Form NSD-1 Registration Statement

U.S. Department of Justice
Washington, DC 20530

Registration Statement

OMB NO. 1124-0001

Pursuant to Section 2 of the Foreign Agents Registration Act
of 1938, as amended

INSTRUCTION SHEET-READ CAREFULLY
1.

Use. All persons required to register under this Act shall use this form in submitting the information required by
Section 2(a).

2.

Read Act and Rules. Registrant should carefully read the Act and the Rules thereunder before filling in this form.

3.

Typewritten. The completed form should be typewritten but will be accepted for filing if written legibly in ink.

4.

Copies. Compliance is accomplished by filing an original official registration form and two legible photocopies.

5.

Answer. Unless otherwise specifically instructed in this form, a registrant shall answer every item on this form. Whenever
the item is inapplicable or the appropriate response to an item is ''none'', an express statement to that effect shall be made.

6.

Inserts. Inserts and riders of less than full page size shall not be used. Whenever insufficient space is provided for response
to any item, reference shall be made in such space to a full insert page or pages on which the item number and inquiry shall
be restated and a complete answer given.

7.

Filing. One original and two legible photocopies of this statement, including all exhibits, shall be filed with the Registration
Unit, Counterespionage Section, National Security Division, U.S. Department of Justice, Washington, DC 20530.
All copies must be filed with a statement made in accordance with 28 U.S.C. § 1746. A fourth copy should be retained by
the registrant.

8.

Filing Fee. The filing of this document requires the payment of a filing fee for each listed foreign principal as set forth in
Rule 5(d)(1), 28 C.F.R. 5.5(d)(1).

9.

Privacy Act Statement. The filing of this document is required by the Foreign Agents Registration Act of 1938, as
amended, 22 U.S.C. § 611 et seq., for the purposes of registration under the Act and public disclosure. Provision of the
information requested is mandatory, and failure to provide this information is subject to the penalty and enforcement
provisions established in Section 8 of the Act. Every registration statement, short form registration statement, supplemental
statement, exhibit, amendment, copy of informational materials or other document or information filed with the Attorney
General under this Act is a public record open to public examination, inspection and copying during the posted business
hours of the Registration Unit in Washington, DC. Statements are also available online at the Registration Unit's webpage:
http://www.fara.gov/. One copy of every such document, other than informational materials, is automatically provided to
the Secretary of State pursuant to Section 6(b) of the Act, and copies of any and all documents are routinely made available
to other agencies, departments and Congress pursuant to Section 6(c) of the Act. The Attorney General also transmits a
semi-annual report to Congress on the Administration of the Act which lists the names of all agents registered under the
Act and the foreign principals they represent. This report is available to the public in print and online at: http://www.fara.gov/.

10. Public Reporting Burden. Public reporting burden for this collection of information is estimated to average 1.375 hours per
response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden to Chief, Registration Unit,
Counterespionage Section, National Security Division, U.S. Department of Justice, Washington, DC 20530; and to the
Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503.
Note: Omit this instruction sheet when filing this Statement.

Formerly CRM-153

FORM NSD-1
SEPTEMBER 2007

U.S. Department of Justice
Washington, DC 20530

Registration Statement

OMB NO. 1124-0001

Pursuant to Section 2 of the Foreign Agents Registration Act
of 1938, as amended

I - REGISTRANT
1. Name of Registrant

2. Registration No.
3. Principal business address

4. If the registrant is an individual, furnish the following information:
(a) Residence address(es)
(b) Other business address(es), if any
(c) Nationality
(d) Year of birth
(e) Present citizenship
(f) If present citizenship not acquired by birth, state when, where and how acquired
(g) Occupation

5. If the registrant is not an individual, furnish the following information:
(a) Type of organization: Committee

Association
Corporation

Partnership

Voluntary group

Other (specify)

(b) Date and place of organization
(c) Address of principal office
(d) Name of person in charge

(e) Locations of branch or local offices

(f) If a membership organization, give number of members

Formerly CRM-153

FORM NSD-1
SEPTEMBER 2007

(PAGE 2)

(g) List all partners, officers, directors or persons performing the functions of an officer or director of the registrant.
Name

Residence address(es)

Position

Nationality

(h) Which of the above named persons renders service directly in furtherance of the interests of any of the foreign principals?

