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NACCHO (CWDR) 11.5.2020-06.30.2022 (2)
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2021-12-07 10:00 AM - Commissioners' Agenda
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NACCHO (CWDR) 11.5.2020-06.30.2022 (2)
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Last modified
12/2/2021 1:19:40 PM
Creation date
12/2/2021 1:19:09 PM
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Meeting
Date
12/7/2021
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
t
Item
Request to Approve Modification to Contract #2021-012106 with the National Association of County and City Health Officials (NACCHO)
Order
20
Placement
Consent Agenda
Row ID
83921
Type
Contract
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FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT <br />Data Collection Form <br />Funding Agency: <br />Treasury account symbol (TAS) as reported in FPDS <br />CFDA #: <br />4. If you answered Yes to Questions 1 and 2, is 80% or more of your annual gross revenues from federal <br />contracts, subcontracts, loans, grants, subcontracts and cooperative agreements? <br />0 Yes ® No <br />5. If you answered Yes to Question 4, do you have $25,000,000 or more in annual gross revenues from <br />Federal contracts, subcontracts, loans, grants, sub -grants, and cooperative agreements? <br />Yes ©No <br />6. If you answered Yes to Questions 4 and 5, is information about the compensation of Subcontractor <br />executives available publicly through periodic reports filed under Section 13(a) or 15(d) of the <br />Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d) or Section 6104 of the Internal Revenue <br />Code of 1986? If Yes, please provide copies of the public filings providing such information. <br />If no, please provide the following information below: Names and total compensation of each of the <br />five (5) most highly compensated executives for Subcontractor's preceding fiscal year. Total <br />compensation includes salary and bonus, awards of stock, stock options and stock appreciation rights, <br />earnings for services under non -equity incentive plans, change in pension value, above -market earnings <br />on deferred compensation which is not tax -qualified, and other compensation, if the aggregate value of <br />all such other compensation (e.g. severance, termination payments, value of life insurance paid on <br />behalf of employee, perquisites or property) for the executive exceeds $10,000. For more information, <br />please see 17 CFR 229.402(c)(2). <br />Names and total compensation of the five highest compensated officers of the entity: <br />NAME <br />1. <br />2. <br />3. <br />4. <br />5. <br />COMPENSATION <br />
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