Type of Federal Action Clause Samples

Type of Federal Action a. contract ▇. ▇▇▇▇▇ 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 For material change only: Year quarter Date of last report 4. Name and Address of Reporting Entity: Prime Subawardee Tier _, if Known: Congressional District, if known: 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime: Congressional District, if known:

Type of Federal Action a. contract A ▇. ▇▇▇▇▇ c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. Status of Federal Action: a. bid/offer/application A b. initial award c. post-award 3. Report Type: a. initial filing A b. material change For material change only: Year quarter Date of last report

Type of Federal Action. A a. contract ▇. ▇▇▇▇▇ c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. Status of Federal Actions A/B a. bid/offer/application b. initial award c. post-award 3. Report Types: A a. initial filing b. material change For Material Change Only: Year quarter Date of last report 4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is Subawardee, Enter Sodexo Operations, LLC, on behalf of itself and all its subsidiaries. Name and A ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇., ▇▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ Address of Prime: Prime Subawardee Tier , if known: Congressional District, if known: Congressional District, if known: N/A 6. Federal Department/Agency: 7. Federal Program Name/Description U.S. Congress, Department of Defense, White House, EPA, USDA, Department of Labor CFDA Number, if applicable: 8. Federal Action Number, if known: 9. Award Amount, if known: Unknown $ Unknown 10. a. Name and Address of Lobbying Entity b. Individuals Performing Services (including address if (if individual, last name, first name, MI): different from No. 10a) Sodexo Operations, LLC, on behalf of itself and all its affiliates and (last name, first name, MI): subsidiaries. ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇., ▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇ ▇. Gaithersburg, Maryland 20878 (attach Continuation Sheet(s) S F-LLL-A, if necessary) 11. Amount of Payment (check all that apply): 13. Type of Payment (check all that apply): actual planned 12. Form of Payment (check all that apply): a. retainer b. one-time fee a. cash c. commission In House Government Affairs b. in-kind;specify: nature d. contingent fee Department value e. deferred f. other, specify: 14. Brief Description of Services Performed or to be Performed and Date(s) of Service, including officer(s), employee(s), or member(s) contacted, for Payment indicated on item 11: Sodexo has not conducted any lobbying activities related to this or any other federal contract. Lobbying activities focus on general issues being addressed by the federal government. (attach Continuation Sheet(s) SF-LLL-A, if necessary) 15. Continuation Sheet(s) SF-LLL-A attached: Yes No

Type of Federal Action. [a --] a. contract -- ▇. ▇▇▇▇▇ c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. StatuLs ofI Federal Action: 3. RDeport Type: a a. bid/offer/application a a. initial filing - b. initial award b. material change c. post-award For Material Change Only: year quarter date of last report 4. Name and Address of Reporting Entity: D Prime D Subawardee Tier ___, if known: Congressional District, if known: 5. If Reporting Entity in No. 4 is a Subawardee, Enter Name and Address of Prime: Congressional District, if known:

Type of Federal Action a. Contract ▇. ▇▇▇▇▇ 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 For Material Change Only: year quarter date of last report 4. Name and Address of Reporting Entity: • Prime • Subawardee Tier , if known: Congressional District, if known: 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime: Congressional District, if known: 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number, if applicable: 8. Federal Action Number, if known: 9. Award Amount, if known: $

Type of Federal Action a. contract _a ▇. ▇▇▇▇▇ c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. Status of Federal Action: a. bid/offer/application c b. initial award c. post-award 3. Report Type: a. initial filing a b. material change For material change only: Year quarter Date of last report 4. Name and Address of Reporting Entity: Prime X Subawardee Tier , if Known: Congressional District, if known: 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime: Fresno County Rural Transit Agency ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Congressional District, if known: 18, 19, 20, 21 6. Federal Department/Agency: Federal Transit Administration 7. Federal Program Name/Description: FTA Section 5311 CFDA Number, if applicable:

Type of Federal Action. Contract Grant Cooperative agreement Loan Loan guarantee Loan insurance 2. Status of Federal Action: Bid/offer/application Initial award Post-award 3. Report Type Initial filing Material change For Material Change Only: Year ______ quarter ______ Date of last report __________

Type of Federal Action a. contract A ▇. ▇▇▇▇▇ c. cooperative agreement ▇. ▇▇▇▇ e. loan guarantee f. loan insurance 2. Status of Federal Action: a. bid/offer/application A b. initial award c. post-award 3. Report Type: a. initial filing A b. material change For material change only: Year quarter Date of last report 4. Name and Address of Reporting Entity: Unk* Prime Unk* Subawardee Tier _, if Known: Frontier Communications ▇▇▇ ▇▇▇▇▇▇▇ ▇ Norwalk, CT 06851 *Frontier has not yet applied for or received any funding under this solicitation. Congressional District, if known: 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime: n/a Congressional District, if known:

Type of Federal Action a. contract ▇. ▇▇▇▇▇ c. cooperative agreement d. loan