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CITY OF SANTA ANA <br />PROPOSAL <br />PkOJECT NO:; 18-6906 <br />EDINGERAVE. AND BRISTOL Sm, CLASS 11 BICYOLE LANES <br />MDERAL PROJECT NO; HSIPL 5063(180) <br />DISCLOSURE OF LODDYING ACTIVCTjEs <br />DISCLOSURE OF LOBBYING ACTIVITIES Apaoree4f9l <br />Ccmpfeta thls torm to dlsabse lobbying activitles pumuard to 31 U:S.C. IM2 .oull-core. <br />See rave - ._. <br />ru fa hsa burden disabsure. <br />2 Status of Federal Action: <br />S. ReportType: - <br />a. contract <br />Q A. bidlaffedapplicafion <br />1—1 a. Initial filing <br />F,�PeFAction: <br />p. Wtial award <br />l-._J b, m We] change <br />e agreement <br />opostavian) <br />Far Material Change Ony.. <br />ntee <br />year.quarter <br />date of lekl reportnee <br />/. Name and A of Reporting'Entity: <br />b. N Reporting Flrtily in No. 4 is a 8ubawardae, Enter Name <br />❑)myna. HUWardee <br />and Address of prime: <br />��,� ylirwrrns <br />C - ebnal Distdat, Nkrq <br />Con resafonal District. a`known: <br />S. Federal DeparbnentfAgenoy:_ <br />7: Federal Program Name/Descdption:. <br />CFpA Number, Ksppftffbw... <br />s. Federal Aogon Number,. i1#nosmy_ <br />S. Award Amount, WBnorm: <br />s <br />f 0. a. Name and Address of 4obbylrp Faraly <br />-(dindWwaf,J"tname, <br />-individuals Performing Services (in Wbg address k <br />first name, M11: <br />taws No: fOa) <br />IX/ .Wane, ttrslrlame..M{y <br />)v <br />anam tnweulsrr <br />if. Amount of Paymenl (aback ail ,tM1al appy); <br />S/it[.� r <br />13. Type ofP (eh eckaR)hafapplY): <br />3- C7'sadiei [ .pama <br />13a ntener , <br />Lea aarreelieion <br />12. Form of Payment (cfleeA aN iaatepp,>a+): <br />owwwr trsa <br />[] 0.tnaNd; epsdry:. nature <br />❑ a cosines <br />value <br />❑ GdMr: "Oft: <br />14, Brief Cosaription of Sorviees Performed. or to tie Pedomred and Dates of Service, using offrcer(s), <br />-.employee(s),:or Members) contacted, for Payment indicated in Item t1: <br />.agar Grorarwa4rr sruu wnearsea -- - <br />is. Continwtion Sheets SF-LEC attadrod: <br />1g. r'"^r'^^r"r'r +eie'"iwirw xi4wi wmwvrw <br />reu: rxr ra.urr <br />Slonatuw <br />Print Namw _. 'ypfds CBriSDII •� . . <br />NR.M,nW Nw«W41Fra.rer++++w+h,W wrirWrMrM <br />wmww, nexw�rr rr ee. e.rwar wa,r„r erw <br />•••••.• <br />TNk... VICF3 PrPcitlent <br />..'*°w«w'w"".'"'�'rrwrrrsrxaorrrrrrrx:.areeeae <br />Tetaphonallo.: (95} 7,36-7600 DaW:.ip tt�,rg_ <br />FydArAt:Usk t)nly: - <br />Fu1wd:NtarimeiRrprsarAna <br />613""d ratty Lu "v. fdr <br />P-24 of P-40 <br />