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2005-166b
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2005-166b
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Last modified
7/19/2016 10:57:57 AM
Creation date
9/30/2015 8:44:16 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Application
Approved Date
05/17/2005
Control Number
2005-166B
Agenda Item Number
7.M.
Entity Name
U.S. Department of Housing and Urban Development
Subject
Application for Federal Assistance Family Options Transitional Housing
Supplemental fields
SmeadsoftID
4911
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DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB <br /> Complete this form to disclose lobbying activities pursuant to 31 U . S . C . 1352 0348-0046 t <br /> See reverse for public burden disclosure . <br /> 1 . Type of Federal Action : 2 . Status of Federal Action : 3 . Report Type : <br /> [ b l a . contract f a ] a . bid/offer/application [ a 1 a . initial filing <br /> J b . grant l J b . initial award ` J b . material change <br /> c . cooperative agreement c. post-award For Material Change Only : - <br /> d . loan year quarter <br /> e . loan guarantee date of last report <br /> f. loan insurance <br /> 4 . Name and Address of Reporting Entity : 5, If Reporting Entity in No. 4 is a Subawardee, Enter Name <br /> ❑ Prime ❑ Subawardee and Address of Prime : <br /> Tier , if known : <br /> INDIAN RIVER CO. BOARD OF COUNTY COMMISSIONERS <br /> THIS ENTITY DOES NOT ENGAGE IN LOBBYING <br /> Congressional District, if known : . . Congressional District , if known : 15, 16 <br /> 6 . Federal Department/Agency: 7 . Federal Program Name/Description : <br /> US DEPT. OF HUD <br /> CFDA Number, if applicable : <br /> 8 . Federal Action Number, if known , 9 . Award Amount, if known : <br /> 10 . a. Name and Address of Lobbying Registrant b . Individuals Performing Services ( including address if <br /> ( if individual, last name, first name, Ml ) : different from No. 9Oa ) <br /> ( last name, first name, Ml ) : <br /> NONE <br /> 11Information requested through this form is authorized by tRle 31 U.S.C. section S <br /> . 1352. This disclosure of lobbying activities is a material representation of fad Signature : <br /> upon which reliance was placed by the tier above when this transaction was made THOMAS LOWTHER, CHAIRMAN <br /> or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This Print Name : <br /> information will be reported to the Congress semi-annually and will be available for <br /> public inspection. Any person who fails to file the required disclosure shall be Title : Chairman <br /> subject to a civil penalty of not less that $10,000 and not more than $100,000 for <br /> each such failure. Telephone No . : 772 - 226 - 1490 Date : 5 / 17 / 2005 <br /> Authorized for Local Reproduction <br /> Federal Use only : Standard Form LLL (Rev. 7-97) <br />
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