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1 <br /> AIIIIrtr1H<AI40 <br /> ua rsrrar+nitNI <br /> our?nr.uriorl <br /> GPO <br /> V <br /> a <br /> PI, 21, App. B 31 CFR Subtitle A (7-1-06 Edition) <br /> APPENDIX B TO PART 21—DISCLOSURE FORM TO REPORT LONNYINO <br /> DISCLOSURE OF LOBBYING ACTIVITIES "°"° °`'Oui <br /> e 1,a0a 1 <br /> Compote Ihli loan lo dkclnu kbbbing'cannel encl porwani to 31 11SC.flit <br /> line reverse for pu�btic burden disdosurnJ <br /> I. Type of federal Actloru T. Stalur of federal Action: 3. Report Type: <br /> ;11 El a.wnl,ul Ella.bld/ofleuapplkation O A.Waal filing <br /> b.grant Lc banal award b.material[ mgn <br /> e[oopuattve agreement <br /> d.loan c.po11•award for Material Change only <br /> a loan��{{wranlee year quarter <br /> 1. loan In. ante dale of list report <br /> 4. Name and Addra[al Reporling 6nllr S. II Reporling fntlly In No.e it Subawardee,Ink,Name <br /> ❑ Prime ❑ Subawardee and Addren of Prime; <br /> Tier ,d known: <br /> Congrndonat Dlddtl.II known: Congressional OlilrM,if mown; <br /> G. federrf DeparlmenVAgencr 7. frdenl Program NamNDescrlpllore <br /> el <br /> GOA Number,dapp&able <br /> l federal Adlon Number.Jknown: S. Award Amount.II known: <br /> S <br /> 10. a.Name and Address of Lobbying(nifty b.Individuals Performers Satyr,.including adJrerr if <br /> fd individual,tall name,full name,hill: dilfennt from No.10af <br /> (/a al name,lull name,Mlh, <br /> i <br /> (ana ..n.. .,a. 10.001r Vunr.ryr <br /> II. Amour,,al Paymenl(check all dal applil;l ca IL Type+A at <br /> n Pay.r..ment!check all Chat apply,: <br /> $ 0 actual 0 planned 0 a.retainer <br /> 0 b,onrllme lee ..... <br /> 12. form of Payment(check all l at applyl: 0 c.commission <br /> o a.ash ❑ d.contingent lee <br /> 0 b.IrCI.lnd.specify: nature 0 e.delened <br /> ❑ I. oiher;apedfy: <br /> value <br /> II. Bdd Deurfplion of Servlca Performed or to be Performed and Dales)of Semite,including otOcerlil.cmployeelil <br /> or Memberlil contacted for Payment Indicated In Item 11: <br /> i) <br /> F4 <br /> tl <br /> _1.n.N CMenwne,J0.,1;.)YiLL+A A 1.r...iuri <br /> 1S. Conllnuallon Sleets)Sf.LLI•A attached: 0 Yea 0 No <br /> Il. ...vv.........a d+4a b•1st+..a..Yr a,an it USG <br /> .o,III/.�. u <br /> dna...a +r«a wow.,a . b,..........b,............ . .. Slgnalurr. <br /> a bar.... I..a.r..or..eb..d.r V.0.....w.a..a-. <br /> Or 1n4.41.r_ ..to w,...wb ra•a..l.an...aewa a....w M ?Tint Mawr <br /> 1 Ir 0 sc..1u no.ay.....a lb...b....er C.......r <br /> .....a,arbl N a.,..aa I.e.•m.I.V.,w a.,..start.a.rJ,No Tide <br /> lb ..r...1 f..LL..,.041..li.n 4 a..e r.M,r el.1 Ir.Lb... <br /> anaro ."...,,.n a..trust.a...a...la.... Telephone No.: Dale: <br /> . f edictal the oraly, - w0r4.11N far I«J 4pod,.ran <br /> varJui least.Iles <br /> I <br /> A <br /> 8 262 <br /> 1 <br />