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DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB 1352 0348-0046 Complete this form to disclose lobbying activities pursuant to 31 U.S.C. (See reverse for public burden disclosure.) 1. Type of Federal Action: 2.Status of Federal Action: 3. Report Type: a.contract a. bid/offer/application a. initial filing b.grant b. initial award b. material change c.cooperative agreement c. post-award For Material Change Only: d. loan year quarter e. loan guarantee date of last report f. loan insurance 4. Name and Address of Reporting Entity: 5. If Reporting Entity in No.4 is a Subawardee: Prime Subawardee: Enter Name and Address of Prime: Subawardee Tier , if known: Congressional District, if known: Congressional District, if known:4c 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number, if applicable: 8. Federal Action Number, if known: 9. Award Amount, if known: 10a. Name and Address of Lobbying Entity b. Individuals Performing Services (including address if (if individual, last name,first name,MI): different from No. 10a) (last name,first name,MI): (attach Continuation Sheet(s)SF-LLLA,if necessary) 11.Information requested through this form is authorized by title 31 U.S.C.section Signature: 1352.This disclosure of lobbying activities is a material representation of fad upon which reliance was placed bythe tier above when this transadionwas made or Print Name: entered into.This disclosure is required pursuant to 31 U.S.C.1352.This Title: information vvitl be available for public inspection.Any person who fails to file the required disclosure shall be subject to a dvl penalty of not less than$10,000 and ❑ Telephone No.: not more than$100,000 for each such failure. ate: Continuation Sheet(s) SF-LLLA attached: ❑ Yes D No Authorized for Local Reproduction Federal Use Only: Standard Form LLL(Rev.7-97) Exhibit H Cocoon House Page 2 of 4