(i) Describe the nature of the registrant's regular business or activity.

(j) Give a complete statement of the ownership and control of the registrant.

6. List all employees who render services to the registrant directly in furtherance of the interests of any of the foreign principals in
other than clerical, secretarial, or related or similar capacity.
Name

Residence address(es)

Nature of services

(PAGE 3)

II - FOREIGN PRINCIPAL
1

7. List every foreign principal for whom the registrant is acting or has agreed to act.
Name of foreign principal

Principal address(es)

III - ACTIVITIES
8. In addition to the activities described in any Exhibit B to this statement, will you engage or are you engaging now in activity on
your own behalf which benefits any or all of your foreign principals?
No
Yes
If yes, describe fully.

IV - FINANCIAL INFORMATION
9. (a) RECEIPTS -MONIES

2

During the period beginning 60 days prior to the date of your obligation to register to the time of filing this statement,
did you receive from any foreign principal named in Item 7 any contribution, income, or money either as compensation or for
Yes
disbursement or otherwise?
No
3

If yes, set forth below in the required detail and separately for each such foreign principal an account of such monies .
Name of
foreign principal

Date
received

Purpose

Amount

Total
1 The term ''foreign principal'' includes a foreign government, foreign political party, foreign organization, foreign individual and, for the purpose of registration, an organization or an
individual any of whose activities are directly or indirectly supervised, directed, controlled, financed, or subsidized in whole or in major part by a foreign government, foreign political party,
foreign organization or foreign individual.
2 An agent must register within ten days of becoming an agent, and before acting as such.
3 A registrant is required to file an Exhibit D if he collects or receives contributions, loans, money, or other things of value for a foreign principal, as part of a fund raising campaign. There is
no printed form for this exhibit. (See Rule 201 (e).)

no printed form for this exhibit. (See Rule 201 (e).)

(PAGE 4)

(b) RECEIPTS -THINGS OF VALUE
4
During the period beginning 60 days prior to the date of your obligation to register to the time of filing this statement, did
5
you receive from any foreign principal named in Item 7 anything of value other than money, either as compensation, or for
disbursement, or otherwise?
Yes
No
If yes, furnish the following information:

Name of
foreign principal

10.

Description of
thing of value

Date
received

Purpose for which
received

(a) DISBURSEMENT-MONIES
6
During the period beginning 60 days prior to the date of your obligation to register to the time of filing this statement, did
you spend or disburse any money in furtherance of or in connection with your activities on behalf of any foreign principal
named in Item 7?
No
Yes
If yes, set forth below in the required detail and separately for each such foreign principal named including monies
transmitted, if any, to each foreign principal.
Date

To whom

Purpose

Amount

(b) DISBURSEMENTS -THINGS OF VALUE
7
During the period beginning 60 days prior to the date of your obligation to register to the time of filing this statement, did
8
you dispose of any thing of value other than money in furtherance of or in connection with your activities on behalf of any
foreign principal named in Item 7?
Yes
No
If yes, furnish the following information:

Date

Name of person
to whom given

On behalf of what
foreign principal

Description of
thing of value

Purpose in
giving

(c) DISBURSEMENTS -POLITICAL CONTRIBUTIONS
9
During the period beginning 60 days prior to the date of your obligation to register to the time of filing this statement, did
you, the registrant, or any short form registrant, make any contribution of money or other thing of value from your own funds
and on your own behalf in connection with an election to any political office or in connection with any primary election,
Yes
No
convention, or caucus held to select candidates for any political office?
If yes, furnish the following information:
Date

Amount or
thing of value

Party or candidate

Identify location of
election, convention, etc.
if any

4,6,7 and 9 See Footnote 2, on page 3.
5 and 8 Things of value include but are not limited to gifts, interest free loans, expense free travel, favored stock purchases, exclusive rights, favored treatment over competitors, ''kickbacks'',
and the like.

