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DIStLOSURE OF LOBBYINt; ACTIVITIES "°"°"dbjO"' <br /> o�� <br /> � Complete this fonn to disclose lobbyins activities punuant to 31 US.G 1352 <br /> _ (See reverse tor public burdm disdosurc.) <br /> t. Trpe d Fedenl AcNae 2 Sutus of Federd Actiorc 1 Repa�Typc <br /> _ � a. contnct a. bidoMenapplication a. iniWl filind <br /> b. ;nnt � b. i�iNd awatd � b. material change <br /> c coopeative asrcement G Po=t.�,� Foe Material Glw.+ae Onlr: <br /> d. loan yeu quarter _ <br /> e. ioan;uanntee date of last rcport <br /> _ f. loan insurance <br /> �. Name and Addres�o!RepoRi�Entiqc S. II RepoMi�EMitr in No.1 u Subawudee.Enter Name <br /> O Prime � Subawardee '����s d� . • <br /> �. ' Tiet_,il known: . <br /> C �ionJ Dbtric6 i/twown: C ional DisteicL if known: <br /> _ i. Federal DeparlmenUA;ena7^. 7. Federd Pro6ram NamNDescripliore <br /> , • CFDA Number,i/app/icable: <br /> .ti <br /> d. Fedenl Action N�enber.i/known: !. Award Amoun4 i/known: . .. .. <br /> S <br /> • 10. a. Name and Addrefs of Lobbyins Enlil� 0. Individuah Per(om� Servica(induding sddrcss if <br /> li/individual,/ut name, first name, M0: � ' diffennt from No. 7� <br /> (lut name. Fust name,Mlh <br /> � , tn<A Connnwnon�SAe�t r SAu1• il nece ' <br /> . t t. �mount of Payment/check afl that applyl: 1�. Type ot Payenent (check a/l rhat appfyl: <br /> S O actual � planned ❑ a. rctainn <br /> • � ❑ b. nnrtime fee <br /> . t2 Fom+d Payment fcheck all that app/yl: ❑ c. commission <br /> ❑ a. �sh ❑ d. contingmt fee <br /> ❑ e. deferted <br /> � � � b. in-Wnd:specify: naNre O f. other,s <br /> P�A"•' <br /> �,ty value • ' <br /> t�. eriel Description d Senice+Perlormed or�o be hAormed and Da1ds1 ol5ervica includin6 oHicerlfl.empbysebl. <br /> ' � or Memberlsl caeucted(or Parenent Indicticd in Item it: <br /> (-Y <br /> 11 <br /> ' <br /> . <br /> ana enein tian �� , <br /> 'J 7S, �o�tinuYioe Shea(�!SFIJ.I-A attaclMd: O Yes ❑ No <br /> � • t{. w1�w� wr�� wrM M�/w s �wwr1 M ab ll uS.0 <br /> rt�w IIlL TN��rY�r IM��awMw M�iWwW w�w��w� 5���� <br /> .�• ! M ��w �I�d �� w M�� M tM �r� Jw� �Mw �I�w h�NMIG <br /> urws�w w�rr���w�N1�i1�Y f1A�r��n�r�/M�M u <br /> >> u.aG nv. nr .+...n.�r r �w.� � +r �••w+ � TAIe. <br /> yMy��11/�N w��W 1��I�It�I�R�I�M��1�I�I�Y Y <br /> � fY��w�rw1 Ner�MM�Y�w�r��wi�w�l►��w M M T�kpho��No.: Dalr.• <br /> i M.i w�nw��M t1�.�lo�a wef�l�iw. <br /> ti <br />