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2013-016 Housing - NC Department of Health & Human Services for Emergency Shelter Solutions Grant $121,000
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2013-016 Housing - NC Department of Health & Human Services for Emergency Shelter Solutions Grant $121,000
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2/1/2013 9:48:38 AM
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BOCC
Date
1/24/2013
Meeting Type
Regular Meeting
Document Type
Contract
Agenda Item
5m
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R 2013-016 Housing - NC Department of Health and Human Services $121,000
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2013
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Contract Number 00027858 / Page 30 of 33 <br /> 7. Enter the Federal program name or description for the covered Federal action (Item 1).. If known, enter the full <br /> Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan <br /> commitments. <br /> 8 Enter the most appropriate Federal Identifying number available for the Federal action identified in Item 1 (e g., <br /> Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant, <br /> or loan award number, the application /proposal control number assigned by the Federal agency). Include prefixes, <br /> e g, "UP-DE-90-00I.." <br /> 9.. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the <br /> Federal amount of the award/loan commitment for the prime entity identified in Item 4 or 5. <br /> 10.. (a) Enter the full name, address, city, state and zip code 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). Enter Last <br /> Name, First Name and Middle Initial (MI) <br /> 11 Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the <br /> lobbying entity (Item 10). Indicate whether the payment has been made (actual) or wiil be made (planned) Check 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 boxes. Check all boxes that apply If payment is made through an in -kind contribution, specify <br /> the nature and value of the in -kind payment <br /> 13 Check the appropriate boxes. Check all boxes that apply, If other, specify nature. <br /> 14. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to <br /> perform, and the date(s) of any services rendered. Include all preparatory and related activity, not just time spent in <br /> actual contact with Federal officials. Identify the Federal official(s) or employee(s) contacted or the officer(s), <br /> employee(s), or Member(s) of Congress that were contacted.. <br /> 15. Check whether or not a SF -LLL -A Continuation Sheet(s) is attached. <br /> 16 The certifying official shall sign and date the form, print his/her name, title, and telephone number. <br /> Public reporting burden for this collection of information is estimated to average 30 minutes per response, including <br /> time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and <br /> completing and reviewing the collection of information. Send comments regarding the burden estimate or any other <br /> aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and <br /> Budget, Paperwork Reduction Project (0348-0046), Washington, D. C. 20503 <br />
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