Received by NSD/FARA Registration Unit 01/18/2018 3:51:37 PM
OMB No. 1124-0002; Expires May 31,2020
U.S.

Supplemental Statement
Pursuant to the Foreign Agents Registration Act of
1938, as amended
■bsbmb^——

Department of Justice

Washington, DC 20530

For Six Month Period Ending 01/1B/2018
(Insen due)

I-REGISTRANT
1. (a) Name of Registrant

(b) Registration No.

{J50$

Crossroads Strategies LLC
(c) Business Address(es) of Registrant

800 N. Capitol Street NW
Suite 600
Washington, DC. 20002

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 O
Yes □

No □
No □
No □

<b) If an organization:
(1) Name
(2) Ownership or control

Yes □
Yes □

Nog
No®

Yes □

No B

(3) Branch offices

(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 C1, state whether any changes therein have occurred during this 6 month reporting period.
Yes □
No H
If yes, have you filed an amendment to the Exhibit C?
If no, please attach the required amendment.

Yes □

No □
,

1 The Exhibit c, (or which no printed form is provided, consists of# true copy of the charter,articles of incorporation,' association, and by laws ot a registrant ifiaf is an
organization. (A waiver ofthe requirement to file an Exhibit C may be obtained for good cause upon written application to the Assistant Attorney General National Security
Division. US. Department of Justice, Washington. DC 205301)

FORM NSD-2
Revised 05/17

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47(a) Haveany personVceased acting'in pnrtnersTonicers.directorsorsimilar officials of the registrant during this 6 month reporting period?
Yes □

No SI

If yes, furnish (he following information:
Name

Position

Date Connection Ended

(b) Have any persons become partners, officers, directors or similar officials during tills 6 month reporting period?
Yes □
NoS
Ifyes, 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 the service rendered.

(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 p'rincipal(s) in other than a clerical or
secretarial, or in a related or similar capacity?
Yes □
No SI
Name

Residence Address

Citizenship

Position

Date Assumed

(c) Have any employees or individuals, who have filed a short form registration statement, terminated (heir employment or
connection with.the registrant during this 6 month reporting period? Yes G
No E!
Ifyes, fiirnish the following information:
Name
Position or Connection
Date Terminated

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

Sarah V- Gilmore

Position or Connection

Business Development

Foreign Principal

Government of Victoria, Australia

Date Terminated

10/17/2017

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?
Yes (SI
No G
If no, list names of persons who have not filed the required statement.

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n - FOREIGN PRINCIPAL
7. Has your connection with any foreign principal ended during this 6 month reporting period?

Yes 13

No □

If yes, furnish the following information:
Foreign Principal

Date of Termination

Government of Victoria, Australia

10/17/2017

8. Have you acquired any new foreign principally' during this 6 month reporting period?

Yes G

No S

If yes, furnish th following information:
Name and Address of Foreign Principals)

Date Acquired

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.

None

10. (a) Have you filed exhibits for the newly acqu ired foreign principaf(s), if any, listed in Item 8?
Exhibit A3
Yes □
No □
Exhibit B4

Yes □

No □

If no, please attach the required exhibit.
(b) Have there been any changes in the Exliibits A and B previously filed for any foreign principal whom you
represented during this six month period?
Yes □
No ESI
If yes, have you filed an amendment to these exhibits?

Yes □

No Si

I f no, please attach the required amendment.

2 The torn ’foreign principal' includes, in addition to those defined in Section 1(b) of the Act, an individual organiaition any of whose activities are directly or indirectly
supervised, directed, controlled, financed, or subsidized in wiiolc 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 (he Act (See Rule 20S.)
3 The Exhibit A, which is filed on Form NSD-3, sets foith the information required to be disclosed concerning each foreign principal.
4 The Exhibit B, which is filed on Form NSD-4, sets foith the information concerning (he agreement or understanding between the registrant and tlw
foreign principal.

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UI-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 0
No □
Ifyes, identify each foreign principal and describe in full detail your activities and services:

Government of Victoria, Australia: Conduct market research; tdentify/compiie qualified list of prospective U.S.
companies; work in collaboration with the Government of Victoria to refine list/conduct outreach to qualified leads;
secure meetings and provide a detailed company profile for each company to the Government of Victoria; facilitate
and attend introductory meetings when requested.

