Received byNSD/FARA Registration Unit 01/31/2018 .4:30:50 PM
OMB No. 1124-0005; Expires May3l, 2020

U.S. Department of Justice

Short Form Registration Statement

Washington, DC 20530

Pursuant to the Foreign Agents Registration Act of
1938, as amended

INSTRUCTIONS. Each partner, officer, director, associate, employee, and agent of a registrant is required to file a short form registration statement
unless he engoges in no activities in furtherance of the interests of the registrant's foreign principal or unless the services he renders to the registrant
are in a secretarial, clerical, or in a related or similar .capacity. Compliance is accomplished by filing an electronic short fonn registration statement
at httpsr/Avww.furn.gov
Privacy Act Statement. The filing of this document is required for tire Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 c/ seq.,
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 fonn
registration statement, supplemental statement, exhibit, amendment, copy of informational materials or otiter 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: lmps:/Avww.fiira.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 the Act which lists Hjc names of all agents.registered under
the Act and the foreign principals they represent. This report is available to the public and online at: https:/Avww,farn. ttov.
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, DC20530; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503.
2. Registration No.

1. Name
Bassam Said ishak
3. Residence Address(es)
3701 S George Mason Dr., Apt 607N, Fails Church, VA, 22041

4. Business Address(es)

5. Year of Birth 1959

6. If present citizenship was not acquired by birth,
indicate when, and how acquired.
Status as naturalized U.S. citizen acquired in 1986

Nationality

Syrian

Present Citizenship U.S. citizen
7. Occupation Officer of the U.S. Mission of the Syrian Democratic Council
8. What is the 'name and address of the primary registrant?
Name us Mission of the Syrian Democratic Council

715 G St. SW, Washington, DC 20024
Address

9. Indicate y'oiif connection with the primary registrant:

G

partner
0 officer

□ director
□ associate

□ employee
Q agent

□ consultant
□ subcontractor.

□ other (specify)
10. List every foreign principal to whom you will render services in support of the primary registrant.
Syrian Democratic Council

1 i. 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. Ofspace 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-6
Revised 05/17

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 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 IS

No □

If yes, describe separately and in detail such political activity.

The legislative agenda of the U.S. Mission of the Syrian Democratic Council will 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 are to be rendered on a
ED full time 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 services rendered to the foreign principal(s).
□ Fee: Amounts____________

15.

0 Other thing of value v°lur>teer..

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 □
No E
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.
„
j

/ki.

/fold

(Date of signature)

(Signature)

Footnote: ’Political activity,' as defined in Section l(o)oflhe Act, means any activity which 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 die United States 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 a government of a foreign country or a foreign political
party.

Received by-NSD/FARA Registration Unit 01/31/2018 4:30:50 PM