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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />J.R. SMITH, CLERK <br />revenues from U.S. Federal procurement contracts (and subcontracts) and Federal financial <br />assistance (e.g. loans, grants, subgrants, and/or cooperative agreements, etc.) subject to the <br />Transparency Act? <br />Yes ❑ No ❑ <br />if the answer to Question 1 is "Yes," continue to Question 2. if the answer to Question 1 is "No". <br />move to the signature block below to complete the certification and submittal process. <br />2. Does the public have access to information about the compensation of the executives in your <br />business or organization (including parent organization, all branches, and all affiliates worldwide) <br />through periodic reports filed under section 13(a) or 15(d of the Securities Exchange Act of 1934 <br />(15 U.S.C. 78m(a), 78o(d)) Section 6104 of the Internal Revenue Code of 1986? <br />Yes ❑ No ❑ <br />If the answer to Question 2 is "Yes," move to the signature block below to complete the <br />certification and submittal process. [Note: Securities Exchange Commission information should <br />be accessible at hftpilwww.sec.gov/answers/oxecomp.htm. Requests for Internal Revenue Service <br />(IRS) information should be directed to the local IRS for further assistance.] <br />If the answer to Question 2 is "No" FFATA reporting is required. Provide the information required <br />in the "TOTAL COMPENSATION CHART FOR MOST RECENTLY COMPLETED FISCAL YEAR" <br />appearing below to report the "Total Compensation" for the five (5 most highly compensated <br />"Executives", in rank order, in your organization. For purposes of this request, the following terms <br />apply as defined in 2 CFR Ch: 1 Part 170 Appendix A: <br />"Executive" is defined as "officers, managing partners, or other employees in management positions". <br />"Total Compensation" is defined as the cash and noncash dollar value earned by the executive during the <br />most recently completed fiscal year and includes the following: <br />Salary and bonus. <br />ii. Awards of stock, stock options, and stock appreciation rights. Use the dollar amount <br />recognized for financial statement reporting purposes with respect to the fiscal year in <br />accordance with the Statement of Financial Accounting Standards No. 123 (Revised 2004) <br />(FAS 123R), Shared Based Payments. <br />iii. Earnings for services under non -equity incenth(p plans. This does not include group life, <br />health, hospitalization or medical reimbursement plans that do not discriminate in favor of <br />executives, and are available generally to all salaried employees. <br />iv. Change in pension value. This is the change in present value of defined benefit and actuarial <br />pension plans. <br />V. Above -market earnings on deferred compensation which is not tax -qualified. <br />vi. Other compensation, if the aggregate value of all such other compensation (e.g. severance, <br />termination payments, value of life insurance paid on behalf of the employee, perquisites or <br />property) for the executive exceeds $10,000. <br />54 <br />