person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Telephone No.: (714) 815-5222 Date:1/14/2026 public Federal Use Only: standard Norm LLL Kev. 04-28-06 Distribution: Orig- Local Agency Project Files Authorized for Local Reproduction Standard Form - LLL Page 1 LPP 13-01 May 8, 2013