Recipient Reporting Data Model
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1 Transparency, Accountability, Oversigt Reporting Data Model V4.0 FINAL PRODUCTION RELEASE - for Quarter Ending September 30, 2010 Note: tis model may be adjusted for future reporting cycles
2 Note to users of tis data model Tis data model is intended to be used in conjunction wit te Section 1512 of American Recovery Reinvestment Act. reporting is being executed troug te web based Reporting.Gov recipient reporting solution. Te Web based form, MS Excel template XML scema options for report submission will be found on tat site will conform to tis model. Clarifications to te elements will be publised as a set of Frequently Asked Questions to Reporting.Gov. It is important to note tat tis model is intended for use for te quarter ending September 30, Tis model te report submission templates may not be wolly applicable to future reporting cycles. s sould reference formal guidance updates for future reporting requirements. Page 2 of 46
3 Data Dictionary Te data dictionary describes te data elements specifically required for recipient reporting under te American Recovery Reinvestment Act of 2009 (Recovery Act). Table 1 - Reporting Data Dictionary Data Elemen ts Yellow Input (user provided) Blue System provided (e.g. CCR, Agency Code Reference Table) Data Element Definition Type Max RECIPIENT DATA ELEMENTS Funding Agency Numeric code of Code Agency tat is responsible for funding/distributing te ARRA funds to s. Page 3 of 46 string Agency code is for Reporting. Te Funding Agency is te agency tat receives te ARRA funds troug te ARRA funds appropriatio Transparency Act Guidance Marc 30, 2007 Initial Reference: fips95-2.pdf Latest Reference: NIST Special Publication
4 n. Funding Agency Name Awarding Agency Code Te Agency name corresponding to te Agency Code used. Numeric code of te agency tat awarded administering te award on bealf of te Funding Agency. string 55 ENVIRONMEN TAL PROTECTION AGENCY Inferred given te Funding Agency Code string Te Awarding Agency is te agency tat awards administers te ARRA funds on bealf of te Funding Agency. In many cases, te Transparency Act Guidance Marc 30, 2007 Transparency Act Guidance Marc 30, 2007 Initial Reference: fips95-2.pdf Latest Reference: NIST Special Tis is inferred given te Funding Agency Code provided. Page 4 of 46
5 Awarding Agency is te same as te Funding Agency. Publication Awarding Agency Name Te Agency name corresponding to te Awarding Agency Code used. string 55 GENERAL SERVICES ADMINISTRATI ON In some cases, suc as some contracts te Funding Agency (e.g. HHS) delegates te administrati on awarding responsibilit ies to anoter agency like GSA. Inferred given te Awarding Agency Code Transparency Act Guidance Marc 30, 2007 Tis is inferred given te Awarding Agency Code provided Page 5 of 46
6 Program Source (TAS) Award Number Te Agency Treasury Account Symbol (TAS) tat identifies te funding Program Source. Tis Program Source is based out of te OMB TAS list. Contractors may find te TAS in teir contract or by calling te contracting officer. Te identifying number assigned by te awarding Agency, suc as te federal grant number, federal contract number or te federal loan number. string 17 TRAGENCY (2) + "-" + TRACCT (4) + "-" + SUBACCT(3) Page 6 of 46 Note: Te SUBACCT (3) is optional; i.e. only provided wen applicable string 50 Varies by award agencies Assuming tat Agencies will provide te code to Note: Program Source (TAS) is for Reporting. Te award number is case, space special caracter sensitive. It sould be te same as it appears in te federal award document. Award Number is Transparency Act Guidance Marc 30, 2007 Transparency Act Guidance Marc 30, 2007 OMB TAS list... Te award number is case, space special caracter sensitive. It sould be te same as it appears in te federal
7 for Reporting award document. Order Number Tis data element only applies to Contracts string 50 Varies by award agencies contractonly data element. If applicable, order number sould be entered; oterwise te sould be left blank. n optional Tis is onl y for Contract. Te order number is case, space special caracter sensitive. It sould be Page 7 of 46
8 te same as it appears in te federal award document. Tis sould not be used for any oter purpose, including numbers associated wit grants, loans, or oter financial assistance. DUNS Number Parent DUNS Number Te prime recipient organization s 9-digit Data Universal Numbering System (DUNS) number Unique Identifier of Parent Organization / Company (DUNS No.) string Te 9-digit DUNS# is string 9 Tis is inferred; obtained troug CCR. Te System will pull te parent organization s DUNS# Transparency Act Guidance Marc 30, 2007 Transparency Act Guidance Marc 30, Page 8 of 46
