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DocuSign Envelope ID:6BA9D3D1-719B-42F7-A645-83C9267F2082
<br /> DocuSign Envelope ID:B663A826-96F2-42AC-9318-450A8E98CC55 Contract Number 00041435, Amendment Number 1 / Page 19 of 22
<br /> prime or sub-award recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the
<br /> 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.
<br /> 5. If the organization filing the report in Item 4 checks"Subawardee", then enter the full name, address, city, state
<br /> and zip code of the prime Federal recipient. Include Congressional District, if known.
<br /> 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one
<br /> organizational level below agency name, if known. For example, Department of Transportation, United States
<br /> Coast Guard.
<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
<br /> grant, or loan award number,the application/proposal control number assigned by the Federal agency). Include
<br /> prefixes, e.g., "RFP-DE-90-001."
<br /> 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter
<br /> the 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).
<br /> Enter Last 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 will be made (planned).
<br /> Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made
<br /> or planned to be made.
<br /> 12. Check the appropriate boxes. Check all boxes that apply. If payment is made through an in-kind contribution,
<br /> specify 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
<br /> to perform, and the date(s) of any services rendered. Include all preparatory and related activity, not just time
<br /> spent in actual contact with 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 /> 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
<br /> 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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