Form1590 Sub Recipient Information FFATA by IjlztXD

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									                                SUB-RECIPIENT INFORMATIONAL FORM

                      Federal Funding Accountability and Transparency Act 2006




                                         Sub-Recipient Information
SUB-RECIPIENT NAME AND ADDRESS
          Name:

        Address:


           City:                                                      State:
            Zip:

Sub-Recipient DUNS Number:

Sub-Recipient MPIN Number (CCR Registration number):



Sub-Recipients Annual Gross Revenues Exceed
80% or more in Federal Awards                                  Yes                         No
Sub-Recipients Annual Gross Revenues Equal or
Exceed $25,000,000                                             Yes                         No
Sub-Recipient Highly Compensated Officer               Officer Name            Officer Compensation




COMMENT




PREPARED BY:                                                                             DATE:
          Name:
           Title:
          Email:
MoDOT Form 1590

								
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