9 from CCR Type CFDA Number Government Contracting Office Code Tis data element is inferred from CCR. Te inferred is Type in CCR. Te Catalog of Domestic Assistance (CFDA) number is te number associated wit te publised description of assistance program in te Catalog of Domestic Assistance. Te agency supplied code of te contracting office tat executes te transaction. string 300 2F - U.S. State Government Te System will pull tis from CCR M8 - Educational Institution string Tis only applies to grants loans. Te CFDA number sould be te same as te one found in CFDA.gov for Recovery. string 6 064MA Tis contracting office code can be located on te contract document Transparency Act Guidance Marc 30, 2007 Fixed list from CCR Tis only applies to grants loans. Tis only applies to federally awarded contracts. Page 9 of 46
10 Government Contracting Office Name Te government contracting office name inferred from te government contracting office code used. string 100 DEPT OF AGRIC/FARME RS HOME ADMINISTRATI ON Legal Name DBA Name Address 1 Address 2 name address of Organization. Te legal DBA (Doing-- As) name of recipient organization address, including zip code. Tis sould be te same name address tat appears in string string string string Tis is inferred; obtained troug CCR recipient s Central string 55 Address 3 Contractor Registration City (CCR) profile. string 35 State string 2 Zip Code Country Congressional District) string 9 string 3 Inferred given te Government Contracting Office Code Te System will pull tis information from CCR string 2 51 Tis is. Transparency Act Guidance Marc 30, 2007 Tis only applies to federally awarded contracts. Data populated from details found in CCR troug te DUNS# look-up. Page 10 of 46
11 Account Number Final Report 's internal account number for award. Te account number or any oter identifying number assigned by te recipient to te award. Tis number is strictly for te recipient s use only is not required by te awarding agency. Final Project Report Indicator (i.e. no future reports) (Y or N). Ceck "Y" only if tis is te final report tere will be no furter quarterly reports. string 255 Tis is optional. Page 11 of 46 n internal tracking number for te Prime community. string 1 Y Ceck Y only if tis is te final report for te award period specified. For Grants Loans: Ceck Y only if all ARRA funds associated wit te award ave been expended at te prime recipient n optional.
12 level, all or nearly all ARRA funds associated wit te award ave been invoiced received, no additional jobs will be funded, te project status is complete per agency requirement s /or performance measures, te Project Status is marked as Fully Complete (marked as 4 ). Page 12 of 46
13 Award Type Award Type Grant, Loan, or ly Awarded Contract Oter types of federal financial assistance not specifically identified above Page 13 of 46 For ly Awarded Contracts: Ceck Y only if report meets all of te requirement s of te FAQ Wen sould a contractor submit its final quarterly report? at ttp://www. witeouse. gov/omb/rec overy_faqs_ contractors string 8 GRANT. Transparency Act Guidance Marc 30, 2007.
14 Award Date Award Description Project Name or Project/Program Title sould be reported under te award type of Grant. Te date wen te award is signed by te Awarding Agency Official. For Grants Loans: Award Title description wit purpose of eac funding action if any. Te description sould capture te overall purpose of te award, if tere are multiple funding actions, sufficient description to define te need for eac funding action. For ly Awarded Contracts: Provide a description of te overall purpose expected outcomes, or results of te contract or action under te contract funded by te Recovery Act, including significant deliverables, if appropriate, associated units of measure. Te brief descriptive Title of te project or activity funded in wole or in part wit Date (YYYY MMDD ) Page 14 of string "Investment in public transportation: replace four 10 year old electric commuter train cars. In addition, funds will be used to construct a multi-modal Park Ride facility featuring: commuter parking, transit ub, bicycle accommodations, a potential future platform." string 256 F006: L Treatment Practices Services. Title as indicated on te Award Transparency Act Guidance Marc 30, 2007 Transparency Act Guidance Marc 30, Tis only applies to
15 Quarterly Activities/Project Description for Prime Subrecipients Recovery Act funds For Grants Loans A description of te overall purpose expected outputs outcomes or results of te award first-tier Subaward(s), including significant deliverables, status,, if appropriate, units of measure. For an award tat funds multiple projects suc as a formula block grant, te purpose outcomes or results sould be stated in terms tat allow an understing of accomplisments. In instances were te final prime recipient expenditures are less tan te award amount listed on te report due to an amendment in te original agreement or if te project came in under budget, te recipient must provide a description in tis Page 15 of 46 (plowing/clearing, etc.) string 2000 Drinking water will be in compliance wit Safe Drinking Water Act. Reduced inflow infiltration will improve waste water treatment plant effectiveness document/pr oduct or Service Code Grants Loans.