(PAGE 5)

V - INFORMATIONAL MATERIALS

10

11. Will the activities of the registrant on behalf of any foreign principal include the preparation or dissemination of informational
materials?
Yes
No
IF YES, RESPOND TO THE REMAINING ITEMS IN THIS SECTION V.

12. Identify each such foreign principal.

13. Has a budget been established or specified sum of money allocated to finance your activities in preparing or disseminating
informational materials? Yes
No
If yes, identify each such foreign principal, specify amount and for what period of time.

14. Will any public relations firms or publicity agents participate in the preparation or dissemination of such informational materials?
No
Yes
If yes, furnish the names and addresses of such persons or firms.

15. Will your activities in preparing or disseminating informational materials include the use of any of the following:
Radio or TV broadcasts
Advertising campaigns
Magazine or Newspaper articles
Press releases
Internet

Motion picture films
Pamphlets or other publications
Letters or telegrams
Lectures or speeches
Other (specify):

16. Will the informational materials be disseminated among any of the following groups:
Civic groups or associations
Public officials
Libraries
Legislators
Educational groups
Government agencies
Nationality groups
Newspapers
Other (specify):
Editors
17. Indicate language to be used in the informational materials:
English

Other (specify)

10 The term informational materials includes any oral, visual, graphic, written, or pictorial information or matter of any kind, including that published by means of advertising, books,
periodicals, newspapers, lectures, broadcasts, motion pictures, or any means or instrumentality of interstate or foreign commerce or otherwise. Informational materials disseminated by an
agent of a foreign principal as part of an activity in itself exempt from registration, or an activity which by itself would not require registration, need not be filed pursuant to Section 4(b) of the
Act.

(PAGE 6)

VI - EXHIBITS AND ATTACHMENTS
18. (a) The following described exhibits shall be filed in triplicate with an initial registration statement:
Exhibit A-

This exhibit, which is filed on Form NSD-3, sets forth the information required to be disclosed concerning each
foreign principal named in Item 7.

Exhibit B-

This exhibit, which is filed on Form NSD-4, sets forth the information concerning the agreement or understanding
between the registrant and the foreign principal.

(b) An Exhibit C shall be filed when applicable. This exhibit, for which no printed form is provided, consists of a true copy of the
charter, articles of incorporation, association, constitution, and bylaws of a registrant that is an organization. A waiver of the
requirement to file an Exhibit C may be obtained for good cause shown upon written application to the Assistant Attorney
General, National Security Division, U.S. Department of Justice, Washington, DC 20530. (See Rule 201(c) and (d).)
(c) An Exhibit D shall be filed when applicable. This exhibit, for which no printed form is provided, sets forth an account of money
collected or received as a result of a fund raising campaign and transmitted for a foreign principal. (See Rule 201(e).)

VII - EXECUTION
In accordance with 28 U.S.C. § 1746, the undersigned swear(s) or affirm(s) under penalty of perjury that he/she has (they
have) read the information set forth in this registration statement and the attached exhibits and that he/she is (they are) familiar with the
contents thereof and that such contents are in their entirety true and accurate to the best of his/her (their) knowledge and belief, except
that the undersigned make(s) no representation as to the truth or accuracy of the information contained in the attached Short Form
Registration Statement(s), if any, insofar as such information is not within his/her (their) personal knowledge.
(Date of signature)

11

(Type or print name under each signature )

11 This statement shall be signed by the individual agent, if the registrant is an individual, or by a majority of those partners, officers, directors or persons performing similar functions, if the
registrant is an organization, except that the organization can, by power of attorney, authorize one or more individuals to execute this statement on its behalf.