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CITY OF SANTA ANA REBID <br />PROPOSAL <br />PROJECT NO.: 17-6611 <br />CHESTNUT AVE & BUSH/CYPRESS BIKE LANES <br />FAID#: USSDP005861 <br />DISCLOSURE OF LOBBYING ACTIVITIES <br />M14 <br />DISCLOSURE OF LOGRYING ACTIVITIES Apploledb),OMB <br />Complete this form lodisolcaq lobbying actiolies Pursuant to 31 U.S.C. 1352, MWOUS <br />rS». '.. ev suktut. fn,,rmm&.n1oAur.A <br />Tfyp. o17*dend Action. <br />2. States ofFedenat Actiam <br />3, Report Type: <br />a. nonlrack <br />& bidmoorlapplic"M <br />a. in" filing <br />b, want <br />it inita3"ard <br />b. material change <br />0. cooperative agreement <br />c, poslawacd <br />For Material Change Only: <br />d. loan <br />Year β€” quarter <br />a. loan guarantee <br />date of last report <br />1. low Insurance <br />4, Name and Address of Reporting EyAdy: <br />me <br />❑ pow 0 autowant" <br />and Address of Prime: <br />Marβ€” ff0moom: <br />ConoressionA District, itknown: <br />compassionall District ff kMW2: <br />G. Federal DeparteventlAijamly: <br />7. Federal Program MamelDescription: <br />CFDA fhwtb m, Wwoft-We <br />g. Federal Amino Number, ffM~a <br />ff. Award Amount, Jfknulrn: <br />W a- Name and Address of Lobbying Entity b. Individuals Performing Services thatudwy address W <br />(rNrldmdual. tul name, firsl Mxma. Mly '" d4went 60 NO. 10A) <br />I (tastname, Swsfmrma, xfl): <br />(afta, c%otftftQvM Xl W-LUA lr?Aarn . .. ....... .. ........ . ........... <br />11. Amount of Payment {check all that wjr0y): <br />13. Type of Payment (du k all Malappiy): <br />S. schal 0 Pulsed <br />L) & Mul"ar <br />--- <br />0 b am-11n,*nse <br />t2. Fain of Payment (shack aA -- β€” -;;- <br />0&pasts <br />odconflopeoll" <br />oa,IrAlld;spovlv: <br />0 0, doe rod <br />value <br />El I other. <br />14. Brief Description of-Senhoes Performed or to be Performed and Vate(s) of Service, moulding officertsf, <br />empit,yeels), or Memberfs) zontamed, for Payment Unheated in Item I i: <br />t a ftd) Om A wA W we 4 a) -F t U A .Vaez@sSaPYf <br />15.,Contmusbon Stmells) SFA-LLA allachod: Uval, <br />hl, .,n <br />Signature: <br />,,m <br />F1dvl Name: <br />Mile <br />Telephone Na: Date: <br />kv IAG3I Reiaoculmn <br />M LLC (M., 7A71 <br />P-24 of P-39 <br />20B-34 <br />