Common use of Statement for Loan Guarantees and Loan Insurance Clause in Contracts

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20-063-013-B934 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President SIGNATURE DATE 8/5/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 2 contracts

Samples: Grant Agreement, Grant Agreement

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Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20Lively Oaks Limited 19-063097-013027-B934 B645 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President Xxxxxxx Sole Member of General Partner Cascade GP Services, LLC SIGNATURE DATE 8/5/2020 2/27/2019 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20SWCA, Inc. 00-063000-013-B934 000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Xxxxxxx X. Cow Senior Vice President SIGNATURE DATE 8/5/2020 1 9/12/2023 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018.

Appears in 1 contract

Samples: Environmental Services Contract

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20Galveston Bay Foundation 19-063041-013000-B934 B075 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President SIGNATURE DATE 8/5/2020 1 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Approved by OMB

Appears in 1 contract

Samples: Subrecipient Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20HVM Aransas Pass, Ltd. 19-063097-013008-B934 B626 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxx Xxxxxx Xxxxx Vice President of General Partner SIGNATURE DATE 8/5/2020 3/25/2019 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP CSH Coastal Bend Crossing, LLC 20-063-013003-B934 B925 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President Xxxx Xxxxxxx Xxxxxxxxxxxxx Authorized Agent SIGNATURE DATE 8/5/2020 12/16/2019 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC Lake Xxxxxxx Villas Investments, LP 20-063-013038-B934 C406 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President Xxx Xxx Manager SIGNATURE DATE 8/5/2020 10/13/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP BAH Conroe Senior Village, LLC 20-063-013027-B934 C395 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxx Xxxxx Vice President Manager SIGNATURE DATE 8/5/2020 3/26/2021 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20Xxxxxx Engineering Company 00-063000-013-B934 000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President SIGNATURE DATE 8/5/2020 1 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Work Order

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP NC PC, LLC 2023-063064-013012-B934 D810 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President _Noorallah Jooma Manager SIGNATURE DATE 8/5/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20Housing Associates of Brownsville, LTD. 23-063064-013010-B934 D807 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President Xxxx Xxxxxxxxx SIGNATURE DATE 8/5/2020 General Partner Representative 12/19/2022 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC Xxxxxx Community Development Corporation 20-063-013039-B934 C547 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President Xxxxxxxx Executive Director SIGNATURE DATE 8/5/2020 1/19/2021 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP Magnolia Station Apartments, LLC 20-063-013012-B934 B933 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxxx Xxxxxx Xxxxx Vice President Manager SIGNATURE DATE 8/5/2020 12/18/2019 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP Enclave on Independence, LLC 20-063-013029-B934 C397 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President Xxxxxxx Owner SIGNATURE DATE 8/5/2020 7/29/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Abby Court GP LLC 20-063-013002-B934 B924 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President SIGNATURE DATE 8/5/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20City of Galveston 22-063085-013005-B934 D233 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President Xxxxxxx City Manager SIGNATURE DATE 8/5/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Subrecipient Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC HVM Xxxxxx, LTD. 20-063-013011-B934 B932 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President Xxxxxx Member of General Partner SIGNATURE DATE 8/5/2020 2/25/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20Xxxxxxx Construction Company, Inc. 19-063087-013000-B934 B409 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President Xxxxxxx president SIGNATURE DATE 8/5/2020 1 *24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Approved by OMB

Appears in 1 contract

Samples: Construction Contract

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC BAH Huntsville Village, LLC. 20-063-013030-B934 C398 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxx Xxxxx Vice President Manager SIGNATURE DATE 8/5/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC Silverleaf at Rockport, LP 20-063-013035-B934 C403 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President Xxx Xxxxxxx Manager SIGNATURE DATE 8/5/2020 12/3/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP Konnor's Court, LLC 20-063-013032-B934 C400 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President Xxxxx Sole Mbr SIGNATURE DATE 8/5/2020 7/28/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

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Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP TG 110 Village at Xxxxxxxxx XX, LLC 20-063-013037-B934 C405 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxxx Xxxxxx Xxxxx Vice President Executive Director SIGNATURE DATE 8/5/2020 8/31/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP Sierra Housing I, LLC 2019-063097-013046-B934 C185 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxx Xxxxx Vice President SIGNATURE DATE 8/5/2020 1/14/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP Ingleside Pioneer Crossing, LLC 20-063-013007-B934 B929 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxxx Xxxxx Vice President Authorized Agent SIGNATURE DATE 8/5/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP HI Pioneer Crossing, LLC 2023-063064-013007-B934 D804 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxxx Xxxxx Vice President SIGNATURE DATE 8/5/2020 Manager 12/8/2023 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC City of Aransas Pass 20-063065-013109-B934 C303 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE _Xxxxxx Xxxxx Vice President SIGNATURE DATE 8/5/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Subrecipient Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP Tabeza Holdings, LLC 2021-063033-013000-B934 C496 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President Xxxxxxxxx Xxxx Director DATE 9/24/2020 SIGNATURE DATE 8/5/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Construction Contract

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20SWCA, Inc. 00-063000-013-B934 000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxx Xxxxxx Xxxxx Vice President SIGNATURE DATE 8/5/2020 1 8/19/2020 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018.

Appears in 1 contract

Samples: Environmental Services Contract

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20Xxxx Xxx Xxxx 19-063097-013041-B934 B662 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President Xxxx X Xxxx Developer SIGNATURE DATE 8/5/2020 1/30/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20Xxxxx Xxxx Air Conditioning Company, Inc. 21-063031-013000-B934 C471 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Xxx Xxxx Vice President SIGNATURE DATE 8/5/2020 11/6/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Construction Contract

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20Rockport Retirement, Ltd. 19-063097-013007-B934 B625 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxx Xxxxxx Xxxxx Vice President General Partner SIGNATURE DATE 8/5/2020 4/4/2019 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20Xxxxxxxxx Housing, Ltd. 19-063097-013026-B934 B644 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President Xxxxxxx Sole Member of General Partner Cascade GP Services, LLC SIGNATURE DATE 8/5/2020 2/27/2019 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20TX Xxxxxxx Apartments, LP 23-063064-013003-B934 D800 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President Jideofor "Xxx" X. Xxx SIGNATURE DATE 8/5/2020 Manager 12/9/2022 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP BAH Angleton Village, LLC 20-063-013026-B934 C393 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxx Xxxxx Vice President Manager SIGNATURE DATE 8/5/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-

Appears in 1 contract

Samples: Grant Agreement

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