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Approved by OMB <br />0348-0046 <br />Disclosure of Lobbying Activities <br />Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 <br />(See reverse for public burden disclosure) <br />Type of Federal Action: <br />Status of Federal Action: <br />Report Type: <br />a. contract <br />a. bid/offer/application <br />a. initial filing <br />b. grant <br />b. initial award <br />b. material change <br />c. cooperative agreement <br />c. post -award <br />d. loan <br />e. loan guarantee <br />f. loan insurance <br />Name and Address of Reporting Entity: <br />If Reporting Entity in No. 4 is Subawardee, Enter <br />Prime Subawardee <br />Name and Address of Prime: <br />Tier , if Known: <br />Congressional District, if known: <br />Congressional District, if known: <br />Federal Department/Agency: <br />7. Federal Program Name/Description: <br />CFDA Number, if applicable: <br />Federal Action Number, if known: <br />9. Award Amount, if known: <br />10. a. Name and Address of Lobbying Registrant <br />b. Individuals Performing Services (including <br />(if individual, last name, first name, Ml): <br />address if different from No. 10a) <br />(last name, first name, Ml): <br />11. Information requested through this form is <br />' l„ <br />authorized by title 31 U.S.C. section 1352. This <br />Signature" <br />disclosure of lobbying activities is a material <br />representation of fact upon which reliance was placed <br />Print Name: Bruce J. Spitzengel <br />by the tier above when this transaction was made or <br />entered into. This disclosure is required pursuant to 31 <br />Title: President <br />U.S.C. 1352. This information will be reported to the <br />Congress semi-annually and will be available for public <br />inspection. Any person who fails to file the required <br />May 6, 2024 <br />Telephone No.: (512) 420-0303 Date: Y <br />disclosure shall be subject to a civil penalty of not less <br />than $10,000 and not more than $100,000 for each such <br />failure. <br />Federal Use Only <br />Authorized for Local Reproduction <br />Standard Form - LLL (Rev. 7-97) <br />GRANTWORKS, INC. I PROPRIETARY & CONFIDENTIAL AI IACHMEN 1 2 - REQUIRED FORMS I PAGE 77 <br />