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Pt, 34, App. B 40 CFR Ch . 1 (7- 1 -07 Edition) <br /> APPENDIX B TO FART 34- DISCLOSURE FORM TO REPORT LOBBYINC <br /> DISCLOSURE OF LOBBYING ACTIVMES Aq,owd by DMB <br /> maaaosc <br /> Complete this foam to discinse lobbying activities purwanr to St U .S.C, 1352 <br /> (See reverse for public burden disclosure.) <br /> c Type of Federal Aeliom R. Status of Federal Action 3. Ike"" Typr. <br /> ❑ a, contract a. bhUoffarlapplication i 1 a, initial (ping <br /> b, grant 17 b. Initial sword LJ b. material change <br /> co cooperative agreement <br /> d, !i0an c. pottraward Fax Material Change Only: . <br /> e . Ian guarantee year quarter <br /> f, loan imutance date of last repon <br /> A. Name sad Address of geportitg Enthy: S if Reporting Entity M No. d k Subanartim Enter Mune <br /> ❑ Prime ❑ Subawardee mrd Address of Prime: <br /> Tier , if known: <br /> cernilreosio"All District, it known: C sal Divirkil d known: <br /> C. Fedead DepaNmunMgency: T. Federd Program NoMWACreseriptiew <br /> CFDA Number, it appil AbW <br /> a. federal Action Number, if brown: !. Award Amount, if known: <br /> f <br /> te. a. Name and Address of lobbying Enlity b. Mdivialuak Performiea Serrkes (mdudng address it <br /> (if mdnvidW last name, fist name, Mil: different from Nb. 102T <br /> !fast name, (int name, Me: <br /> (AhAeft CVVNMWhen <br /> tt. AmouM of Payftwat (CMckall that apply): is. Tyke d Payment (check All that appfyl: <br /> 1 ❑ actual ❑ planned ❑ a. retainer <br /> C b, onetime fee <br /> 12. Faint of Pay ovel (check all Out apply): ❑ c. commission <br /> O a. cash ❑ d. contingent fee <br /> ❑ b. unkind; specify: nature, ❑ e. deferred <br /> O f, other, specify: <br /> value <br /> U. trier Description of Services Performed or to be Periamsed And Dre(si of Senicc, including; el icer(U, amployen(s), <br /> or Met riser s) covidoo" it Payment Mdicated in hem 11; <br /> U aasvt <br /> is, Cordal talinet Sh.r(d SF4LL•A attached: ❑ yes O No <br /> tt. Ydranrlsa wwwnd la.srn ar Iw a srunl.r w aro tl V.s.c <br /> raw alt.taa Mown MMelarF as✓rriwhrawwr wwrwnumn <br /> r 1st rPw: MM sk o w rend N We twr rww wa.r sl.a <br /> v.nrWtan ver row w waver ws. tin:. aar..w. h awwr awa,wr w pain( Nantc <br /> tl LLLC. 1151. on Ydwa Mr W awrwd W Wr cmvw wad <br /> rwrMr rod r# W .*aero W ver awwaw.. :vrr awn, M try 1. Title: <br /> for tiro nand alwW.aa Wn W weww W a e.a rw,Mr M aro tw w.w <br /> aW.maw ,w ww. vw rvsor .r. a.raWaa.. TeNphoae No: Date; <br /> ' k LU <br /> ci,yfNdi` ),yI' +lf ,, i 3 "m><'c t r' , lC aaa,wirad Iw t.ra a.wedaotes <br /> {1 r.Nl N:y f <br /> F <br /> wn . <br /> 418 <br />