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HITT OF \SLES6 � I F Approved by OMB 0348-0046 Disclosure of Lobbyi►>g Activities Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 (See reverse for public burden disclosure) 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: as contract a. offer/application a. initial filing b. grant b. initial award b. material change ce cooperative agreement C. post -award d. loan For material change only: e. loan guarantee NONE Year quarter ff, loan insurance Date of last report 4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is Subawardee, Prime Subawardee Enter Name and Address of Prime: Tier if Known: , Congressional District, if known: Congressional District, if known: 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number, if applicable: 8. Federal Action Number, if known: 9. Award Amount, if /mown: 10. it. Name and Address of Lobbying Registrant b. Individuals Performing Services (including address if (if individual, last name, first name, n!1): different from No. IOa) (last name, first name, rlll): 007 11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying Signature: activities is a material representation of fact upon Which reliance was placed by the ticis above When this transaction Print Name: reg Gathers was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reportedTitle: President to the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than Telephone No. &785-221 J550Date: 5/5/2023 $10,000 and not more than $100,000 foil each such failure. Federal Use Only Authorized for Local Reproduction Standard Form - LLL (Rev. 7-97)