Laserfiche WebLink
G'�]I'D <br />NOT APPLICABLE <br />DISCLOSURE OF LOBBYING ACTIVITIES <br />Approved by OMB <br />Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352 0348 -0046 <br />1. * <br />Type <br />of Federal Action: <br />2. * Status of Federal Action: <br />3. * Report Type: <br />e. WnMost <br />a. bidoofferlapplicatio, <br />O a.Imtial 4bng <br />x <br />b' gent <br />c iGtiel swab <br />b. material mange <br />® u <br />cvoper.arm agreement <br />❑ c, postawerd <br />6loan <br />e, man goo mbrea <br />El <br />L loanimadree <br />4. Name and Address of Reporting Entity: <br />Prima El SubAwertlea <br />'Name <br />' Se 1 Street 2 <br />'Cry Smle ZIP <br />cangresachal Damert, if known: <br />5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: <br />6. * Federal Department/Agency: <br />7. a Federal Program Name /Description: <br />CFDA Number, Ilepplloolve <br />8. Federal Action Number, if known: <br />9. Award Amount, if known: <br />10. a. Name and Address of Lobbying Registrant: <br />Pauli First Name Middle Name <br />'Last Name SuHir D <br />'SUeetf Sue02 <br />�CNY � Stale 2hp <br />b. Individual Performing Services pncmdmgetlCress No. lost <br />Pren. ' Fi al Name Mamie Name If—�— <br />' Last Name Su'la, <br />' Sheet I all 2 <br />'Cry Stare Zip D <br />11. IMnmabon requested thal cud Team is au Toriaed by title 31 U.S.C. seclian 1352. This disclosure of lobbying deal re a material rears entearm of fed upon which <br />reliance was placetlbythe uarabove when Te was made into. isrequiredpumuenl wilt leponeb <br />LLS.C. 1352. TNSin <br />the Con g r ess f or round Any peers ca rdisclosure <br />h 11 <br />pudic inspection. Any person who tans to gle Me repaired dLUlosure snail be sublet to a dvil penally of lwl lass Ipso <br />o s <br />semi <br />S ass <br />Stg,OOe and not more Tan 5100,000 for earls such failure. <br />t a n 31mo for each such <br />' Signature: <br />'Name: prefix 'First Name Shane Middle Name <br />'Last Noma Sea roves Solis <br />Title: Telephone No.: t4 t .y,` Bata: Februar 10 2012 <br />I R. <br />aulMmWforlm'rec tlnn <br />P <br />Y't $��Al. <br />b2tN�'" -�Ss '�Ju't.e .'7.' �<' KY "id.`S�A✓�.ti1r�:W'AYS(`N�Xa ati SlanEarefann LLLfah'.iAi) <br />