Form NSD-2 Supplemental Statement

U.S. Department of Justice
Washington, DC 20530

Supplemental Statement

OMB NO.1124-0002

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 supplemental statements required by
Section 2(b). Upon termination of the agency which required registration, a final statement shall be filed on this form for the
final period of the agency not covered by the previous statements, as required by Rule 205.

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.

Incorporation by Reference. This Statement shall be complete in and of itself. Incorporation of information by reference to
statements previously filed is not permissible.

8.

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.

9.

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).

10. Filing Date. This statement must be filed within 30 days after the expiration of the six-month reporting period. This
period of time may be extended, for good cause shown, upon written application by the registrant prior to the expiration
of the 30 day period.
11. 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 semiannual 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/.
12. 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-154

FORM NSD-2
SEPTEMBER 2007

Supplemental Statement

U.S. Department of Justice
Washington, DC 20530

OMB NO.1124-0002

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

For Six Month Period Ending

(Insert date)

I - REGISTRANT
1. (a) Name of Registrant

(b) Registration No.

(c) Business Address(es) of Registrant

2. Has there been a change in the information previously furnished in connection with the following:
(a)

If an individual:
(1) Residence address(es)
(2) Citizenship
(3) Occupation

Yes
Yes
Yes

No
No
No

(b)

If an organization:
(1) Name
(2) Ownership or control
(3) Branch offices

Yes
Yes
Yes

No
No
No

(c)

Explain fully all changes, if any, indicated in items (a) and (b) above.

IF THE REGISTRANT IS AN INDIVIDUAL, OMIT RESPONSE TO ITEMS 3, 4 AND 5(a).

3. If you have previously filed Exhibit C ¹, state whether any changes therein have occurred during this 6 month reporting period.
Yes
No
If yes, have you filed an amendment to the Exhibit C?

Yes

No

If no, please attach the required amendment.

1 The Exhibit C, for which no printed form is provided, consists of a true copy of the charter, articles of incorporation, association, and by laws of a registrant that is an organization. (A waiver of
the requirement to file an Exhibit C may be obtained for good cause upon written application to the Assistant Attorney General, National Security Division, U.S. Department of Justice, Washington,
DC 20530.)

Formerly CRM-154

FORM NSD-2
SEPTEMBER 2007

(PAGE 2)

4. (a) Have any persons ceased acting as partners, officers, directors or similar officials of the registrant during this 6 month reporting
period?
Yes
No
If yes, furnish the following information:
Name

Position

Date connection ended

(b ) Have any persons become partners, officers, directors or similar officials during this 6 month reporting period?
Yes
No
If yes, furnish the following information:

Name

Residence
address

Citizenship

Position

Date
assumed

5. (a) Has any person named in item 4(b) rendered services directly in furtherance of the interests of any foreign principal?
Yes
No
If yes, identify each such person and describe his service.

(b) Have any employees or individuals, who have filed a short form registration statement, terminated their employment or
connection with the registrant during this 6 month reporting period?
Yes
No
If yes, furnish the following information:
Name
Position or connection

Date terminated

(c) During this 6 month reporting period, has the registrant hired as employees or in any other capacity, any persons who rendered
or will render services to the registrant directly in furtherance of the interests of any foreign principal(s) in other than a clerical or
secretarial, or in a related or similar capacity? Yes
No
If yes, furnish the following information:

Name

Residence
address

Citizenship

Position

Date
assumed

6. Have short form registration statements been filed by all of the persons named in Items 5(a) and 5(c) of the supplemental statement?
Yes
No
If no, list names of persons who have not filed the required statement.

(PAGE 3)

II - FOREIGN PRINCIPAL
7. Has your connection with any foreign principal ended during this 6 month reporting period?
Yes
No
If yes, furnish the following information:
Name of foreign principal

Date of termination

8. Have you acquired any new foreign principal ² during this 6 month reporting period?
Yes
No
If yes, furnish the following information:
Name and address of foreign principal

Date acquired

9. In addition to those named in Items 7 and 8, if any, list foreign principals² whom you continued to represent during the 6 month
reporting period.

10.

EXHIBITS A AND B

(a)

Have you filed for each of the newly acquired foreign principals in Item 8 the following:
Exhibit A ³
4
Exhibit B

Yes
Yes

No
No

If no, please attach the required exhibit.
(b)

Have there been any changes in the Exhibits A and B previously filed for any foreign principal whom you
represented during the 6 month period?
Yes
No
If yes, have you filed an amendment to these exhibits?

Yes

No

If no, please attach the required amendment.

2 The term “foreign principal” includes, in addition to those defined in Section 1(b) of the Act, an individual organization 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. (See Rule 100(a) (9).) A registrant who
represents more than one foreign principal is required to list in the statements he files under the Act only those principals for whom he is not entitled to claim exemption under Section 3 of the
Act. (See Rule 208.)
3 The Exhibit A, which is filed on Form NSD-3 (Formerly CRM-157), sets forth the information required to be disclosed concerning each foreign principal.
4 The Exhibit B, which is filed on Form NSD-4 (Formerly CRM-155), sets forth the information concerning the agreement or understanding between the registrant and the foreign principal.

