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Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome
<br />of a covered Federal action.
<br />1. Identify the status of the covered Federal action.
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<br />2. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the
<br />information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last
<br />previously submitted report by this reporting entity for this covered Federal action.
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<br />3. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District, if known.
<br />Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or sub-
<br />award recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards
<br />include but are not limited to subcontracts, subgrants and contract awards under grants.
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<br />4. If the organization filing the report in Item 4 checks "Subawardee", then enter the full name, address, city, state and
<br />zip code of the prime Federal recipient. Include Congressional District, if known.
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<br />5. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational
<br />level below agency name, if known. For example, Department of Transportation, United States Coast Guard.
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<br />6. 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.
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<br />7. 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., "RFP-DE-90-001."
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<br />8. 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.
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<br />9. (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.
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<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).
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<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.
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<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.
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<br />12. Check the appropriate boxes. Check all boxes that apply. If other, specify nature.
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<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.
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<br />14. Check whether or not a SF-LLL-A Continuation Sheet(s) is attached.
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<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 and
<br />Budget, Paperwork Reduction Project (0348-0046), Washington, D. C. 20503
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<br />DocuSign Envelope ID: 9DDCE310-CD26-46F2-A88B-B5927F654D07
<br />Contract Number 00045595 / Page 25 of 27
<br />DocuSign Envelope ID: 38483A0E-2707-4763-8263-42C2F7C43A91
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