|
Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil
<br />penalty of not less than $10,000.00 and not more than $100,000.00 for each such failure.
<br />
<br />
<br />VI. Disclosure of Lobbying Activities
<br />
<br />Instructions
<br />
<br />This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the
<br />initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section
<br />1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing
<br />or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress,
<br />or an employee of a Member of Congress in connection with a covered Federal action. Use the SF-LLL-A Continuation
<br />Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial
<br />filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget
<br />for additional information.
<br />
<br />Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the
<br />outcome of a covered Federal action.
<br />1. Identify the status of the covered Federal action.
<br />
<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.
<br />
<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-award
<br />recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include
<br />but are not limited to subcontracts, subgrants and contract awards under grants.
<br />
<br />4. If the organization filing the report in Item 4 checks "Subawardee", then enter the full name, address, city, state and zip
<br />code of the prime Federal recipient. Include Congressional District, if known.
<br />
<br />5. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level
<br />below agency name, if known. For example, Department of Transportation, United States Coast Guard.
<br />
<br />6. Enter the Federal program name or description for the covered Federal action (Item 1). If known, enter the full Catalog
<br />of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments.
<br />
<br />7. Enter the most appropriate Federal Identifying number available for the Federal action identified in Item 1 (e.g., Request
<br />for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant, or loan
<br />award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-
<br />DE-90-001."
<br />
<br />8. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal
<br />amount of the award/loan commitment for the prime entity identified in Item 4 or 5.
<br />
<br />9. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified
<br />in Item 4 to influence the covered Federal action.
<br />
<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 />
<br />DocuSign Envelope ID: 4D4C41ED-9F19-4257-801C-59178B514BD4
|