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Privacy Act Statement. Thefilingof this document is rm^trirerjfortheFoFeignAgents Registration Act of 1938, as amended, 22 U.S.C. 611 etsetj.,
for the purposes of registration under the Apt and public disclosure. Provision of die information requested is mandatory, and failure to provide the
mformation 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 nuonnational materials or other document or information Hied with the
Attorney General onder this Act is a publicrecordopen to public examination, inspection and copying during tbe posted business hours Ofthe
Registrationi Unit in Washington, X)C, Statements are also available online at the Registration Unit's webpage:: hrtp;ffrvww. fant.gov. One copy of
every suchfocameat,other than informational materials, is automatically provided to the Secretary of State pursuant to Section 6(b) ofthe Act, and
copies of any and all documents are routinely made available to other agencies, departments arid Congress pursuant to Section 6(c) ofthe Act. The
Attorney General also transmits a semi-annual report to Congress on the adrruoistration of the Act which lists (be names of all agentsregisteredunder
die Act and theforeignprincipals they represent. This report is available to the public in print and online at: http:/Avww. fara.gov.
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Please see attachment for amended responses.
FORMNSD-5
Revised 03/14
EXECUTION
In accordance with 28 U.S.C., 1746, the undersigned sweats) or afi^(s) imder penalty of perjury that he/she has (they have) read
the mformation 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 bestof his/her (their) knowledge and belief, .except that the
undersigned make(s) no representation as to the tram or accuracy of the information contained in the attached Short Form Registeation
StatemernXsj, if any, insofar as such information is not within his/her (their) personal: knowledge.
1
(Date-of signature) (Print or type t ^ e under each signature or provide electronic signature )
1
This statement shall be signed by ihe individual agent, if theregistrantis an individual, or by a majority of those partners, officers, A'rectore or persons performing simitar
functions, if the registrant is are organization, except that theorganization can, by power of attorney, authorize one or more individuals to execute this statement on its behalf
Question 5(b)
Question 5(b)
Question 15(c)
Employee Date Amount Recipient Event Location
Adams 6/26/2013 $500 Sherman for Congress Washington, DC
Amsler None SO" No contributions to report Not applicable
Anderson None $0 No contributions to report Not applicable
Antelo "274/2013 $100 Turqoufse PAC Washington, DC
Anteio 2/7/2013 $250 HorsfordforCongress Washington, DC
Antelo .2/25/2013 $500 Democratic Senatorial Campaign Washington, DC
Committee
Antelo 3/13/2013 $500 Dr. Raul Ruiz mr Congress Washington, DC_
Anteio 3/20/2013 $250 Lloyd DoggettforU.S. Congress Comrnittee Washingtor), DC
Antelo 3/20/2013 $500 Udall for Colorado Washington, DC
Antelo 3/21/2013 $500 Haga n Senate Committee Washington, DC
Antelo 3/25/2013 $500 BecerraforCongress Washington, DC
Antelo 3/25/2013 $500 Democratic Senatorial Campaign Washington, DC
Committee
Antelo 3/27/2013 $250 Kyrsten Sinema for Congress Washington, DC
Antelo 4/2/2013 '$50' Pete Aguiiar for Congress Washington, DC
Antelo 4/10/2013 Elizabeth Colbert Busch Victory Fund Washington, DC
Antelo 472572)13 $500 Democratic Senatorial Campaign Washington, DC
Committee
Antelo 4/25/2013 $750 HarrisonforSCDP Chair Washington, DC
Antelo 4/26/2013 $500 CastroforMayor Campaign Washingtoji, DC
Antelo 5/9/2013 $500 Friends of Schumer Washington, DC
Antelo 5/25/2013 $500 Democratic Senatorial Campaign Washington, DC
Committee
Antelo 5/27/2013 $250 Pete AguiiarforCongress Washington, DC
Anteio 6/17/2013 $500 Friends of Jeanne Shaheen Washington, DC
Antelo 6/2572013 $625 CHC BOLD PAC Cheasapeake, MD
Antelo 6/25/2013 $500 Democratic Senatorial Campaign Washington, DC
Committee
Antelo 6/27/2013 $500" CastroforCongress Washington, DC
Anteio 6/30/2013 $500 AI FrankenforSenate 2014 Washington, DC
Question 15(c)
Benjamin Chang
Timothy Glassco
Kevin Griffis
Trey Hardin
David Kusnet
Riley Moore
David Morgenstern