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DISCLOSURE OF LOBBYING ACTIVITIES 3 App "rM'OMa <br />Complele " bon to Asc6e bbbyinS schivldet pursuant to 91 U.S.C.1id! <br />(See revert hor pubWlic burden dlsdoaur e 1 <br />!� Typ.! Beier &"v <br />! SWae N Ricoh Acdow <br />�. K"Por{ TES <br />s. aontracl <br />C- pcow+eperaHvi <br />j-`"'y A. bldrofferlappll"flon <br />l.—lI b. <br />�'""' a. Wtlsl filing <br />L.� J b. sn:iteeial tthhan�e <br />a fteement <br />Initlal <br />award <br />d, ban <br />e. posh -«ward <br />Srf Mde.W Change owr: <br />e. ban F�uuumlef <br />Yb "of <br />(. lom Insurance <br />date of last report <br />N NW" awl A"m of sepMdwg EwNtp <br />IL of hl Me. + Is Ss& w&&w bder None <br />t] P&M d Subawardee <br />Tier . Hfu►owrn. <br />bhstnc�l, H k»owrr <br />f llMaict H brown <br />IL f"erel be$arinw"vA$encyr <br />7. Federal Program Na wDeseriptlow <br />CFDA Number, H applicable; <br />IL .'federal Actbn Nwrrber. t<kns>w+rs <br />!. Award Amount, Hknown: <br />t <br />fe a Nance and Address of tobtrrb+g Entltr <br />(if ir w"al, last name, firs name,1 M <br />lr fedlvldpah Per( Serrkes (lrrcludinS addrtsr it <br />(fifterom horn No. mAT <br />(last name, fast nacre, Mik <br />a anNn a <br />tt1 <br />It. MrowA of parrwarr! fchtck 8# that #A*h <br />11. Typo of hyrne�t fcheek df that APF401 <br />>i (7 Actual 0 planned <br />O a, relainer <br />sL Fora of t orrnenl (check afl that aMlyh, <br />O b, one-time lee <br />❑ e- commission <br />d a. unh <br />o d. contingent fee <br />13 b. in -kind; spedfr: nature <br />O e. deferred <br />_ <br />value <br />la f. other, spedfr; <br />tL add besc*loe of Serykes Perfatwed or to be, redo' inred and baits) of Service, including officertsl, ernployeetsl, <br />rrr Mearbertsi teeladtA lot ►arrrrent <br />Indicated b tiern <br />III <br />f! CfKAW-lbw $6*910 Srdltt-A etiatlrert, d Yes <br />tO No <br />IL "W""- d-o"Ph 6 rhri Ill 0& 01 Uxe- <br />s�eWn rrli n,a+ ul hiigArq aHlrhlM d s w�M■,Id wpN.wlHlnq <br />SlgrrafrNe: <br />pi"W M W. M. 0"rA.� 1Wr <br />f'rhnt Nacres <br />m U.iG rail 4Ni, ie�,w� wrM�,� �ii ►� ,T�+� M 1� fsay.s� �nwl- <br />aw r.. ,.0+.r aKr..,., sr.a... w++ �++►..� rrP <br />• ROe� y�j nM ,4q 1RM <br />#le*hrOrre �+}, ._..... _ - 1)aefls <br />.=:d;:.� ���i�. �f�: <br />Aa16�t1arJ iw a«r a.r►.a„cw. <br />ATTACHMENT T <br />To EXHIBIT C <br />PAGE ONE OF THREE PAGES <br />