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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 /> Name Title Compensation <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> Section 4 <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 />