Received by NSD/FARA Registration Unit 01/29/2018 5:01:46 PM OMB No. 11244005; Expires May 31.2020 U.S. Department or Justice Short Form Registration Statement Pursuant to the Foreign Agents Registration Act of 1938, as amended Washingicn, dc 20530 INSTRUCTIONS. Each partner, officer, director, associate, employee, and agent of a registrant is required to file a short form registration statement unless he engages in no activities in furtherance of the interests of the registrant's foreign principal or unless the services he renders to the registrant are m a secretarial, clerical, or in a related or similar capacity. Compliance is accomplished by filing an electronic short form registration statement at htlps^baavJura.gQV. Privacy Act Statement The filing of this document is required for the Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. $ 611 etseq., for the purposes ofregistnuion under'the Act and public disclosure. Provision of the information requested is mandatory, and failure to provide the information is subject to the penalty arid 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 Hied 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 ore also available online at the Registration Unit's webpage: littns://ww\v.fa'ra.g(iv. 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, tind copies of any and all documents are routinely made available to other agencies, departmehls'arid 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 and online at: h ttris://w\vw.fara.fav. Public Repenting Burden. Public reporting burden for this collection of information is estimated to average .429 hours per response, including the time for reviewing instructions, scorching existing data sources, gathering and maintaining the data needed, and completing and reviewing tire 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. Counterintelligence and Export Control Section, National Security Division, U.S. Deportment of Justice, Washington, DC 20530; and to the Office oflnformation and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503. 1. Name 2. Registration No. William H. Cullo 3. Residence Address(es) 4. Business Address(es) 1203 Colllngwood Road Alexandria, VA 22308 68 Pine Street, 32nd Floor New York, NY 10005 5. Year of Birth 1966 6. If present citizenship was not acquired by birth, indicate when, and how acquired. Nationality USA Present Citizenship USA 7. Occupation Managing Director of Research, FT1 Consulting 8. What is the name and address of the primary registrant? Name Nonsuiting 9. Indicate your connection with the primary: registrant: □ partner □ director □ officer □ other (specify) 10. □ associate Address 88 Pine Street, 32nd Floor New York, NY 10005 El employee □ consultant □ agent □ subcontractor _________________________ List every foreign principal to whom you will render services in support of the primary registrant Mexico Ministry of Economic Development 11. Describe separately and in detail all services which you will render to the foreign principals) listed in Item 10 either directly, or through the primary registrant listed in Item 8, and the date(s) of such services, (ifspace is insufficient, afull insert page must be used) Public opinion research among US voters and specifically designing questionnaire instruments, analyzing results, and providing Insights on research findings FORMNSb*6 Revised OS/17 Received by NSD/FARA Registration Unit 01/29/2018 5:01:46 PM Received by NSD/FARA Registration Unit 01/29/2018 5:01:46 PM 12. Do any of the above described services 'include political activity as defined in Section !(o) of the Act and in the footnote below? Yes □ NoS If yes, describe separately and in detail such political activity. 13. The services described in Items H and 12 are to be rendered on a □ full tune basis 18 part time basis □ special basis U. What compensation or thing of value have you received to date or will you receive for the above services? □ Salary: Amountsper___________ □ Commission at%of B Salary: Not based solely on services rendered to the foreign principal(s). □ Fee: Amount S ______ □ Other thing of value I S. During the period beginning 60 days prior to the date of your obligation to register to the time of filing this statement, did you make any contributions of money or other things of value from your own funds or possessions and on your own behalf in connection with any election to political office or in connection with any primary election, convention, or caucus held to select candidates for any political office? Yes D No ED If yes, furnish the following information: Date Amount or Thing of Value Political Organization or Candidate Location of Event EXECUTION In accordance with 28 U.S.C. § 1746, the undersigned swears or affirms under penalty of perjury that he/she has read the information set forth in this registration statement and that he/she is familiar with the contents thereof and that such contents are in their entirety true and accurate to the best of his/her knowledge and belief. /f 2M7' (Date ofsignature) (Signaturgf Footnote" "Political activity,* as defined in Section1(6)of theAct means any activity which the person engaging in believes will, or (hut 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 Stales 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 agoverameniof a foreign country or a foreign political party. Received by NSD/FARA Registration Unit 01/29/2018 5:01:46 PM