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<br /> DISCLOSURE OF LOBBYING ACTIVITIES Aet:rcv~ ::y C.'v18 ¡S~ <br /> Comp[e-..e this form ro disdcse lobbying ac:ivirie:s ¡:JUrruar1t ro 31 US.Co ! 352 O.34.3-C046 . <br /> (Se-- ~ for public burden disdosure.) <br /> 1. Type or ñ:deral Aden: 2.. Sbms or Fede-:ú Aden 3.. Re;xJ rt T ~ <br /> 0 a. c=ncrac: 0 a. bjdlcifed;¡p~jClåon 0 a. initiaf fiii~ <br /> b. grant b. in i cia.! .w.=d b. maœ..;;¡Í c:hang~ <br /> c. ooper:uive ~ent c. past..,;¡.waIt! Fol" ~emI ~ Only: <br /> d. roan <br /> e.!cang~ y~- Qu.;uœr- <br /> r. IC4rI im=c= Qœ ci !=;-e:::ort <br /> <br /> 4. ."'=te and Addres.s or Reportin,! E:trity: 5. It Reporti~ Enrity in No. 4 is Su.O.aw~ee. E:-tter N~-e and <br /> C Prime 0 Su.b4W;¡rt:!~ ~ or Prime: <br /> TIe1' ,if~ <br /> Conye:ssionaJ Distri~ if knO'Nn: Co~sion.aJ Distri~ if k.-:own: <br /> 5.. Fd era.! D ~ errtl Å g ~ cy-. 7. FdenJ ?rogram NameiD~ption: <br /> . . <br /> CFDA Numbef'. if <woliC3iJle: <br /> a. Federal Ac-Jon Number. if known: /9, Aw~ Amount.. if k.-:OWr7: <br /> S <br /> 10-.¡. Name and Adc!.re:!s or Lcóbyi~ Ertt:ity b. [nciividU<ili ?~nning 5ef'Vice:s (induding ad¿-ess of diff=r <br /> (if individual. last 11=e. ':irn: name. MI]: from No. r 03-J <br /> (I;ur name. ñ~ name. MI): < <br /> .. <br /> (= C:Jmimu.dcn ~ Sr-liL-,.J.. if n~) <br /> 11. Amount or hyment (d:~ all ciIar: wpiyj: 1:1. Type or hym~ (chec." a./l m<v: apply): <br /> s 0 ='~ Œ:¡Í~ C a. r=iner <br /> C b. one-dme r'e-- <br /> 12.. Form ai ?3.yme'I't (d:eci all u"'d.t 4ppiyj: C c. ommission <br /> Q~=h C d. conrin~r r~ <br /> n b.. in-ldnci: s~ =u1f Ce.~ <br /> valli« r. : other. soec:iv-. <br /> I. <br /> - <br /> 14. ¡¿ Desc-btion or Sef"Vic:-e:s ~ 01" tlJ be ?~ .nd o.tetS or 5ef'Vi~ irn:!LI¿j~ omcer(:sJ. empJO"f-u). 01" .~s) <br /> ~ tOt" ?:lyment indic:tted in 1t=1 11.:. . <br /> (=ci C:;ncimJ.uf:Jn 51:ed~ Sr-liL.,J¡. if n~) <br /> 15. ~on 5Í1-eet!:s) 5r-t.LL-A.ttr:ached: Q Yes ON<J <br /> 16. !nionn:rrion ~ ~ ~ fonn ~ ~o. ;...J !ry rlt1. 31 u.s..c. 5i~ <br /> -=:cn t:JS:Z.. Th.i5 ~ of ~ ~ is .;¡ m.aœri:d ~ <br /> c:mon oj ~ t:; OC'1 w¡'dó re:ii.:anor - ~ by dM tier me- ~ Print N ~ <br /> tiIi:s ~ w~ m:ac!e OC' ~ i=. ¡ms ~ ts ~ pur- <br /> saant to 3 t U.s.. c:. t J.S2. This inicn=rion ..m I ~ ~ to tbe Con- TItle:: <br /> p"eS ~ md ~ c..- ~ ~ ¡:uO&: ¡'~I.).ay penon <br /> """'" ~ to ñIc d'tc ~rd ~ sh.alI b. =å~ t.o .;¡ CYÜ pe=Ity Tde:mone No.: D..te:: <br /> ai no( tes d=t 5 1 O.aoo =d no( ~ å'w1 S 1 00.000 for exh 1Ud1 áü=e. <br /> ¡ AUClon::~ :ar LDO.I .<=ro<:uc::~ <br /> Fedenl U~ Oní~ 5(.'lf ~rd ."emf . l!.~ - <br />