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<br />INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
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<br />This disclosure form still be completed by the reporting entity, whether subawardee or prime Federal recipient, at the Initiation or receipt ofa covered
<br />Federal action, or a material change to a previous filling., pursuant to title 31 U.S.C. section 1352. The filling ofa form be required for each payment or
<br />agreement to make payment for any lobbying entity for influencing or attempting to influence an officer or employee of any agency. a member of
<br />Congress an officer or employee of Congress. or an employee of a Member of Congress in connection witb a Federal Action. Used the SF-LLL-A
<br />Continuation Sheet for additional information ifthe space on the form is inadequate. Complete all items that apply for ooth the initial filling and material
<br />change report. Refer to the Implementing guidance published by the Office of Management and Budget fOT additional infonnation.
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<br />I. Identity the type of covered Federal Action fOf which lobbying activity is and/or has been secured to influence the outcome of a covered Federal
<br />action.
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<br />2. Identify the status ofthe covered Federal action.
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<br />3. Identify the appropriate classificalion of this report. If this is a fullowup report caused by a material change 10 the informalion previously reported,
<br />enler the year and quarter in which lhe change occurred. Enter Ihe date of the last previously submitted report by Ihis reporting entity for Ihis
<br />covered Federal action.
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<br />4. Enter the full name, address. city, slate and zip code of lhe reporting enlity. Include Congressional District. if known. Check lhe appropriate
<br />classification of the reporting entity that designates if it is. or expects 10 be, a prime or subaward recipient. Identify the tier oflhe subawardee, e.g,
<br />the first subawardee of the prime is the IS! tier. Seaboard include but are nollimited to subcontracts. subcontracts, subgrants and contract awards
<br />under grants.
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<br />5. If the organization filling the report in item 4 checks "subwardee" then enter the full name, address., city, state and zip code of the prime Federal
<br />recipient. (nclude Congressional District, ifknown.
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<br />6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if
<br />known. For example, Department of Transportation? United States Coast Gaurd.
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<br />7. Enler the Federal program name or description for the covered Federal action (item)). If known, enter the full Catalog of Federal Domestic
<br />Assistance (CFDA) number for gnmts, cooperative agreements, loans. and loan commitments.
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<br />8. Enter the most appropriate Federal identit)dng number available for the Federal action identified in item I (e.g.) Request for Proposal (RFP)
<br />number, invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control
<br />number assigned by the Fedenl agency). Include prefixes, e.g. "RFP-DE.9(k){)1."
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<br />9. For a covered Federal action where these has been an award or loan commitment by the Federal agency, enter the Federal amount of the awardlloan
<br />commitment for the prime entity identified in item 4 or 5.
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<br />10. (a) Enter the full name, address, city, slate and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influence the
<br />covered Federal action.
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<br />(b) Enter the full names oftbe individual(s) performing services, and include full address jf different from 10 (a). Enter Last Name, First Name, and
<br />Middle init:iaI (Ml).
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<br />I I. Entcr tbe amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate
<br />whether the payment has been made (actual) or will be made (planned). Check all boxes that apply, if this is a material change report, enter the
<br />cumulative amount of payment made or planned to be made.
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<br />12. Check the appropriate box(es). Check all boxes that apply, if payment is made through an in-kind contribution, specify the nature and value of the
<br />in-kind payment.
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<br />13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature.
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<br />14. Provide a specific and detailed description of the services that the lobbyist has performed, or will be exp,rted to perform, and the date(s) for any
<br />services rendered. Include all preparatory and related activity, not just lime spent in actual contact with Federal officials. Identify the Federal
<br />official(s) or employee(s) contacted or the officer(s), employee(s), or Member(s) of Congress that were contacted.
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<br />15. Check whether or not a SF-LLL-A Continuation Sheet:(s) is attached.
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<br />16. The certifying official shall sign and date the form, print his/her name, title, and telephone number.
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<br />Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instructions
<br />searching existing data sources, gathering and maintaining the data needed,. and completing and reviewing the collection of information. Send comments
<br />regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of
<br />Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C.20503.
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<br />EXHIBIT D
<br />Part II
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