16 explaining wy te final amount in te Total Amount of ARRA Expenditure does not equal te amount in te Award Amount, confirming tat no more funds will be expended by te prime recipient. Project Status For ly Awarded Contracts A description of all significant services performed/supplies delivered, including construction, for wic te prime contractor invoiced in tis calendar quarter. Evaluation of completion status of te project, activity, or federally awarded contract action funded by te Recovery Act. Te status of te work tat as been completed. Tis evaluation sould be based on performance progress reports oter relevant nonfinancial performance string 20 "Fully Completed". Options for selection: Not started; Less tan 50% completed; Page 16 of 46
17 information. Options for selection: Not started; Less tan 50% completed; Completed 50% or more; Fully Completed. Com pleted 50% or more; Fully Completed. Activity Code (NAICS or NTEE-NPC) For awards funding multiple projects suc as formula block grants, provide your best estimate of completion of all projects based on any aggregate data information. For ly Awarded Contracts: Enter te 6-digit Nort American Industry Classification System (NAICS) code found in te solicitation/contract. string NAICS - annual; NPC - annual For Grants Loans: For awards primarily funding infrastructure projects, enter te Nort American Industry Classification System (NAICS) code(s) tat describe te Recovery Act projects or activities under tis award. A searcable Page 17 of 46
18 code list is at ttp:// Activity Description For all oter awards, provide te National Center for Caritable Statistics NTEE NPC code(s) tat describe te Recovery Act projects or activities under tis award. A searcable code list is at ttp://nccsdataweb.urban.org/ PubApps/nteeSearc. pp?gqry=allcore&codetype=npc. Description of te Activity Code for NAICS or NTEE- NPC. string 2000 Support Activities for Forestry Tis is inferred from te Activity Code entered/prov ided Tis is inferred from te Activity Code entered/pro vided Page 18 of 46
19 Number Of Jobs Jobs created retained. An estimate of te combined number of jobs created jobs retained funded by te Recovery Act during te current reporting quarter in te United States outlying areas. For grants loans, te number sall include te number of jobs created retained by sub recipients vendors. Te number sall be expressed as full-time equivalent (FTE), calculated quarterly as all ours worked funded by te Recovery Act during te current reporting quarter divided by te total number of ours in a fulltime scedule for te quarter, as defined by te recipient or federal contractor. For more information on ow to perform tis calculation, please see OMB Memorum M-10-08, found at ttp:// mb/assets/memora_2010/ Page 19 of 46 Number
20 m10-08.pdf. An example of calculating jobs for federal contractors can be found at ttp:// mb/recovery_faqs_contractor s. For instance, two full-time employees one part-time employee working alf days would be reported as 2.5 FTE in eac calendar quarter. A job cannot be reported as bot created retained. As used in tis instruction, United States means te 50 States te District of Columbia, outlying areas means (1) Commonwealts. (i) Puerto Rico. (ii) Te Nortern Mariana Isls; (2) Territories. (i) American Samoa. (ii) Guam. (iii) U.S. Virgin Isls; (3) Minor outlying isls. (i) Baker Isl. Page 20 of 46
21 (ii) Howl Isl. (iii) Jarvis Isl. (iv) Jonston Atoll. (v) Kingman Reef. (vi) Midway Isls. (vii) Navassa Isl. (viii) Palmyra Atoll. (ix) Wake Atoll. For Grants Loans: See OMB M For ly Awarded Contracts: See FAR Clause Page 21 of 46
22 Description of Jobs Created/Retained A narrative description of te employment impact of te Recovery Act funded work. Tis narrative is for eac calendar quarter at a minimum, will address te impact on te recipient s or federal contractor s workforce (for grants loans, recipients sall also include te impact on te workforces of sub recipients vendors for contracts, see FAR clause in te contract). Provide a brief narrative description of te types of jobs created jobs retained in te United States outlying areas. Tis description may rely on job Titles, broader labor categories, or te recipient s existing practice for describing jobs as long as te terms used are widely understood describe te general nature of te work. string ARRA Page 22 of 46
