LOBBYING DISCLOSURE SFLLL_COMPLETED.PDF

DISCLOSURE OF LOBBYING ACTIVITIES 
Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352 	
OMB Number: 4040 -0013 
Expiration Date: 02/28/2022 
1.* Type of Federal Action: 
ri a. contract 
Ei b. grant 
ri c. cooperative agreement 
I
d. loan 
ri e. loan guarantee 
I
f. 	loan insurance 
2. *Status of Federal Action: 
1-- a. bid/offer/application 
b. initial award 
n c. post-award 
3.* Report Type: 
Op 	a. initial filing 
FI b. material change 
4. 	
Name 
kil 
and Address of Reporting Entity: 
Prime 	
I 	I SubAwardee 
* Name 
* Street 1 
Maricopa County Sheriff's Office 
550 West Jackson Street 
Street 2 
* City 
Phoenix 
State AZ: Arizona 
Zip 
85003 
Congressional District, if known: 
5.1f Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: 
6.* Federal Department/Agency: 
7.* Federal Program Name/Description: 
Office of National Drug Control Policy 
CFDA Number, if applicable: 
8. Federal Action Number, if known: 
9. Award Amount, if known: 
$ 
10. a. Name and Address of Lobbying Registrant: 
Prefix 
* First Name 
Middle Name 
* Last Name 
Suffix 
* Street 1 
Street 2 
* City 
State 
Zip 
b. Individual Performing Services (including address if different from No. 10a) 
Prefix 
* First Name 
Middle Name 
* Last Name 
Suffix 
* Street 1 
Street 2 
* City 
State 
Zip 
11. 
Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of 
reliance was placed by the tier above when the transaction was made or entered into. This disclosure is 
the Congress semi-annually and will be available for public inspection. Any person who fails to file the required 
$10,000 and not more than $100,000 for each such failure. 
lobbying activities is a material representation of fact upon 
required pursuant to 31 U.S.C. 1352. This information will be 
disclosure shall be subject to a civil penalty of not less 
which 
reported to 
than 
*Signature: 
*Name: 	
Prefix 
* First Name Clint 
Middle Name 
* Last Name 
. 
Hickman 
Title: Chairma 
Telephone No.: 
Date: [ 
Federal Use Only: 
Authorized for Local Reproduction 
Standard Form -LLL (Rev. 7-97)