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Section 3 <br />Compensation Reporting Requirement: <br />a) Not required to report senior executive compensation. <br />(Sec 2b or 2f = 'No', or 2h = `Yes') <br />b) Enter the name, title and total compensation of the five individuals receiving <br />the greatest total compensation for the reporting jurisdiction (or agency if the <br />Grantee is not a unit of state, local or tribal government). <br />1. <br />2. <br />3. <br />4. <br />5. <br />Section 4 <br />Name <br />Title Compensation <br />I, am the chief financial officer of the jurisdiction/organization or their designated <br />representative, and certify that the data presented on this form is an accurate reflection of <br />the jurisdiction's/ organization's fiscal records. <br />Signature <br />Printed Name <br />Title <br />Date <br />32 <br />