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DocuSign Envelope ID: 348BB866-CFC7-422D-BFB7-863533B13759
<br />Attachment B
<br />GLO Contract No. 22-119-004-D374
<br />Page 5 of 5
<br />INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
<br />This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the
<br />initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section
<br />1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing
<br />or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress,
<br />or an employee of a Member of Congress in connection with a covered Federal action. Complete all items that apply for both
<br />the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and
<br />Budget for additional information.
<br />1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the
<br />outcome of a covered Federal action.
<br />2. Identify the status of the covered Federal action.
<br />3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the
<br />information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last
<br />previously submitted report by this reporting entity for this covered Federal action.
<br />4. Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District, if
<br />known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime
<br />or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier.
<br />Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.
<br />5. If the organization filing the report in item 4 checks "Subawardee," then enter the full name, address, city, State and
<br />zip code of the prime Federal recipient. Include Congressional District, if known.
<br />6. Enter the name of the federal agency making the award or loan commitment. Include at least one organizational
<br />level below agency name, if known. For example, Department of Transportation, United States Coast Guard.
<br />7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full
<br />Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan
<br />commitments.
<br />8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g.,
<br />Request for Proposal (RFP) number; Invitations for Bid (IFB) number; grant announcement number; the contract,
<br />grant, or loan award number; the application/proposal control number assigned by the Federal agency). Included
<br />prefixes, e.g., "RFP-DE-90-00I."
<br />9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the
<br />Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5.
<br />10. (a) Enter the full name, address, city, State and zip code of the lobbying registrant under the Lobbying Disclosure
<br />Act of 1995 engaged by the reporting entity identified in item 4 to influence the covered Federal action.
<br />(b) Enter the full names of the individual(s) performing services, and include full address if different from 10(a).
<br />Enter Last Name, First Name, and Middle Initial (MI).
<br />11. The certifying official shall sign and date the form, print his/her name, title, and telephone number.
<br />According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a
<br />valid OMB control Number. The valid OMB control number for this information collection is OMB No. 4040-0013. Public reporting burden
<br />for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching
<br />existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send
<br />comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden,
<br />to the Office of Management and Budget, Paperwork Reduction Project (4040-0013), Washington, DC 20503.
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