Reso 2010-1582 - Laserfiche WebLink

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. -- Disclosure of Lobbying Activities Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352. Not Applicable X If not applicable, then entire form, including signature area Is grayed-out 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type 0 contract 0 loan 00 bid/offer/application 00 initial filing 00 grant 0 loan guarantee 0 initial award 0 material change 0 cooperative 0 loan insurance 0 post-award For Material Change Only: agreement Year: Quarter: Date of Report: Congressional District (number), if known: 5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: Congressional District (number), ifknown: 4. Name and Address of Reporting Entity: Prime 6. Federal Department/Agency: 7. Federal Program Name/Description: USDOJCOPS CFDA Number, ifapplicable: 16.710 8. Federal Action Number, if known: 9. Award Amount, if known: $0.00 10. a. Name and Address of Lobbying (if individual. last name. first name. MI): 10. b. Individuals Performing Services (including address if different from No.1 Oa) (last name. first name, MI): Registrant 11. Information requested through this form Is authorized by Title 31 V.S.C. Section 1352. This disclosure oflobbylng activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.c. 1352. This information will be reported 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 $10,000 and not more than $100,000 for each such failure. Typed Name: Title: Phone: Date: Federal Vse Only: Authorized for Local Reproduction, Standard Form - LLL