FFATA.docx

DOCX document 57 KB Posted

Attached to
FFY21 Child Restraint Distribution Program
Solicitation number
BD-21-1044-EPS11-HWY-60116
Issued by
Massachusetts

About this file

The document is a Federal Funding Accountability and Transparency Act (FFATA) Compliance Form required by the Executive Office of Public Safety and Security (EOPSS) for recipients of federal awards. It collects information about the award, such as the agency name, city, zip code, and nine-digit DUNS number, in order to report award details publicly on USASpending.gov per the Transparency Act requirement. The form also requires the names and salaries of the five highest paid executives if the organization receives more than 80% of its annual revenue from federal funds, the federal fund revenue exceeds $25 million, and the compensation information is not publicly available through other sources.

The related state and local contract opportunity is for the FFY21 Child Restraint Distribution Program in the state of Massachusetts. The form does not provide any additional details about the contract opportunity beyond the name and state.

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Federal Funding Accountability and Transparency Act (FFATA) Compliance Form

In order to comply with the Federal Funding Accountability and Transparency Act (FFATA) EOPSS must report award information for all recipients of federal awards as directed. Information provided will be made publicly available on USA Spending http://www.usaspending.gov/ per the Transparency Act requirement.

Please complete Section 1 (Award information); Section 2 (Compensation); if applicable, Table 1 (Names/Salary) and Section 3 (Certification).

Section 1 Award Information Agency Name

City

Zip + 4 (required)

*Is this address a confidential location?
|_| Yes |_| No

Nine-digit DUNS Number

Section 2 Compensation In certain instances FFATA requires information be collected pertaining to executive compensation. The names and salaries of the five highest paid executives must be provided if the answer is yes to each of these three criteria:

1. More than 80% of organization annual gross revenues are federal funds.

Yes |_| No |_| If yes, proceed to question 2. If no, stop, proceed to Section 3.

2. Federal fund revenue exceeds twenty five million dollars.

Yes |_| No |_| If yes, proceed to question 3. If no, stop, proceed to Section 3.

3. Compensation information is not publicly available via federal tax filings, Securities and Exchange Commission (SEC) reporting, or any other source. (if other please indicate: _______________ ) Yes |_| No |_| If yes complete Table 1. If no, stop, proceed to Section 3.

Table 1. Names and salary of your organization’s top five executives (by salary)

First and Last Name
Title
Annual Salary

Section 3 Certification I certify that the above information is true and accurate.

_____________________________________________________
Authorized official signatureDate
_______________________________________________
Authorized official printed nameTitle

*If you are operating a confidential program with grant funds please ensure the address on file with the Commonwealth is a PO Box.

OGR FFATA June 2012

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