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3/24/2022 Landmark Web Official Records Search <br /> 202109300425 Document:COVENANTS Rec: $220.50 Page-11 of 18 <br /> Record Date:9/30/2021 12:45 PM Snohomish County,WA <br /> DISCLOSURE OF LOBBYING ACTIVITIES <br /> Approved by OMB 1352 0348-0046 <br /> Complete this form to disclose lobbying activities pursuant to 31 U.S.C. <br /> (See reverse for public burden disclosure.) <br /> 1.Type of Federal Action: am:Status of Federal Action: 3.Report Type: <br /> a.contract bid/offer/application a.initial filing <br /> b.grant initial award b.material change <br /> c.cooperative agreement p t-award For Material Change Only: <br /> d.loan year quarter <br /> e.loan guarantee <br /> f.loan insurance date of last report <br /> 4.Name and Address of Reporting Entit = 5.If Reporting Entity in No.4 is a Subawardee: <br /> Prime Subawardee: i;?. °;,;.Enter Name and Address of Prime: <br /> Subawardee <br /> Tier , if known: <br /> Congressional District,if known:4c Coriress jonal District,if known <br /> 6.Federal Department/Agency: 7.Federargram Name/Description: <br /> CFDA Number,h ^ q cable: <br /> 8.Federal Action Number,if known: 9.Award Amount i known: <br /> 10a.Name and Address of Lobbying Entity b.Individuals Perforrfg Services(including address If <br /> (if individual,last name,first name,MI): different from No.10a) (laernale,first name,MI): <br /> it,,, <br /> (attach Continuation Sheet(s)SF-LLLA,if necessary) <br /> 11.Int mlatonreqrestedthrarjhttisforrnsartoreedt7ym0e31U.S.C.secfian Signature: <br /> 1352.Thsdsdostre of act am idfacftqxxi <br /> with retenoe,vas placed byte ber above%ten this trareacbco vas made or Print Name: <br /> entered into.This c isdcs<ae is recited pusuard to 31 U.S.C.1352.This <br /> hiormatonvjbeavatadet a Title: <br /> Pic n •Arty person xho fats tole the <br /> regieddbdosueshaAbesibjecttoaoMpenatydrotlesstren$10,000and ❑ Telephone No.: <br /> rot mae than$100,000 for each suds Use. <br /> gate: <br /> Continuation Sheets)SF-LLLA attached: ❑ Yes ❑ No <br /> Federal Use Only: Authorized for local Reproduction <br /> Standard Form ill(Rev.7.97) <br /> Exhibit H <br /> Housing Hope <br /> Page 2 of 4 <br /> https://www.snoco.org/RecordedDocuments/search/index?theme=.blue&section=searchCriteriaParcel Id&quickSearchSelection=# 11/18 <br />