12. During this 6 month reporting period, have you on behalf of any foreign principal engaged in political activity5*as defined below?
Yes 0

No □

If yes, identify each such foreign principal and describe in full detail ail 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.

Government of Victoria, Australia: in conjunction with the Victorian Government Business Office, work to develop
a communications strategy targeted at U.S. companies illustrating the opportunities available and the appeal of
investing in Victoria, Australia; arrange and attend meetings between the aforementioned companies and
representatives of the Government of Victoria, Australia.

13. In addition to the above described activities, if any, have you engaged in activity on your own behalf which benefits your
foreign principals)?
Yes □
No 0
Ifyes, describe fully.

S ’Political activity,' as defined in Section 1(o) of die Act, means any activity that the person engaging mbeitcvcs mil, 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 die United States with reference to formulating, adopting or changing die domestic
or foreign policies of the United States or with reference to political or public interests, policies, or relations ofa government of a foreign country or a foreign political party.

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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 tins
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 H
No □
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

Date
10/17/2017

From Whom

Government of
Victoria, Australia

Purpose

Amount

Compensation for services rendered
under attached contract

$10,000

$10,000
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 H

Ifyes, have you filed an Exhibit D8 to your registration?

Yes □

No 0

If yes, indicate the date the Exhibit D was filed.
(c)

Date

RECEIPTS-THINGS OF VALUE
During tltis 6 mouth 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 Ei
If yes, furnish the following information:
Foreign Principal

Date Received

thing of Value

Purpose

6,7 A registrant is required to file on 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 AnEx!libit D, for which no printed form is provided, sets forth on account or money collected or received as a result of a fundraising campaign and transmitted fora 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 oyer competitors.
‘Udcbacks,” and the like.

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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 S

(2) transmitted monies to auy such foreign principal?

Ves □

No Si

If no, explain in full detail why there were no disbursements made on behalf of any foreign principal.
No disbursements were required to provide the contracted-for services.
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

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(b)

DISBURSEMENTS-THINCS OF VALUE
During this 6 month reporting period, have you disposed of anything of value19 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 0

If yes, ftimish the following information:
Date

Recipient

Foreign Principal

Tiling 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 primaiy election, convention, or caucus held to select candidates for political office?
Yes D

No 0

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 arc hot limited to gifts, interest free loans, expense free travel, favored stock purchases, exclusive rights, favored treatment over competitors,
"kickbacks," and the like.

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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 0

If Yes, go to Item 17.
(b) Ifyou answered No to Item 16(a), do you disseminate any material in connection with your registration?
Yes D
No 0
If Yes, please forward the materials disseminated during the six month period to the Registration Unit for review.
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 0
Ifyes, identity 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 ot infrrmaiional
materials include the use of any of the following:
D Radio or TV broadcasts
□ Magazine or newspaper O Motion picture films
□ Letters or telegrams
□ Advertising campaigns

D Press releases

□ Pamphlets or other publications □ Lectures or speeches

□ Other (specify)___________________________________________________________
Electronic Communications
□ Gmail
□ Website URL(s): ___________ ________________________________________________________________________________
□ Social media websites URL(s):.
________
□ Ollier (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

Q 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 C
No O
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 ofadvertising,
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 ofa foreign principal as part of an activity in itself exempt from registration, or an activity wtiidi by ilsclf would not require registration, need not be'
filed pursuant to Section 4(b) ofthe Act

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VI - EXECUTION
In accordance with 28 U.S.C. § 1746, the undersigned sweats) or affimi(s) under penalty of peijury that he/she lias (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) do representation as to truth or accuracy of the information contained in the attached Short Form Registration
Statements), if any, insofar as such information is not within his/her (their) personal knowledge.

(Date of signature)

(Print or type name under each signature or provide electroiiic signature13)

13 This statement shallbe signed by the individual agent, ifthe registrant is an individual, or bya 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 dr more individuals to execute this statement on its behalf.

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