23 Amount of Award For Grants: Te total amount of Recovery Act dollars on te award. For Loans: Te total Recovery Act amount of te loan obligated by te Agency. Tis is te face value of te loan. Currenc y (Dollar value - numeric ) 18, Total specific federal funding as indicated on te award document Transparency Act Guidance Marc 30, 2007 Total Amount ARRA Funds Received/Invoice d For ly Awarded Contracts: Te total Recovery Act amount obligated by te Agency. For Grants Loans: Te amount of Recovery Act funds received troug drawdown, reimbursement or invoice. For ly Awarded Contracts: Te amount of Recovery Act funds invoiced by te federal contractor (cumulative). Currenc y (Dollar value - numeric ) 18, ARRA. 1 Te data lengt of 18,2 indicates total lengt of 18 caracters wit 2 caracters after te decimal. Page 23 of 46
24 Total Amount of ARRA Expenditure Tis is for grants loans only. Amount of recovery funds received or will be received tat were expended to projects or activities ( Sare of Expenditures ). Te cumulative total for te amount of fund expenditures, wic may include amounts captured in oter s as well, suc as amounts in Total ARRA Infrastructure Expenditure, Total Amount of Payments to Vendors less tan $25,000/Award, /or Total Subaward Funds Disbursed. For reports prepared on a cas basis, expenditures are te sum of cas disbursements for direct carges for property services; te amount of indirect expense carged; te amount of cas advance payments payments made to Currenc y (Dollar value - numeric ) Page 24 of 46 18, Tis only applies to grants loans. ARRA Total Amount of ARRA Expenditur e sould not exceed te Amount of Award
25 Total ARRA Infrastructure Expenditure subcontractors Subawardees. For reports prepared on an accrual basis, expenditures are te sum of disbursements for direct carges for property services; te amount of indirect expense incurred;; te total amount owed by te recipient for (1) goods oter property received; (2) services performed by employees, contractors, subcontractors, Subawardees, oter payees; (3) programs for wic no current services or performance are required. Do not include program income expended. Te recipient will determine weter to report on a cas or accrual basis based upon teir record keeping system. Tis is for grants loans only Total federal ARRA Infrastructure expenditure Currenc y (Dollar value - numeric ) Page 25 of 46 18, conditional for investing in infrastructur e conditional for investing in infrastructu re
26 Infrastructure Purpose Rationale Tis is for grants loans only Purpose rationale of funds received for infrastructure investment wit funds made available under te Recovery Act. Identify te purpose explain ow te infrastructure investment will contribute to one or more purposes of te Recovery Act: Purposes: (1) To preserve create jobs promote economic recovery. (2) To assist tose most impacted by te recession. (3) To provide investments needed to increase economic efficiency by spurring tecnological advances in science ealt. (4) To invest in transportation, environmental protection, oter infrastructure tat will provide long-term economic benefits. (5) To stabilize State string Variab le (Maxi mum 4000 carac ters) conditional. If reporting infrastructur e investment, a rationale/ex planation as to be provided. ARRA conditional. If reporting infrastructu re investment, a rationale/ex planation as to be provided. Page 26 of 46
27 local government budgets, in order to minimize avoid reductions in essential services counterproductive state local tax increases. Infrastructure Contact Name Infrastructure Contact Street Address 1 Infrastructure Contact Street Address 2 Tis is for grants loans only Name, pone number, address address of te appropriate contact. string string string Tis is a conditional requirement associated wit infrastructur e investment Transparency Act Guidance Marc 30, 2007 Page 27 of 46
28 Infrastructure Contact Street Address 3 string 55 Infrastructure Contact City string 35 Infrastructure Contact State string 2 Infrastructure State/Local Contact Zip Code + 4 string 9 Infrastructure Contact string 320 Infrastructure Contact Pone string 30 Infrastructure Contact Extn string 10 Primary Place of Performance Street Address 1 Primary Place of Performance Street Address 2 Primary Place of Performance (city, state, congressional district, country) pysical location of primary place of performance. string 55 Tis is optional. string 55 Tis is optional Tis is optional. Tis is optional Page 28 of 46
