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DISCLOSURE OF LOBBYING ACTIVI I ICJ Approved by OMB <br />Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1362 0348 -0046 <br />3. * Report Type: <br />* Type of Federal Action: 2. *Status of Federal Action: ® a, initial filing <br />a, bid /offeriappiicatlon ❑ b, material change <br />Ft. contract <br />® b. Initial award <br />® b. grant <br />C. cooperative agreement <br />c. post -award <br />d. loan <br />Ela. loan guarantee <br />F1f, loaninsuronce <br />4. Name and Address of Reporting Entity: <br />®Prime El SubAwardee <br />'Name City of Santa Ana , <br />street 2 <br />•streetl 20 Civic Center Plaza ZIP <br />Slate <br />' <br />city. Santa Ana <br />--- <br />Congressional Dtsinct, If known:. <br />6. If Reporting Entity in No,4 IS SUbawardee, Enter Name and Address of Prime: <br />7. * Federal Program NamelDescription: <br />6. * Federal �OfL.bor mentlAge ney: Grants <br />N -113 Job Training <br />U.S. Departme <br />—� <br />CFDA Number, If appHceblo; v • 2a�_ <br />9. Award Amount, if known: <br />B. Federal Action Number, if known: <br />10. a. Name and Address of lobbying Registrant: <br />Middle Name <br />Prefix, [:= 'FirstNama Not Applicable <br />Suffix <br />• Last Name Not Applicable <br />�—.-- Street 2 • <br />Street f Zip <br />Sfafe <br />City <br />b. Individual Performing Services (including address it different from No. IOa) Middle Name <br />prefix • First Name Not Applicable <br />Suffix <br />'Last Name Not Applicable <br />Street 2 <br />Street 1 - —} zip <br />State 1 <br />city <br />11. Information requested through This form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon e reported ss semi - annually and will be available for public Inspection. Any person who falls to file the required disclosure shalt be subject to a civil penally of not less than <br />Information <br />was pieced by the tier above when the transaction was made or entered Into. This disclosure is required pursuant to 31 U.S.C. 1352. This Information will be reports o <br />the Congre <br />$Iopoo and not more than $100,000 for each such fat <br />• Signature: Carlos de la Riv We Name <br />Prefix First Name Linda <br />'Name: suffix <br />Title: <br />•Last Name Tolephon <br />Oberman <br />Date: 06/02/2011 <br />e No � <br />k ° T7ki Authorized ror t oral Reproduction <br />F6rm•LLL(ftev.7.97) <br />