Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM 6440 Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM (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 Ƒ No Ƒ If yes, furnish the following information: Name Date Connection Ended Position (b) Have any persons become partners, officers, directors or similar officials during this 6 month reporting period? Yes Ƒ No Ƒ If yes, furnish the following information: Residence Address Name 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? No Yes If yes, identify each such person and describe the service rendered. Ƒ Ƒ (b) During this six 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 No secretarial, or in a related or similar capacity? Yes Ƒ Residence Address Name Ƒ Citizenship Position Date Assumed (c) Have any employees or individuals, who have filed a short form registration statement, terminated their employment or No connection with the registrant during this 6 month reporting period? Yes If yes, furnish the following information: Ƒ Name Position or Connection Ƒ Date Terminated (d) Have any employees or individuals, who have filed a short form registration statement, terminated their connection with any foreign No principal during this 6 month reporting period? Yes Ƒ Ƒ If yes, furnish the following information: Name Position or Connection Foreign Principal Date Terminated 6. Have short form registration statements been filed by all of the persons named in Items 5(a) and 5(b) of the supplemental statement? Ƒ Ƒ No Yes If no, list names of persons who have not filed the required statement. Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM (PAGE 3) II - FOREIGN PRINCIPAL 7. Has your connection with any foreign principal ended during this 6 month reporting period? If yes, furnish the following information: Yes Ƒ No Ƒ No Ƒ Date of Termination February 2014 Foreign Principal Ukrainian Party of Regions 8. Have you acquired any new foreign principal(s)2 during this 6 month reporting period? If yes, furnish th following information: Yes Ƒ Date Acquired Name and Address of Foreign Principal(s) 9. In addition to those named in Items 7 and 8, if any, list foreign principal(s) 2 whom you continued to represent during the 6 month reporting period. Ukrainian Party of Regions 10. (a) Have you filed exhibits for the newly acquired foreign principal(s), if any, listed in Item 8? Yes No Exhibit A3 4 Exhibit B Yes No Ƒ Ƒ Ƒ Ƒ 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 this six month period? Yes No If yes, have you filed an amendment to these exhibits? Yes No Ƒ Ƒ Ƒ Ƒ 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, sets forth the information required to be disclosed concerning each foreign principal. 4 The Exhibit B, which is filed on Form NSD-4, sets forth the information concerning the agreement or understanding between the registrant and the foreign principal. Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM (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, or 9 of this statement? Yes No Ƒ Ƒ If yes, identify each foreign principal and describe in full detail your activities and services: Focused on electing Party of Regions' candidates at the national and regional levels in the Ukraine by implementing prodemocratic campaign activities, engaging in party building activities, developing a party platform and political agenda, and implementing election planning, election integrity, and international election monitoring programs. Communicated with the U.S. Embassy in Kiev regarding developing events in Ukraine. Provided strategic counsel and advice to members of the Party of Regions regarding their interactions with U.S. government officials and other Western influential persons to advance the goal of greater political and economic integration between the Ukraine and the West. Provided advice to the European Centre for a Modern Ukraine, which was also working for the same purpose. 12. During this 6 month reporting period, have you on behalf of any foreign principal engaged in political activity5 as defined below? No Yes Ƒ Ƒ 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, places of delivery, names of speakers and subject matter. Please Note: The information contained in this filing, including but not limited to descriptions of activities giving rise to the Registrant’s present registration and/or contemporaneous financial receipts or disbursements, reflect only Registrant's best recollection of relevant events and such records currently available, to the knowledge and belief of the Registrant, for review by the Registrant and his legal counsel. The Registrant may amend and/or supplement such disclosures should additional, relevant information become available. 13. In addition to the above described activities, if any, have you engaged in activity on your own behalf which benefits your foreign principal(s)? Yes No Ƒ Ƒ If yes, describe fully. 5 "Political activity," as defined in Section 1(o) of the Act, 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 political or public interests, policies, or relations of a government of a foreign country or a foreign political party. Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM (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 Ƒ Ƒ If no, explain why. If yes, set forth below in the required detail and separately for each foreign principal an account of such monies.6 From Whom Date Please see attached Purpose Amount ____________________ Total (b) RECEIPTS - FUNDRAISING CAMPAIGN During this 6 month reporting period, have you received, as part of a fundraising campaign7, any money on behalf of any foreign principal named in Items 7, 8, or 9 of this statement? Yes No 8 If yes, have you filed an Exhibit D to your registration? If yes, indicate the date the Exhibit D was filed. Ƒ Yes Ƒ Ƒ No Ƒ Date ____________________ (c) RECEIPTS-THINGS OF VALUE During this 6 month reporting period, have you received any thing of value9 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 Ƒ Ƒ If yes, furnish the following information: Foreign Principal Date Received Thing of Value Purpose 6, 7 A registrant is required to file an Exhibit D if he collects or receives contributions, loans, moneys, or other things of value for a foreign principal, as part of a fundraising 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 fundraising 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. Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM (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 No 9 of this statement? Yes Ƒ Ƒ (2) transmitted monies to any such foreign principal? Yes Ƒ No Ƒ 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 Please see attached To Whom Purpose Amount _______________________ Total Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM (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? No Yes Ƒ Ƒ If yes, furnish the following information: Recipient Date Foreign Principal 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 other person, made any contributions of money or other things of value11 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 Ƒ No Ƒ If yes, furnish the following information: Date Amount or Thing of Value Political Organization or Candidate Location of Event 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. Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM (PAGE 8) V - INFORMATIONAL MATERIALS 16. (a) During this 6 month reporting period, did you prepare, disseminate or cause to be disseminated any informational materials?12 Yes No If Yes, go to Item 17. (b) If you answered No to Item 16(a), do you disseminate any material in connection with your registration? Yes No If Yes, please forward the materials disseminated during the six month period to the Registration Unit for review. Ƒ Ƒ Ƒ Ƒ 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 finance your activities in preparing or disseminating informational materials? Yes No Ƒ Ƒ 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 Motion picture films Letters or telegrams Advertising campaigns Press releases Pamphlets or other publications Lectures or speeches Other (specify) _________________________________________________________________________________________ Ƒ Ƒ Ƒ Ƒ Ƒ Ƒ Ƒ Ƒ Ƒ Electronic Communications Ƒ Email Ƒ Website URL(s): _______________________________________________________________________________________ Ƒ Social media websites URL(s): ____________________________________________________________________________ Ƒ 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: Ƒ Public officials Ƒ Newspapers Ƒ Legislators Ƒ Editors Ƒ Government agencies Ƒ Civic groups or associations Ƒ Other (specify)________________________________________ Ƒ Libraries Ƒ Educational institutions Ƒ Nationality groups 21. What language was used in the informational materials: Ƒ Other (specify) _______________________________________ Ƒ English 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 Ƒ Ƒ 23. Did you label each item of such informational materials with the statement required by Section 4(b) of the Act? Yes No Ƒ Ƒ 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. Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM (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 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) 13 (Print or type name under each signature or provide electronic signature ) June 27, 2017 _____________________________________ /s/ Paul J. Manafort _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ eSigned 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. Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM Question 14(a) Receipts Please Note: The information contained in this filing, including but not limited to descriptions of activities giving rise to the Registrant’s present registration and/or contemporaneous financial receipts or disbursements, reflect only Registrant’s best recollection of relevant events and such records currently available, to the knowledge and belief of the Registrant, for review by the Registrant and his legal counsel. The Registrant may amend and/or supplement such disclosures should additional, relevant information become available. Date 1/2014 Foreign Principal Party of Regions Purpose Services Rendered Amount $500,000.00 Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM Question 15(a) Disbursements Please Note: The information contained in this filing, including but not limited to descriptions of activities giving rise to the Registrant’s present registration and/or contemporaneous financial receipts or disbursements, reflect only Registrant’s best recollection of relevant events and such records currently available, to the knowledge and belief of the Registrant, for review by the Registrant and his legal counsel. The Registrant may amend and/or supplement such disclosures should additional, relevant information become available. Date Contractor Purpose Amount January – February 2014 1/23/2014 Konstantin Kilimnik Professional services 1/23/2014 Konstantin Kilimnik Professional services and administrative overhead for Kiev operations 1/28/2014 Konstantin Kilimnik Professional services and administrative overhead for Kiev operations $15,000.00 $39,500.00 $21,000.00 Other Expenses Purpose Amount January – February 2014 $117,818.79 Travel Meals/Living Expenses $36,763.06 Received By NSD/FARA Registration Unit 06/27/2017 04:52:45 PM