Orange County NC Website
Docnsign Envelope ID=50585F21-A73&4303-BD3F-60841076ED5E. <br /> 30 <br /> G ntract plumber 40 48145 Pa a 28 of 30 <br /> Identify the type of covered Federal action for which lobbying activity is and/or has een secured to in uence he dgutcome <br /> of a covered Federal action. <br /> 1. Identify the status of the covered Federal action. <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 /> 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 /> 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 /> 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 /> 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 /> 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 /> 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. <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 /> (b) Enter the full names of the individual(s) performing services and include full address if different from 10(a). Enter <br /> Last Name, First Name and Middle Initial (MI). <br /> 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 /> 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 /> 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 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 /> 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 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 />