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<br />9. For a covered Federal action where these has been an award or loan commitment by <br />the Federal agency, enter the Federal amount of the award/loan commitment for the <br />prime entity identified in item 4 or 5. <br /> <br />10. (a) Enter the full name, address, city, state and zip code of the lobbying entity <br />engaged by the reporting entity identified in item 4 to influence the covered Federal <br />action. <br /> <br />(b) Enter the full names of the individual(s) performing services, and include full address if <br />different from 10 (a). Enter Last Name, First Name, and Middle initial (MI). <br /> <br />11. Enter the amount of compensation paid or reasonably expected to be paid by the <br />reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the <br />payment has been made (actual) or will be made (planned). Check all boxes that <br />apply, if this is a material change report, enter the cumulative amount of payment <br />made or planned to be made. <br /> <br />12. Check the appropriate box(es). Check all boxes that apply, if payment is made <br />through an in-kind contribution, specify the nature and value of the in-kind payment. <br /> <br />13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. <br /> <br />14. Provide a specific and detailed description of the services that the lobbyist has <br />performed, or will be expected to perform, and the date(s) for any services rendered. <br />Include all preparatory and related activity, not just time spent in actual contact with <br />Federal officials. Identify the Federal official(s) or employee(s) contacted or the <br />officer(s), employee(s), or Member(s) of Congress that were contacted. <br /> <br />15. Check whether or not a SF - LLL- A Continuation Sheet( s) is attached. <br /> <br />16. The certifying official shall sign and date the form, print his/her name, title, and <br />telephone number. <br /> <br />Public reporting burden for this collection of information is estimated to average 30 minutes per <br />response, including time for reviewing instructions searching existing data sources, gathering and <br /> <br />To: Stephen G. Harding <br />Executive Director <br />Santa Ana Empowerment Corporation <br /> <br />From: Subcontractor/Assignee <br /> <br />