Orange County NC Website
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 /> <br />11. 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 /> <br />12. Check the appropriate boxes. Check all boxes that apply. If other, specify nature. <br /> <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 /> <br />14. Check whether or not a SF-LLL-A Continuation Sheet(s) is attached. <br /> <br />15. The certifying official shall sign and date the form, print his/her name, title, and telephone number. <br /> <br /> <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 /> <br />DocuSign Envelope ID: 113F180E-1B72-48F8-A6EB-7BD2F8A4E76A