(PAGE 4)

III - ACTIVITIES
11. During this 6 month reporting period, have you engaged in any activities for or rendered any services to any foreign principal
named in Items 7, 8, and 9 of this statement?
Yes
No
If yes, identify each such foreign principal and describe in full detail your activities and services:

12. During this 6 month reporting period, have you on behalf of any foreign principal engaged in political activity 5 as defined below?
Yes
No
If yes, identify each such foreign principal and describe in full detail all such political activity, indicating, among other things,
the relations, interests and policies sought to be influenced and the means employed to achieve this purpose. If the registrant
arranged, sponsored or delivered speeches, lectures or radio and TV broadcasts, give details as to dates and places of delivery,
names of speakers and subject matter.

13. In addition to the above described activities, if any, have you engaged in activity on your own behalf which benefits any or all of
your foreign principals?
Yes
No
If yes, describe fully.

5 The term “political activities” means any activity that the person engaging in believes will, or that the person intends to, in any way influence any agency or official of the Government of the
United States or any section of the public within the United States with reference to formulating, adopting or changing the domestic or foreign policies of the United States or with reference to the
political or public interests, policies, or relations of a government of a foreign country or a foreign political party.

(PAGE 5)

IV - FINANCIAL INFORMATION
14. (a) RECEIPTS -MONIES
During this 6 month reporting period, have you received from any foreign principal named in Items 7, 8, or 9 of this
statement, or from any other source, for or in the interests of any such foreign principal, any contributions, income or money
either as compensation or otherwise?
Yes
No
If no, explain why.

If yes, set forth below in the required detail and separately for each foreign principal an account of such monies6.
Date

From whom

Purpose

Amount

Total
(b) RECEIPTS – FUND RAISING CAMPAIGN
During this 6 month reporting period, have you received, as part of a fund raising campaign7 , any money on behalf of any
No
foreign principal named in items 7, 8, or 9 of this statement? Yes
If yes, have you filed an Exhibit D 8 to your registration?
If yes, indicate the date the Exhibit D was filed.

Yes

No

Date

(c) RECEIPTS – THINGS OF VALUE
During this 6 month reporting period, have you received any thing of value 9 other than money from any foreign principal
named in Items 7, 8, or 9 of this statement, or from any other source, for or in the interests of any such foreign principal?
Yes
No
If yes, furnish the following information:
Name of
foreign principal

Date
received

Description of
thing of value

Purpose

6, 7 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.
(See Rule 201(e).)
8 An Exhibit D, 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.
9 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 6)

15. (a) DISBURSEMENTS – MONIES
During this 6 month reporting period, have you
(1) disbursed or expended monies in connection with activity on behalf of any foreign principal named in Items 7, 8, or
9 of this statement?
Yes
No
(2) transmitted monies to any such foreign principal?

Yes

No

If no, explain in full detail why there were no disbursements made on behalf of any foreign principal.
If yes, set forth below in the required detail and separately for each foreign principal an account of such monies, including
monies transmitted, if any, to each foreign principal.
Date

To whom

Purpose

Amount

Total

(PAGE 7)

(b) DISBURSEMENTS – THINGS OF VALUE
During this 6 month reporting period, have you disposed of anything of value10 other than money in furtherance of or in
connection with activities on behalf of any foreign principal named in Items 7, 8, or 9 of this statement?
Yes
No
If yes, furnish the following information:
Date
disposed

Name of person
to whom given

On behalf of
what foreign principal

Description of thing
of value

Purpose

(c) DISBURSEMENTS – POLITICAL CONTRIBUTIONS
During this 6 month reporting period, have you from your own funds and on your own behalf either directly or through any
11
other person, made any contributions of money or other things of value in connection with an election to any political office,
or in connection with any primary election, convention, or caucus held to select candidates for political office?
Yes
No
If yes, furnish the following information:
Date

Amount or thing
of value

Name of
political
organization

Name of
candidate

10, 11 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 8)

V - INFORMATIONAL MATERIALS
16. During this 6 month reporting period, did you prepare, disseminate or cause to be disseminated any informational materials 12 ?
Yes
No
IF YES, RESPOND TO THE REMAINING ITEMS IN SECTION V.
17. Identify each such foreign principal.

18. During this 6 month reporting period, has any foreign principal established a budget or allocated a specified sum of money to
No
finance your activities in preparing or disseminating informational materials?
Yes
If yes, identify each such foreign principal, specify amount, and indicate for what period of time.

19. During this 6 month reporting period, did your activities in preparing, disseminating or causing the dissemination of informational
materials include the use of any of the following:
Radio or TV
broadcasts

Magazine or newspaper
articles

Motion picture films

Letters or telegrams

Advertising campaigns

Press releases

Pamphlets or other publications

Lectures or speeches

Internet

Other (specify)

20. During this 6 month reporting period, did you disseminate or cause to be disseminated informational materials among any of the
following groups:
Public officials

Newspapers

Libraries

Legislators

Editors

Educational institutions

Government agencies

Civic groups or associations

Nationality groups

Other (specify)
21. What language was used in the informational materials:
English

Other (specify)

22. Did you file with the Registration Unit, U.S. Department of Justice a copy of each item of such informational materials
disseminated or caused to be disseminated during this 6 month reporting period?
Yes
No
23. Did you label each item of such informational materials with the statement required by Section 4(b) of the Act?
Yes
No
12 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 9)

VI – 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 )

(Type or print name under each signature 13 )

13 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.