Attachment 15: SF LLL

DISCLOSURE OF LOBBYING ACTIVITIES

Approved by OMB (4040-0013) | Expiration Date: 06/30/2028 This document serves as an editable template for the Standard Form LLL (SF-LLL). It contains interactive form elements, check-boxes, and structured field inputs so that offerors can easily edit, fill out, and save the form locally prior to submitting within PIEE or other government procurement platforms.

1. Type of Federal Action:

2. Status of Federal Action:

(Place an 'X' or checkmark next to the correct action type)

(Place an 'X' or checkmark next to the current status)

[
[
[
[
[
[

[ ] a. Bid / Offer / Application
[ ] b. Initial Award
[ ] c. Post-Award

] a. Contract
] b. Grant
] c. Cooperative Agreement
] d. Loan
] e. Loan Guarantee
] f. Loan Insurance

3. Report Type:

(Place an 'X' or checkmark next to the report type)

[ ] a. Initial Filing

[ ] b. Material Change

4. Name and Address of Reporting Entity:
Identify Entity Role:

[ ] Prime Contractor

5. If Reporting Entity in Block 4 is Subawardee, Enter Name and Address of Prime:

Standard Form LLL (Rev. 06/2028)

6. Federal Department or Agency:

7. Federal Program Name/Description:

Agency Name:

Program Name / CFDA Number:

(e.g., Department of the Army, Defense Logistics Agency, Department of the Navy)

8. Federal Action Number (if known):

9. Award Amount (if known):

Solicitation / RFP / Contract ID:

Expected or Awarded Amount:

(e.g., RFP-N00178-24-R-XXXX)

10. Lobbying Registrants & Individuals Performing Services: a. Name and Address of Lobbying Registrant:
(If individual, provide: Last Name, First Name, MI. If registered organization, provide legal name & address)

b. Individuals Performing Services:
(Provide names of key employees or external lobbyists who performed services; include address if different from 10a)

11. Certification & Execution:

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 this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information 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.

Standard Form LLL (Rev. 06/2028)

INSTRUCTIONS FOR COMPLETION OF SF-LLL

This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the