29 Primary Place of Performance State Primary Place of Performance Country string 2 MD string 2 US Transparency Act Guidance Marc 30, Primary Place of Performance Zip Code + 4 Primary Place of Performance City Primary Place of Performance - Congressional District Tis is te 2 letter alpa code. string string 35 Rockville string Prime indication of reporting applicability Names total compensation of eac of te five most igly compensated officers of te recipient for te calendar year in wic te award is awarded if string 3 Yes Yes or No If all of te conditions in te definition apply te recipient must report in te igly Page 29 of 46
30 (i) In te recipient s preceding fiscal year, te recipient received compensate d s (A) 80 percent or more of its annual gross revenues from contracts ( subcontracts), loans, grants ( subgrants) cooperative agreements; (B) $25,000,000 or more in annual gross revenues from contracts ( subcontracts), loans, grants ( subgrants) cooperative agreements; (ii) Te public does not ave access to information about te compensation of te senior executives troug periodic reports filed under Section 13(a) or 15(d) of te Securities Excange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or Section 6104 of te Internal Revenue Code of Page 30 of 46
31 Prime Higly Compensated Name(5) Names of eac of te five most igly compensated officers of te recipient for te calendar year in wic te award is awarded if (i) In te recipient s preceding fiscal year, te recipient received (A) 80 percent or more of its annual gross revenues from contracts ( subcontracts), loans, grants ( subgrants) cooperative agreements; (B) $25,000,000 or more in annual gross revenues from contracts ( subcontracts), loans, grants ( subgrants) cooperative agreements; (ii) Te public does not ave access to information about te compensation of te senior executives troug periodic reports filed under Section 13(a) or 15(d) of te string array 55 Tom Jones Jon Doe Mary Smit Ivana B. Ric Ama King Page 31 of 46 conditional based on te Prime indication of reporting applicability data element conditional based on te Prime indication of reporting applicabilit y data element If all of te conditions in te definition apply te recipient must report in te igly compensate d s
32 Securities Excange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or Section 6104 of te Internal Revenue Code of Prime Higly Compensated Compensation(5) (Conditional) For te five most igly compensated officers of te recipient: total compensation Total compensation is defined for ly Awarded Contracts: FAR Clause Grants Loans: Total compensation means te cas noncas dollar value earned by te executive during te sub recipient s past fiscal year of Currenc y Array (Dollar value - numeric ) 18, conditional based on te Prime indication of reporting applicability data element conditional based on te Prime indication of reporting applicabilit y data element If all of te conditions in te definition Page 32 of 46
33 te following (for more information see 17 CFR (c)(2)): (i). Salary bonus. (ii). Awards of stock, stock options, stock appreciation rigts. Use te dollar amount recognized for financial statement reporting purposes wit respect to te fiscal year in accordance wit FAS 123R. (iii). Earnings for services under non-equity incentive plans. Does not include group life, ealt, ospitalization or medical reimbursement plans tat do not discriminate in favor of executives, are available generally to all salaried employees. (iv). Cange in pension value. Tis is te cange in present value of defined benefit actuarial pension plans. (v). Above-market earnings on deferred compensation wic are not tax-qualified. apply te recipient must report in te igly compensate d s Page 33 of 46
34 Total Number of Sub-awards to individuals (vi). Oter compensation. For example, severance, termination payments, value of life insurance paid on bealf of te employee, perquisites or property if te value for te executive exceeds $10,000. Total Number of Sub-awards to individuals. string 6 10 Total Amount of Sub-awards to individuals Total Number of payments to vendors less tan $25,000/award Total Amount of payments to vendors less tan $25,000/award Total Amount of Sub-awards to individuals. Amounts reported are cumulative for te award. For Grants Loans Only Total Number of payments by te prime recipient to vendors less tan $25,000/award. For Grants Loans Only Total Amount of payments by te prime recipient to vendors less tan $25,000/award for te reporting quarter. Amounts Currenc y (Dollar value - numeric ) 18, string 6 10 Currenc y (Dollar value - numeric ) 18, No single Sub-award can exceed $24,999 or must be submitted for grants loans for grants loans Page 34 of 46
