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This disclosure fort shall be completed by the reporting entity, whether aubawardee or prime Federal recipient, at the Initiation
<br />or receipt of a covered Federal aotlon, or a material change to u provious filing, pursuant to title 31 U,S,C, Section 1362, The
<br />filing of a form Is required fureach payment or agreement to make payment to any lobbying entity far Influencing or attempting
<br />to Influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee
<br />of Congress, or an employes of a Member of Congress In connectlon with a covered Federal action, Use the SF-LLL-A
<br />Continuation Sheet for addflionol information if the apace on the form Ia Inadequate, Complete all Items that apply for both the
<br />Initial filing and material change report. Refer to the Implementing guidance published by the Office of Management and Budget
<br />for additional Information.
<br />1. Identify the type of covered Federal action for which lobbying activity Is and/or has been secured to Influence the
<br />outcome of a covered Federal action.
<br />2. Identify the status of the covered Federal action.
<br />3. Identify the appropriate classification of this report. If this Is a follow-up report caused by a material change to the
<br />Information previously reported, enter the year and quarter In which the change occurred. Enter the date of the last
<br />previously submitted report by this reporting entity for this covered Federal action,
<br />4. Enter the full name, address, city, state, and zip code of the reporfing entity, Include Congressional District, if known.
<br />Check the appropriate classification of the reporting entity that designates If It Is, or expects to be, a prime or
<br />subaward recipient identify the tier of the aubawardee, e,g„ the first subowardee, of the prime Is the let tiler.
<br />Subawards inolude but are not limited to subcontracts, subgranto and contract awards under grants.
<br />6. If the organization filing the report In Item 4 checks "Subawardes", then enterthe full name, address, city, state, Find
<br />zip code of the prime Federal recipient, Include Congressional District, if known.
<br />6. Enter the name of the Federal agency making the award or loan commitment. lncluda at least one organizational
<br />level below agency name, If known, For example, Department of Transportation, United States Coast Guard.
<br />7. Enter the Federal program name or description for the covered Federal aotlon (Item 1). If known, enter the full
<br />Catalog of Federal Domeallo Asalstar (CFDA) number for grants, cooperative agreements, loans and loan
<br />oommltrl
<br />0. Enter the most appropriate Federal Identifying number available for the Federal action Identified In Item 1 (a,g.,
<br />Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract, grant,
<br />or loan award number, the appllcatior 1prepasal control number assigned by the Federal agency). Include prefixes,
<br />e,g., "RFD"l
<br />9. For a covered Federal action where there has been on award or loan commitment by the Federal agency, enter the
<br />Federal amount of the award/loan commitment for the prime entity Identiflod In Item 4 or 6.
<br />10, (a) Enter the full name, address, city, state, and zip We of the lobbying entity engaged by the reporting entity
<br />Identified In Item 4 to influence the covered Federal action.
<br />(b) Enter the full names of the Individual(s) performing services, and Include full address If different from 10 (a),
<br />Enter Last Name, First Name, end Middle Initial (MI).
<br />11, Enter the amount of componsation paid or reasonably expected to be paid by the reporting entity (Item 4) to the
<br />lobbying entity (Item 10). Indicate whathar tho payment has been made (actual) or will be made (planned). Chook all
<br />boxes that apply. If this Is a material change report, enter the cumulative amount of payment made or planned to be
<br />made,
<br />12. Check the appropriate box(es). Check all boxes that apply, tf payment Is made through an In -kind contribution,
<br />specify the nature and value of the In -kind payment,
<br />13, Check the appropriate box(es). Check all boxes that apply, M other, specify nature.
<br />14, Provide a specific and detafled description of the services that the lobbylat has performed, or will be expected to
<br />perform, and the date(s) of any services rendered. Include all preparatory and related activity, not)ustdmo spent In
<br />actual contact with Federal officials. Identify the Federal offlclal(s) or omployce(s) contacted or the offlcer(s),
<br />employee(a), or Mamber(s) of Congress that were contacted.
<br />16. Check whether or not a SF-LLL-A Continuation Sheets) is attached.
<br />10. The certifying ofgclal shall sign and date the form, print his/her name, title, and telephone number.
<br />A
<br />Federal Use Only: Aulhorized for Looal Roproduntlon
<br />Standard norm • LLL•A (Rvv, 7.97)
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