Reporting of Executive Compensation

Abt Associates Inc. is a government contractor and must comply with certain reporting requirements. The Federal
Funding Accountability and Transparency Act of 2006 as amended by section 6202 of Public Law 110-252, referred
to as the “Transparency Act”, or FFATA, requires us to report on subcontracts, awards and purchases exceeding
$30,000 (or local currency equivalent), and subawards, grants and other assistance exceeding $25,000 (or local
currency equivalent). If your organization meets certain criteria, we must report on the total compensation of the five
most highly compensated executives of your business or organization. Accordingly, please provide the information
listed below.

Name of Company: NAICS Code:

DUNS # for Company: DUNS # for any Parent Company:

Physical address,: Primary performance address,:

Congressional District for physical address (US Congressional District for primary performance
Companies only): address (US Companies only):

A description of the services/products being provided:

Please check Yes or No for each question below.

( ) Yes ( ) No In your business or organization's preceding completed fiscal year, did your business or
organization (the legal entity represented by the DUNS number above) receive: (1) 80
percent or more of your annual gross revenues in U.S. federal contracts, subcontracts,
loans, grants, subgrants, and/or cooperative agreements; and (2) $30,000,000 or more in
annual gross revenues from U.S. federal contracts, subcontracts, loans, grants, subgrants,
and/or cooperative agreements?

( ) Yes ( ) No Does the public have access to information about the compensation of the executives in
your business or organization, represented by the DUNS number above, through periodic
reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15
U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986?

If you answered ‘Yes’ to the first question and ‘No’ to the second question, we are required to obtain the total
compensation of the five most highly compensated executives of your company, therefore, the chart below must be
completed.

Total Income for the 5 most highly compensated executives in your company
(See Definitions on the next page)
1. Name: Total Income: $

F205.3-1 Rev. 2 May 2016

2. Name: Total income: $

3. Name: Total income: $

4. Name: Total income: $

5. Name: Total income: $

In the event of a status change, promptly notify Abt Associates Inc. of such change in writing. Abt must obtain annual updates to
this information so long as the subcontract or purchase order is active.

Signed By: Date:

Title:

This information will be posted on a public database and the public may view this information at
http://usaspending.gov.

Definitions:

a) Executive means officers, managing partners, or any other employees in management positions

b) Total compensation means the cash and noncash dollar value earned by the executive during the Contractor's
preceding fiscal year and includes the following (for more information see 17 CFR 229.402(c)(2)):
(1) Salary and bonus.
(2) Awards of stock, stock options, and stock appreciation rights. Use the dollar amount recognized for
financial statement reporting purposes with respect to the fiscal year in accordance with the Statement of Financial
Accounting Standards No. 123 (Revised 2004) (FAS 123R), Shared Based Payments.
(3) Earnings for services under non-equity incentive plans. This does not include group life, health,
hospitalization or medical reimbursement plans that do not discriminate in favor of executives, and are available
generally to all salaried employees.
(4) Change in pension value. This is the change in present value of defined benefit and actuarial pension
plans.
(5) Above-market earnings on deferred compensation which is not tax-qualified.
(6) Other compensation, if the aggregate value of all such other compensation (e.g., severance,
termination payments, value of life insurance paid on behalf of the employee, perquisites or property) for the
executive exceeds $10,000.

FOR ABT USE ONLY

Oracle Number: Oracle Name: Prime Contract Number:

F205.3-1 Rev. 2 May 2016