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��. .,r.. .ruurlrle M � lv-1-7u Colflon) � <br /> INSTitUCTiONS FOR COMPLEiION OF SF•W„ DISCLOSURE OF LOSdY1NG AGT1VfT1ES � <br /> Thi� dhdw�ae lam thdl be canpleted M the �port�ns mdq,whetl�er wbaw�edee w plene Fe�rr �"�• at the <br /> :niwam « �eceiPt of , �ovaee Fedecal aenoo. w , mua;r dun�e co . pr+o�w I�Ihq, pu�ur�t•eo nue st us.c <br /> sectlon 1352.The fftins of a form i�req�ueed fa ead�payn+mt or a�eemen�to make payment w my Iobb�I�K�^M1'f°' ' � <br /> inlluenchi� w aKemptln{ to Influence an oMca a employee d+�M +��1'• a �^�* °� ��•�^ oKica a <br /> �ernplqee o(Con�s,a an emp�q� of a Member of Ca�Oen h ao�aolan wNh a ewaed iedatl actlan. Uu tlrc <br /> SF•LLL-A Cantlnwtlon Sheet fo► additlonal Infonnatlon i(the spa�s on dK kn^ � �^�1��. �^P��e +� items that <br /> appiy fa both the Initlal Rlins and m�enial dunde rcpoK•Refer to the i�N�dana pubUdwd bp the OfR«or <br /> ►,A�n��eneru�nd ludeet fa additlonal fnfoematlon. . <br /> �, �����of��� � �� ��� ��bbyins aetldly is and/or hat been seeved to inllumce the <br /> outcwne of a cwemd Faderd acdon. , <br /> 2. idmtly the shnn of the covered Fedenl action. ' <br /> �. Idently the approPdate dud6ntlon of this rcport. If this is a(dlowup KP� ��� bY a ^�t�� �^se to [he <br /> inlom�ation p�h►�PoK�Mt��1'�ar and quarte►i�which dK du"6� °�•�tK��k of the last <br /> pmrtously wbmined repoR by ddi�ePoMns entiry for this cwered Federal+cho^. ', <br /> shte and xi code oi the ieportin� eMity. Indud� Coepesdona� astrict. if <br /> 4. �� �'�u ^�^°• ��' �• that de�i�nates if it is, or expects to be. a prime <br /> kfq�.��yk�pp�oprfate das�ilkat(on of the rcportins entlly . <br /> a wbaward �ecpient Identily tlm tler of the subawudee, e.s, the fiRc subawudee o( the p�ime �s the tst tier. <br /> 5ubawards indude but+ee not Iimited to subcontncts.;ubpants+nd eo^tn��`"�ards under gants. <br /> 5. If the ord�nizatlon ffl�^E Me report in item�checks "Subawardee".thn+�^te�the (uli n:me, address,dry, state and <br /> rip code of the prime Fedenl redp�eM.Indude Consrestiond Dittrict���+�'^• • • <br /> 6. Enter the name of the Federal adency makin� the award or loan commitment. Indude at least one o�+�izational <br /> Ierel belaw a6ency n+ma if kno"'^' For acample, Departrnent of 7nnsport+ti�n, United States Coast Guud- M <br /> ). Enter the Fedenl p�osram ^+me or description (or the coveied Fede�al xNo^ <item 7). If known. e+rter the (ull , , <br /> • Gtalo; of Fedeni DomnNc A��in�^ce (CFDA) number fa �ranb, coope�+�^'� +R�^��^n, �O�^s, and loan <br /> commiimmts. <br /> e. Enter d+e most �QPropdate Federal identl(yins number availabk fw the kderal actian IdentlRed in item 7•le.s, <br /> Request for Proposa� (RF►1 number% Imiution Iw Bid (IFS) number: �+nt +nnouoceme�t nu^�ber, tlx contnct <br /> Sran6 or loan awud number, the applintiavproposal convol manber usi`ned by the Fcdenl aeenql. Include <br /> p�efi:es.!./.�'RfP•DE•90-001." <br /> 9. Fa a covered Federal actlo�where there I++s bee^ +" +""+�d °��+^CO�^m���t b�'dx Fedenl aSenq..MtK fh! � <br /> Federal amount of the awudAo+n commilme^t fa�P��M�N��in kem 4 or S. <br /> t0. (a)"enter the full name. address, dtY. �tate and ap <ode of d+e �abbYi^E �^tlry enpded by tl+e ieport�ns entity <br /> identlfied in kem 4 to influence tl�e cove�ed Fedenl+edon. <br /> ro)Fnter Last Nlame� ,�flnt Name+and�ddk In�MIj6 �� �'indude full addrc:s tf diMerent hom 10 U). <br /> 11. Enter the amamt of cortipens�tloe� p+�d w►e+saubly e�ected to be p+Id by the repoRin` entlry(item U to the <br /> �cbbyin�entlry(item 101. Indlote wAetlier the p+y�+ent!w been nude(aauap w will be made(p�+m+ad1• anned - <br /> �II bo:a that apply. If d�is is a mate�ial chanse report, enter the amulative aenount ot payment m�de w pi <br /> to be made• <br /> 12. G1�ec1c Ihe approp�ate boa(esl. Check all boaes that �ppFy. If payment h made throu�l� an in•Wnd coetribution. -- <br /> tpedly the natuie and value of the imklm!parrt�eM. <br /> ,a. orcdc d,e+awevd.ee bo=ces). CTedc al�bo:e�tn,t npp�y. ��oa,e.,spedh naeure. <br /> Ik and dew'led desoiptlon of the senices that the lobb�ist hu peefortned. a wiil be e�ected to <br /> u. Rwide a sped — <br /> perfortn.and Ihe datds)of my feevices rendaed.Indude allp�pr�tory and related +ctivitY,not tlme�pent n <br /> aetual oo�tact with Federd oMdaie. Identlly tlx Federd oMd tl a emplayee(�l contacted �the oflicert�l. <br /> ernployee(s),a MembeRfl ol Con{�e+s that were contxted- <br /> 15. O�edc whetAer a not a SFd1L�A Contlnu�tlon SheetG)is athd�ed "' <br /> t6. ihe ard(yioi oM�dd Yull�I�n and date the Mn+4 P�h��eaene,tlda,and tdephone nwnber• <br /> � A��K 6ud�n iv thN w4eYan d inlaereon b aeatieed b��7�^r�+iK R+Va�•�����d •-' <br /> Muauceon.w�l+�i�d�u�o�a t��^�"^x��dra nardei�ed tamplaerK <br /> inlanres�Send ca'nrna reVrdYS tlre luden a�emre a�f'ed��t d N��daflfen d Y�kntitlon.i�dud�i p+� <br /> lar ndo�{tM b�dee.ee d�t OMiee of Mru6amn�rd M�•r��*���t(OIYOOKI.W� .... <br />