Received byNSD/FARA Registration Unit 01/31/2018 4:30:50 PM OMBNo. 1124-0005; Expires May 31, 2020 u.s. Department of Justice Washington, dc Short Form Registration Statement Pursuant to the Foreign Agents Registration Act of 1938, as amended 20530 INSTRUCTIONS. Each partner, officer, director, associate, employee, and agent of a registrant is required to file a short fonn 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 arc in a secretarial, clerical, or in a related or similar capacity. Compliance is accomplished by filing an electronic short fonn registration statement nf UttnWAvuAV fnrn hau 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 e/ set]., for the purposes of registration under the Act and public disclosure. Provision of the information requested is mandatory, and failure to provide the 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: htfps://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 semi-annual report to Congress on the administration of tire 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: littps://www fara.gov. Public Reporting Burden. Public reporting burden for this collection of information is estimated to average .429 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 litis burden to Chief, Registration Unit, Counterintelligence and Export Control 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. 1. Name 2. Registration No. Senam Mohamad 3. Residence Address(es) 2701 Park Center Dr., Apt. 406, Alexandria, VA 22302 4. Business Address(es) 5. Year of Birth 6. If present citizenship was not acquired by birth, indicate when, and how acquired. Nationality 19S6 Syrian Present Citizenship Syrian 7. Occupation Officer of the U.S. Mission of the Syrian Democratic Council 8. What is the name and address of the primary registrant? Mcimc U.S. Mission of the Syrian Democratic Council 715 G St. SW, Washington, DC 20024 Address 9. Indicate your connection with the primary registrant: □ partner □ director □ employee □ consultant H officer □ associate Q agent 0 subcontractor □ other (specify) 10. List every foreign principal to whom you will render services in support of the primary registrant. Syrian Democratic Council 11: Describe separately and in detail all services which you will render to tire foreign principals) listed in Item 10 either directly, or through.the primary registrant listed in Item 8, and Ihedate(s) of such services. (If space is insufficient, a full insert page must be used.) The SDC's mission in the United States will primarily focus on educating the American people about the Democratic process In Syria, and will encourage the American Government to make laws that strengthen democracy in Syria and adopt federalism as a solution for the democratic transition In Syria. FORM NSD-G Revised 05/17 Received byNSD/FARA Registration Unit 01/31/2018 4:30:50 PM Received by NSD/FARA Registration Unit 01/31/2018 4:30:50 PM 12! Do any of the above described services include political activity as defined in Section l(o)of the Act and in the footnote below? Yes 0 No □ If yes, describe separately and in detail such political activity. The legislative agenda of the U.S. Mission of the Syrian Democratic Council wil l involve efforts to better equip the army of Democratic Federation of Northern Syria (DFNS); improve the region's counter-terrorism apparatus to meet the needs of the post-ISIS era; end the Turkish occupation of Syria; allow the DFNS to operate an international airport; and increase humanitarian aid to the region. 13. The services described in Items 11 and 12 arc to be rendered on a 0 full fame basis □ part time basis □ special basis 14. What compensation or thing of value have you received to date or will you receive for the above services? □ Salary: Amountsper’ □ Commission at%of □ Salary: Not based solely on sendees rendered to the foreign principal(s). D Fee: Amounts_____________ g) Other thine of value V°lun*eer 15! During the period beginning 60 days prior to the date of your obligation to register to the lime 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 □ No 0 If yes, furnish the following information: Date Amount or Tiring 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 tixie and accurate to the best of his/her knowledge and belief. (Date ofsignature) (Signature) Footnote: "Political activity,' as defined in Sectionl(o) of the Act, mentis any activity which the" person engaging in believes will, or that the person intends io, 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 Slates or with reference to the political or public interests, policies, o: relations of a government of a foreign country or a foreign political party. Received by NSD/FARA Registration Unit 01 /31/2018 4:30:50 PM