8-7.1 SFLLL 1 2 P-V12a-2.pdf
PDF 14 KB Posted
- Attached to
- Paving Services
- Solicitation number
- ITB-2026-12JK
- Issued by
- Mckinley County, New Mexico
About this file
This file is the Standard Form LLL (SF-LLL), a federal disclosure of lobbying activities form, which applies to the related state and local paving services contract opportunity in New Mexico. The form serves as a material representation of fact required under 31 U.S.C. Section 1352 for entities bidding on or receiving federal funding in connection with contracts, grants, cooperative agreements, loans, loan guarantees, or loan insurance. The document requests comprehensive information about lobbying registrants and individuals performing lobbying services, including their names, addresses, and relevant congressional districts, as well as details about the federal department or agency involved and the specific federal program or action number associated with the transaction.
The SF-LLL form mandates disclosure of all lobbying activities and imposes significant compliance obligations on reporting entities, prime contractors, and subawardees. Failure to file the required disclosure results in civil penalties ranging from $10,000 to $100,000 for each violation. The disclosed information will be reported to Congress semi-annually and made available for public inspection. This form is essential for transparency in federal funding and contracting and must be completed accurately and signed by an authorized representative with the date and contact information provided.
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Text version
10. a. Name and Address of Lobbying Registrant:
9. Award Amount, if known:
* Street 1
* City State Zip
Street 2
* Last Name
Prefix * First Name Middle Name
Suffix
DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352
OMB Control Number: 4040-0013 Expiration Date: 2/28/2022
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
4. Name and Address of Reporting Entity:
Prime SubAwardee
* Name
* Street 1 Street 2
* City State Zip
Congressional District, if known:
5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime:
6. * Federal Department/Agency: 7. * Federal Program Name/Description:
CFDA Number, if applicable:
8. Federal Action Number, if known:
b. Individual Performing Services (including address if different from No. 10a)
Prefix * First Name Middle Name
* Street 1
* City State Zip
Street 2
11.
* Last Name Suffix
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 the 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 than $10,000 and not more than $100,000 for each such failure.
* Signature:
*Name: Prefix * First Name Middle Name
* Last Name Suffix
Title: Telephone No.: Date:
Federal Use Only: STANDARD FORM LLL (REV. 7/1997) Authorized for Local Reproduction
File details come from the government source that posted it. Updated .