Laserfiche WebLink
DISCLOSURE OF LOBBYING ACTIVITIES <br />_ COMPLGTLTHIS FOW TO DISCLOSE: LOBBYING AC'riyiyi7s PURSUANT TO 31 U.S.C. 1352 <br />1. Type of Federal Action: ^2. Status of Federal Action: 3. Report Type: <br />a. contract = a. bid / other /application % initial <br />b. grant b. initial award b, material change <br />c. cooperative agreement c. post -award <br />d. loan For Material Ch ge Only: <br />e, loci guarantee year_ quarter _ <br />f. loan insurance date of 1W report — <br />4. Name and Address of Reporting Entity Enamefirst orting Entity in No. 4' Submvardec, <br />Name and Address 'Prime: <br />Prime; ❑ Subawmeloc <br />' tor__, if know <br />Congressional District, if known essiom Nstrict, if known <br />6. Federal Department' /Agency: al Pr ram Name/Deseription: <br />Number, if applicable <br />S. Federal Actiort Nlunber, if known: Amount, if known: <br />10. a. Name and Address of Lobby Entity duals Performing Services (including <br />(If individual, last name, first name s if diff�eront liom No. IOa) <br />ame, first name, MI) <br />(attach Cot inuation Sheets) if necessary) <br />11. Amount ofPoyment (/memtnber(s) hat ap y) 13. Type of Payment (check all that apply) <br />S ® tanned a. retainer <br />b, one -time foe <br />12. Form of payment (check apply): c. commission <br />8 u, cash d. contingent fee <br />b, in -kind; spc e deferred <br />e__ -�._ f. other, specify <br />14. Brief Description of Srformed or to be performed and Date(s) of Service, including <br />officer(s), employce(ser(s) contacted, for Payment Indicated in Item H: <br />(attach Co ntinuation Shoot(s) if necessary) <br />15, Continuatio shect(s) attached: Yes 11 No El <br />16. Information r uested through this form is authorized by <br />'rifle 31 11.S . Section 1352. This disclosure of lobbying <br />reliance w. placed by the tier nbove when his transaction <br />was made or entered into, This disclosure is required <br />pursuant to 31 U.S.C. 1352. This information will be <br />reported to Congress semiannually and will be available for <br />public inspection. Any person who fails to file the required <br />disclosure shall be subject to a civil penally of not less than <br />$10,000 and not more them $100,0001'or each such failure, <br />Federal Use Only: <br />Print Name: <br />Telephone No.: 9E- /- 731-760 <br />Authorized for Local R <br />Standard Form - LLI. <br />23A -42 <br />