Orange County NC Website
Browse       Search
10. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying <br />entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that <br />apply. If this is a material change report, enter the cumulative amount of payment made or planned to be 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 perform, <br />and the date(s) of any services rendered. Include all preparatory and related activity, not just time spent in actual contact <br />with Federal officials. Identify the Federal official(s) or employee(s) contacted or the officer(s), employee(s), or <br />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 time <br />for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing <br />and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this <br />collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, <br />Paperwork Reduction Project (0348-0046), Washington, D. C. 20503 <br /> <br />DocuSign Envelope ID: 4D4C41ED-9F19-4257-801C-59178B514BD4