ATTACHMENT 3 - SFLLL.pdf

PDF 36 KB Posted

Attached to
Integrity Project Federal contract opportunity
Solicitation number
Sol_72011120R00003
Issued by
US Agency for International Development

About this file

This document includes an attachment for a Standard Form LLL disclosure of lobbying activities and details of a related federal contract opportunity for the Integrity Project. The Standard Form LLL is a required disclosure for any registrant under the Lobbying Disclosure Act of 1995 to report lobbying activities. It requests information on the type of federal action, status of the federal action, report type, reporting entity, federal agency and program, federal action number, individual performing services, and certification and signature.

The related federal contract opportunity is a 5-year, $TBD value contract with the US Agency for International Development to contribute to an environment that reduces corruption and reinforces accountability and governance in Armenia. The contract will focus on strengthening the capacity of Armenian government and non-government actors to implement anti-corruption reforms through research-backed interventions and aligning with international best practices. The response deadline and award date are not 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

Approved by OMB

0348-0046

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:

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

Suffix* Last Name

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 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: Authorized for Local Reproduction Standard Form - LLL (Rev. 7-97)

5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime:

Completed on submission to Grants.gov

Completed on submission to Grants.gov

ATTACHMENT 3.

File details come from the government source that posted it. Updated .