Extracted text (via pymupdf)
2432 characters
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 Number: 4040-0013
Expiration Date: 02/28/2025
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
Maricopa County Sheriff's Office
* Street 1
550 West Jackson Street
Street 2
* City
Phoenix
State
AZ: Arizona
Zip
85003-2412
Congressional District, if known:
5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime:
6. * Federal Department/Agency:
Office of National Drug Control Policy
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
Bill
Middle Name
* Last Name
Gates
Suffix
Title:
Chairman
Telephone No.: 602-506-7562
Date:
Federal Use Only:
Authorized for Local Reproduction
Standard Form - LLL (Rev. 7-97)
HIDTA CY23 Application SFLLL
19a
Maricopa County
ATTEST:
Juanita Garza Date
Clerk of the Board of Supervisors
APPROVED AS TO FORM
This ____ day of ____________________, 2022
By: ___________________________________
Deputy Maricopa County Attorney