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FFATA FORM <br />Subrecipient Agency: Kittitas County <br />Grant and Year: 18 EMPG Agreement Number: E19-136 <br />Completed <br />by: Darren Higashiyama <br />Name <br />Date Completed: 11/13/18 <br />Commander <br />Title <br />STOP, no further <br />analysis needed, <br />GO to Step 6 <br />GO to STEP4 <br />509-933-8206 <br />Tele • hone <br />GO to Step 2 <br />STOP, no further <br />analysis needed, GO to <br />Step 6 <br />STOP, no further <br />analysis needed, GO to <br />Step 6 --~ <br />Does the public have access to information about <br />the total compensation* of senior executives in <br />your organization? <br />YES • STOP, no further <br />analysis needed, <br />GO to step 6 <br />NO • GO to STEPS <br />1~.... --~~-or- <br />Executive #1 Name: <br />Total Compensation amount $ <br />Executive #2 Name: <br />Total Compensation amount $ <br />Executive #3 Name: <br />Total Compensation amount $ <br />Executive #4 Name: <br />Total Compensatiqn amount $ <br />Executive #5 Name: <br />Total Go,npensation amount $ <br />_==-==ii <br />I:=----------------------_ ~l.:~t~~ --_-_ ------=--. --=----=--~ <br />If your organization does not meet these criteria, specifically identify below each criteria that is not met for your <br />organization: For Example: "Our organization received less than S25.000." <br />Date: 11/13/18 <br />* Total compensation refers to: <br />• Salary and bonuses <br />• Awards of stock, stock options, and stock appreciation rights <br />• Other compensation including, but not limited to, severance and termination payments <br />• Life insurance value paid on behalf of the employee <br />Additional Resources: <br />http ://www .whitehouse.gov/omb/open <br />http://www.hrsa.gov/qrantslffata.html <br />http ://www.gpo.gov/fdsys/pkq/FR-2010-09-14/pdf/2010~22705.pdf <br />http ;//www .grants.gov/ <br />Page 1 of 3