6-Disclosure of Lobbying Form.pdf
PDF 221 KB Posted
- Attached to
- Ice Cream Novelties
- Solicitation number
- 2026-05
- Issued by
- Gregg County, Texas
About this file
This is a Disclosure of Lobbying Form (MRPC - DOL rev. 2025/9) related to RFP #2026-05: Ice Cream Novelties released by the Multi-Region Purchasing Cooperative. The form is designed for bidders to disclose any lobbying activities conducted in connection with federal funding or support associated with this procurement opportunity. Bidders must indicate whether their company participates in lobbying activities and, if so, complete detailed sections identifying the type of federal action (contract, grant, cooperative agreement, loan, loan guarantee, or loan insurance), the status of the federal action (bid/offer/application, initial award, or post-award), and the report type (initial filing or material change). The form requires bidders to provide their company name and address, congressional district information, details about any sub-awardees or prime contractors involved, the relevant federal department or agency, federal program name and description, federal action number, and anticipated award amount.
The disclosure form mandates that bidders identify any lobbying registrants and individuals performing lobbying services on their behalf, including complete names, addresses, and contact information. Completion of this form is a material representation of fact required by 31 U.S.C. Section 1352, and the information disclosed will be reported to Congress semi-annually and made available for public inspection. Bidders should note that failure to file the required disclosure subjects them to civil penalties ranging from $10,000 to $100,000 for each violation. The form must be signed and dated by an authorized representative of the bidding entity and submitted with the proposal to ensure compliance with federal lobbying disclosure requirements.
View the file
Other files
Show all 19
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
MRPC - DOL (rev. 2025/9) Disclosure of Lobbying Form
RFP # 2026-05: Ice Cream Novelties Released by: Multi-Region Purchasing Cooperative
Disclosure of Lobbying Form
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352
Our company “does not” participate in Lobbying Activities.
Our company “does” participate in Lobbying Activities (complete form).
1. Type of Federal Action:
a. contract
b. grant
c. cooperative agreement
d. loan
e. loan guarantee
f. loan insurance
2. Status of Federal Action:
a. bid/offer/application
b. initial award
c. post-award
3. Report Type:
a. initial filing
b. Material change
For Material Change Only:
year quarter date of last report
4. Name and Address of Reporting Entity:
Prime Sub awardee
Tier , if known:
Congressional District, If known:
5. If Reporting Entity in No. 4 is a Sub awardee, Enter Name and Address of Prime:
Congressional District, If known:
6. Federal Department/Agency: 7. Federal Program Name/Description:
CFDA Number, if applicable:
8. Federal Action Number, If known: 9. Award Amount, If known:
10. a. Name and Address of Lobbying Registrant (If individual, last name, first name, MI):
b. Individuals Performing Services (Including address if different from No. 10a) (last name, first name, MI):
11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying 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 that $10,000 and not more than $100,000 for each such failure.
Signature:
Print Name:
Title:
Telephone No.: Date:
| year: |
| date of last report: |
| Tier: |
| Title: |
| Telephone No: |
| Date: |
| Ck Box 1: Off |
| Ck Box 2: Off |
| Ck Box 3: Off |
| CK Box 4: Off |
| Please Enter "a" "b" or "c" as status: |
| Ck Box 5: Off |
| Ck Box 6: Off |
| CK Box 7: Off |
| Federal Program Name or Description: |
| CFDA Number If Applicable: |
| Federal Department or Agency: |
| Federal Action Number If known: |
| Award Amount If known: |
| Individuals Performing Services: |
| Name and Address of Lobbying Registrant: |
| Print Name: |
| Sub-Awardee of Reporting Entity IF Appllicalble: |
| Congressional District: |
| Congressional District_2: |
File details come from the government source that posted it. Updated .