35 Total Number of Sub-awards less tan $25,000/award. reported are cumulative for te award. Total Number of Sub-awards less tan $25,000/award. individually in te vendor Section of te report. string 6 10 Total Amount of Subawards less tan $25,000/award. Total Amount of Subawards less tan $25,000/award for te reporting quarter. Amounts reported are cumulative for te award. SUB RECIPIENT DATA ELEMENTS Sub recipient Te sub recipient DUNS Number organization s 9- digit Data Universal Numbering System Subaward Number (DUNS) number Subaward Number or Oter Identifying Number Assigned by te Entity Currenc y (Dollar value - numeric ) 18, No single Sub-award can exceed $24,999 or must be submitted individually in te subrecipeint Section of report. string digit DUNS# is string 55 Sub-award number provided by Prime Prime assigns a sub-award.. Page 35 of 46
36 Sub recipient Legal Name Sub recipient DBA Name Sub recipient Address 1 Sub recipient Address 2 Te legal name of sub recipient as registered in CCR or D&B Te Doing--As (DBA) name of sub recipient as registered in CCR or D&B Sub recipient Location. Pysical location as listed in te Central Contractor Registration. string 120 Tis is inferred; obtained string 120 string 55 string 55 number (federally awarded contract, grant, loan) to te Sub troug CCR or D&B. Te System will pull tis information from CCR or D&B Data Populated from details found in CCR or D&B troug te DUNS# look-up Sub recipient string 55 Address 3 Sub recipient City string 35 Sub recipient State Sub recipient Zip+4 Sub recipient Country Sub recipient Congressional District string 2 string 9 string 3 string 2 51 Tis is Page 36 of 46
37 Sub recipient Type Amount of Subaward Tis data element is inferred from CCR. Te inferred is Type in CCR. Te anticipated total amount of funds to be disbursed to te sub-awardee over te life of te award. For ly Awarded Contracts: Total amount of subcontract string 300 2F - U.S. State Government Currenc y (Dollar value - numeric ) Page 37 of 46 Te System will pull tis from CCR M8 - Educational Institution 18, Sub Awards over $25,000. Reports are cumulative aggregated by subrecipient. Multiple subawards to a single subrecipient under te same award sould be aggregated reported in tis if te cumulative total exceeds $25,000 for te quarter. Fixed list from CCR
38 Total Subaward Funds Disbursed Subaward Date Sub recipient Primary Place of Performance Street Address 1 Sub recipient Primary Place of Performance Street Address 2 Sub recipient Place of Performance - State Sub recipient Place of Performance Country Sub recipient Place of For Grants Loans Only Amount of Subaward Disbursed. Te cumulative amount of cas disbursed to te sub-awardee as of te reporting period end date. Subaward Date. Te date te Subaward was signed (mm/dd/yyyy). Sub recipient Place of Performance (city, state, congressional district, country). Te pysical location of primary place of performance. Currenc y (Dollar value - numeric ) Date (YYYY MMDD Page 38 of 46 18, Te date is found on te sub-award document ) string 55 Tis is optional. string 55 Tis is optional string 2 MD string 2 US Tis is Tis is te 2 letter alpa code. Transparency Act Guidance Marc 30, 2007 Tis is Tis is Tis is optional. Tis is optional Tis is Tis is string Tis is
39 Performance Zip Code + 4 Sub recipient Place of Performance - City Sub recipient Place of Performance - Congressional District Sub indication of reporting applicability Names total compensation of eac of te five most igly compensated officers of te sub recipient for te calendar year in wic te awarded is awarded if (i) In te sub recipient s preceding fiscal year, te sub recipient received (A) 80 percent or more of its annual gross revenues from contracts ( subcontracts), loans, grants ( subgrants) cooperative agreements; string 35 Rockville Tis is string 2 8 Tis is string 3 Yes Yes or No Page 39 of 46 Tis is If all of te conditions in te definition apply te recipient or delegated sub recipient must report in te igly compensate d s
40 (B) $25,000,000 or more in annual gross revenues from contracts ( subcontracts), loans, grants ( subgrants) cooperative agreements; (ii) Te public does not ave access to information about te compensation of te senior executives troug periodic reports filed under Section 13(a) or 15(d) of te Securities Excange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or Section 6104 of te Internal Revenue Code of Page 40 of 46
