Laserfiche WebLink
Docusign Envelope ID: E74COCFE-CO64-4OD2-A75B-E107999569F8 <br />BidderlRespondent will submit <br />this completed document with <br />Bid/Proposal. <br />EXHIBIT 5B <br />FEDERAL FUNDING AND ACCOUNTABILITY TRANSPARENCY ACT <br />CONTRACTOR FORM <br />Contracts equal to or greater than $25,000 must be entered into the Federal Service Reporting System. The <br />following Contractor information is needed to complete the compliance reporting for the Federal Funding <br />and Accountability Transparency Act: <br />Contractor EIN <br />Contractor Unique Entity ID Number <br />Contractor Legal Name <br />Subawardee Address <br />Subawardee Principal Place of Performance (including congressional district) <br />Has the Contractor met all of the following conditions? <br />• 80% or more of prior year annual gross revenues are from Federal awards; <br />• $25 million or more in annual gross revenues are from Federal awards; and <br />• The public does not have access to compensation information filed under Securities and Exchange <br />Commission (SEC) and IRS requirements. <br />If the Contractor has met ALL of the above conditions, please provide the total compensation and names of <br />top five executives of the Contractor. <br />Number <br />Total Compensation <br />Name of Executive (Top 5) <br />1 <br />2 <br />3 <br />4 <br />5 <br />Page 1 of 1 <br />Page 30 of 43 <br />