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INSTRUCTIONS FOR COMPLETIONOF SF-LLLr DISCLOSURE OF LOHOYING ACTIVITIES
<br />This disclosure roan all Nil be completed by the roporlIng entity, whether sub-awardsa or prime Foods? roolplads, altho Indiagoo or tocelpt of a coveted
<br />Federal action, or a amoral change ton previous filing, pursuant to line 31 G.C.C. section 1162. The filing of a form Is required for each payment or
<br />agrearrenl to make payment to any lobbying entity ror Influencing or uttempting to influence an ogloar br employee of any agency, a Member of
<br />Gong man, sit officer or employee of Congress, at on employee of a Wittiest of Congress In connection with a covered Federal action. Use the SF-LL LA
<br />Gontinuedon Sheet for additional brionnailon if the space on the term Is Inadequate. Complete all dams first apply for botltthe inltlal filing and material
<br />change report. Refer to the Implementing guldrus a published by the Office of Managamont and Durigrt for additional Information.
<br />1. identify the type of covered Federal actlon for which Iobbying activity Is andtor has been secured to lnfluensa the outcome of a covered Federal
<br />action.
<br />2. Idanldy inastatus of tho covered Fritterer atilati,
<br />9. Identify the appropriate classlflostion of'tals report. If this to a f i low up raped caused by a matadal r umorl to the Information previously reported,
<br />steatite year and quarter In which the change occunad. Enter the date of the last previously subrnthed report by this reporting entity for Hite
<br />covered Federal action,
<br />4. Enter the full more, address, city, State and zip code of the reporting entity. Include Congressional Dlstdc4 If known. Check the appropriate
<br />ciass+flcatian of rite reporting entity that deslgnolas it it is, or experts to be, a prime or sub-oward rdrdplariL Identify the Her of the sub•awardee, e.g.,
<br />the that sub?awardee cribs prime Is the fat list, Sub-awards include but are not limited to aukcamracts, sub-granls and centrals awards under
<br />grants.
<br />6. If the organization filing the report In item 4 checks "SutR-owai dee,'then enter the full name, address, city. Stara and zip code of Ilia pdme Federal
<br />recipient. Include Congressional District, it known.
<br />6. Enter the name of the Federal agency making the eviard or lean commitment, Irlcluds at least end ergnnizationat level below agency name, if
<br />Iatown. For axtunpfd, Depadmenr of Transportation, United States Coast Guard.
<br />7. Enter the Federal program name or description for the covered Federal action (Item 1). If known, enter the hill Catalog of Federal Domestic
<br />Assistance (CFDA) numbos'for grants, cooperative agreements, loans, and loan commitments.
<br />8. Enter the most appropriate Federal Wentifyaig number available for the Federal action Ideulflad in Iran) f (a.g„ Request for Propose)(RFP)
<br />number, enviiallan for Sid (IFS) hnrnhsr, grant onriouncoment number; the contract, grant, or loan award nambar, the applicatlarttproposal control
<br />number Assigned by the Federal agency), Include prefixes, a.g„ `RFP•D[5-90?0137 t"
<br />S. Fors covered Federal action wharo there has heart on award or loan commitment by the federal agency, enter the Federal amount of the
<br />awardfloan commitment for the prime frilly identllled in Item 4 at G.
<br />lg. (a) Erttar the full name, address, shy, State and zip code of the lobbying entity engaged by the reporting entity identified In Item 4 to Influence the
<br />covered Federal action.
<br />la) Enter ilia fug names of the tndPriduae(e) performing ssnica8, and include fug address itdlfferent from 14 (a). Enter test Name, First Name, and
<br />PAIddle Initial (MR).
<br />11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item tit). Indicate
<br />whether the payment has been made (actor!) or will be made (planned). ChooR all boxes tart apply. it this is a material change repot, enter ilia
<br />oumunadvo amount of payment. made or planned to be made.
<br />12. Check The appropriate bax(ea), Chock all boxes that aptly, If payment Is (tads tltrougit art lei-kind voinblbuRon. specify the nature and value of the
<br />Irv-kind payment.
<br />13. Chock the appropriate box(se). Chock all boxes dial. apply. If other, specify nature.
<br />14, provide a speohfic and detailed dosortpdori of the services that the lobbyist has preformed, or will be expected to perform, and die delete) of any
<br />services randarad. Include all preparatory and (stated aodvtty, not just time spent In actual contact with Federal ottlafals. Identify the Federal
<br />official($) or employee(s) contacted or the officer(s), employee(s), or Mamber(s) at Congress that were contacted.
<br />15, Dhedc whether or not a SF-ILS.A Continuation 5host(s) is adachod.
<br />16. The cetiifying official shall sign and date the form, print Milner Warne, tied, and telephone number.
<br />Aceardin8 to the Paperwork Reduc[kn Aok, as amended, na persona are required to respond So a collse9;#on of tnEannalion unless it displays a
<br />veld OMB Central Numadr. Thu valid OM" central numtrer for talc information rollodian Is 0"" fJo, d3M18f1g46. Pubtlo reporting burden far !leis
<br />coneclum of rnfarmellon is estimated m oserags 995 rnfnutes per response. Including date for reviewing hsslntcthm" "etching exlsfingdata
<br />ssun"n" gainsrinll and mculturing tea data needed, and ootnptottng and revtesving the coiraatfon of tnformailon, 1 W wmmore, regarding the
<br />burden estimate or any ataer aspect of this ri lemon of Information, Including suggestions for reducing (Iris burden, to the Grace of Managomont
<br />I end Sudgdl, paparv+ork 13aducton pio)eaf (!tilt-4rYld), Washhugion, bC 2415d3.
<br />EXHIBIT C
<br />SVI-II5212v2 17
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