41 Sub Higly Compensated Name(5) Names of eac of te five most igly compensated officers of te sub recipient for te calendar year in wic te award is awarded if (i) In te sub recipient s preceding fiscal year, te sub recipient received string array 55 Tom Jones Jon Doe Mary Smit Ivana B. Ric Ama King conditional based on te sub recipient indication of reporting applicability data element conditional based on te Sub indication of reporting applicabilit y data element (A) 80 percent or more of its annual gross revenues from contracts ( subcontracts), loans, grants ( subgrants) cooperative agreements; (B) $25,000,000 or more in annual gross revenues from contracts ( subcontracts), loans, grants ( subgrants) cooperative agreements; (ii) Te public does not ave access to information about te compensation of te senior executives troug periodic reports filed under If all of te conditions in te definition apply te recipient or delegated sub recipient must report in te igly compensate d s Page 41 of 46
42 Section 13(a) or 15(d) of te Securities Excange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or Section 6104 of te Internal Revenue Code of Sub Higly Compensated Compensation(5) (Conditional) For te five most igly compensated officers of te sub recipient: total compensation Total compensation is defined for ly Awarded Contracts: FAR Clause Currenc y Array (Dollar value - numeric ) 18, conditional based on te sub recipient indication of reporting applicability data element. conditional based on te Sub indication of reporting applicabilit y data element Grants Loans: Total compensation means te cas noncas If all of te conditions in te Page 42 of 46
43 dollar value earned by te executive during te sub recipient s past fiscal year of te following (for more information see 17 CFR (c)(2)): (i). Salary bonus. (ii). Awards of stock, stock options, stock appreciation rigts. Use te dollar amount recognized for financial statement reporting purposes wit respect to te fiscal year in accordance wit FAS 123R. (iii). Earnings for services under non-equity incentive plans. Does not include group life, ealt, ospitalization or medical reimbursement plans tat do not discriminate in favor of executives, are available generally to all salaried employees. (iv). Cange in pension value. Tis is te cange in present value of defined benefit actuarial pension plans. definition apply te recipient must report in te igly compensate d s Page 43 of 46
44 (v). Above-market earnings on deferred compensation wic are not tax-qualified. (vi). Oter compensation. For example, severance, termination payments, value of life insurance paid on bealf of te employee, perquisites or property if te value for te executive exceeds $10,000. VENDOR DATA ELEMENTS (All tese elements are for Grants Loans Only) Award Number Prime Vendor Subaward Number Subrecipient Vendor Vendor DUNS Number For Grants Loans Only: Identifying Number Assigned by te prime recipient. For Grants Loans Only: Award Number or Oter Identifying Number Assigned by te Subrecipient For Grants Loans Only: Vendor DUNS Number. Te vendor s 9 digit Data string 50 Varies by award agencies string 55 Sub-award number provided by Prime Page 44 of 46 Complete tis if submitting Prime vendor information. Complete tis if submitting Sub vendor information. string DUNS# 9digit is preferred. See Transparency Act Guidance Marc 30, 2007 for Prime Report for Sub Report
45 Universal Numbering System (DUNS) number comments for Vendor HQ Zip Code Vendor Name data elements Vendor HQ Zip Code + 4 Vendor Name Product Service Description For Grants Loans Only: Te zipcode of te vendor's eadquarters. For Grants Loans Only: Te name of te vendor. For Grants Loans Only: A description of te product /or service provided by te vendor Tis is optional for vendors of sub-recipients string Vendor HQ Zip Code Vendor Name are required if DUNS# is not available string 55 ROOFING RESOURCES INC Vendor HQ Zip Code Vendor Name are required if DUNS# is not available string 255 Runway repair Sort description of product /or service Page 45 of 46
46 Payment Amount For Grants Loans Only: Te amount invoiced to te vendor (aggregated) tat will be paid wit ARRA funds Tis is optional for vendors of sub-recipients Currenc y (Dollar value - numeric ) 18, Payments exceeding $25,000 for te quarter are reported. Amount reported is cumulative aggregated by vendor. Multiple payments to a single vendor under te same award sould be aggregated reported in tis if te cumulative total exceeds $25,000 for te quarter. Page 46 of 46
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