Orange County NC Website
DocuSign Envelope ID:8953AD6C-C803-4BE3-B456-79DFD2637F3E <br /> 10. 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). 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 /> H. 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 /> 12. Check the appropriate boxes. Check all boxes that apply. If other, specify nature. <br /> 13. 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 /> 14. Check whether or not a SF-LLL-A Continuation Sheet(s) is attached. <br /> 15. 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 <br /> and Budget, Paperwork Reduction Project 0348-0046 , Washington,D. C. 20503 <br />