HomeMy WebLinkAboutDisclosure Lobbying ActivitiesDISCLOSURE OF LOBBYING ACTIVITIES
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Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352 0348-0046
1. * Type of Federal Action:
2. * Status of Federal Action:
3. * Report Type:
Fla. contract
1:1 a. bid/offer/application
a a. initial filing
Ob. grant
R b. initial award
R b. material change
Rc. cooperative agreement
c. post -award
Rd. loan
e. loan guarantee
El f. loan insurance
4. Name and Address of Reporting Entity:
RX Prime F]SubAwardee
Name
City of Miami Police Department
' street 1 Street 2
900 19W 2 Avenue, 4th Floor Business Management Section
'City State Zip
Miami PL: Florida 33128-1706
Congressional District, if known: 17. 1s
5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime:
6. * Federal Department/Agency:
7. * Federal Program Name/Description;
Bureau of Justice Assistance
Gang Resistance Education and Training
CFDA Number, if applicable: 16.737
8. Federal Action Number, if known:
9. Award Amount, if known:
$
10. a. Name and Address of Lobbying Registrant:
Prefix • First Name NfA Middle Name
' Last Name -/A Suffix F
' Street 1 Street 2
City State Zip
b. Individual Performing Services (including address if different from No. 1Oa)
Prefix *First Name NSA Middle Name F 771
' Last Name NfA 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 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: Completed on submission to Grants -go -
*Name: Prefix First Name NSA Middle Name
' Last Name NiA Suffix
Title: Telephone No.: Date: completed on submission to Grants.gov
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