CACO_Armstrong-Dune-Shack_RFP_Attachment-B_Form-10-354_NPS-Leasing-Organization-Information-(Corporation-Limited Liability-JV)_508_Compliant.docx
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- CACO_Armstrong-Dune-Shack_RFP_2026
About this file
This is NPS Form 10-354, an offeror information form for entities structured as corporations, limited liability companies, partnerships, or joint ventures submitting proposals to the National Park Service Leasing Program. The form is part of Proposal Package L-CACOARM-27, which corresponds to the RFP to lease the Armstrong Dune Shack in Cape Cod National Seashore. The form requires offerors to provide detailed organizational information including entity name, tradename, business address, telephone number, email address, and contact person details. Additionally, offerors must disclose tax identification numbers, state of formation, date of formation, ownership percentages and current investment values, names and addresses of all owners, total outstanding interests and their types, and information on all principals as defined under 2 C.F.R. 180.995 including their addresses, titles, and affiliations.
The form is authorized under 54 U.S. Code Chapter 1021 and carries OMB Control Number 1024-0233 (expiration date 05/31/2026). The form template itself contains placeholder text fields and includes a Privacy Act Statement noting that disclosed information may be shared with federal, state, and local governments, tribal organizations, and members of the public to inform the public of available leaseholder services. The Paperwork Reduction Act Statement estimates completion time between 5 and 10 hours depending on business complexity. This is a blank template form with no specific response deadline, award date, or pricing information populated.
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OMB Control No. 1024-0233 Expiration Date: 05/31/2026 ##/##/#### NPS Form 10-354 (Rev. 10/2026) National Park Service
OFFEROR INFORMATION
Corporation, Limited Liability Company, Partnership, or Joint Venture
PROPOSAL PACKAGE
L-CACOARM-27
Note: Either a Form 10-353 or Form 10-354 is completed for each proposal, depending on the nature of the Offeror.
Complete separate forms for each Offeror, if more than one. If the Offeror is an individual or sole proprietor, use Form 10-353.
Name of Entity and Tradename, if any Click or tap here to enter text.
Address Click or tap here to enter text.
Telephone Number Click or tap here to enter text.
Email Address Click or tap here to enter text.
Contact Person Click or tap here to enter text.
Title Click or tap here to enter text.
Tax ID# Click or tap here to enter text.
State of Formation Click or tap here to enter text.
Date of Formation Click or tap here to enter text.
| Ownership |
| Percentage of Ownership Interests |
| Current Value of Investment |
Names and Addresses of Owners Click or tap here to enter text.
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| Total Interests Outstanding and Type(s): |
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| Principals (as defined at 2 C.F.R. § 180.995) |
| Address |
| Title and/or Affiliation |
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NOTICES PRIVACY ACT STATEMENT
Authority: 54 U.S. Code Chapter 1021—Privileges and Leases; 54 U.S. Code § 306121—Lease or exchange.
Purpose: The purposes of the system are (1) to assist NPS employees in managing the NPS Leasing program allowing for residential and commercial uses within a unit of the National Park System to ensure that business activities are conducted in a manner that complies with Federal laws and regulations; (2) to monitor resources that are or may be affected by the authorized residential and/or commercial uses within a unit of the National Park System; (3) to track applicants and holders of leases who are planning to conduct or are conducting business within units of the National Park System; and (4) to provide to the public the description and contact information for businesses that provide services in national parks.
Routine Uses: In addition to those disclosures generally permitted under 5 U.S.C.552a(b) of the Privacy Act, records or information contained in this system may be disclosed outside DOI as a routine use pursuant to 5 U.S.C. 552a(b)(3) to other Federal, state and local governments, tribal organizations, and members of the general public upon request for names, addresses and phone numbers of lease holders conducting business within units of the National Park System for the purpose of informing the public of the availability of the services offered by the leaseholder. In addition, records or information contained in this system may be disclosed outside DOI based on an authorized routine use when the disclosure is compatible with the purpose for which the records were compiled as described under the system of records notice for this system.
Disclosure: Voluntary, however, failure to provide the requested information may impede our ability to 1) manage the National Park Service (NPS) Leasing Program allowing for residential and/or commercial uses within a unit of the NPS, 2) monitor resources that are or may be affected by the authorized residential and/or commercial uses, and 3) provide the public the description and contact information for businesses that provide services in national parks.
PAPERWORK REDUCTION ACT STATEMENT
We collect this information under the authority of 54 U.S.C. Chapter 1021. We use this information to evaluate a lease proposal. Your response is required to obtain or retain a benefit. We may not collect or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB control number. OMB has approved this collection of information and assigned Control No. 1024-0233.
ESTIMATED BURDEN STATEMENT
We estimate that depending on the complexity of your business organization it will take between 5 and 10 hours to complete this form, including time to review instructions, gather and maintain data, and complete and review the form. You may send comments on the burden estimate or any aspect of this form to the Information Collection Clearance Officer, National Park Service, 1201 Oakridge Drive, Fort Collins, CO 80525. Please do not send your completed form to this address.
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