Received by NSD/FARA Registration Unit 02/02/2018 12:52:25 PM OMBNo. 1124-0005; Expires May 31,2020 Short Form Registration Statement Pursuant to the Foreign Agents Registration Act of 1938, as amended v-s.' Department of justice Washington, Dc 20530 INSTRUCTIONS. Each partner, officer, director, associate, employee, and agent of a registrant is required (o file a shon 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 in a secretarial, clerical, of in a related or similar capacity. Compliance is accomplished by filing an electronic short form registration statement 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 foe purposes of registration under foe Act and public disclosure. Provision of the information requested is mandatory, mid 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 foe Registration Unit in Washington, DC. Statements are also available online at die Registration Unit’s webpage: hups://wwvv.fara.guv. One copy of every such document, other than informational materials, is automatically provided to die 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 the names of all agents registered undf** the Act and the foreign principals they represent. This report is available to the public and online at: https://www.rara.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 foe collection of information. Send comments regarding'this bidden 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. Department of Justice. Washington, DC 20530; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20S03. 2. Registration No. 1. Name David Tamasl 3. Residence Address(es) 5435 30th Place, NW Washington, DC 20015 4. Business Address(es) 300 M Street,Suite 402 Washington, DC 20003 5. Year of Birth 6. If present citizenship was not acquired by birth, indicate when, and how acquired. Nationality 1972 American Present Citizenship USA 7. Occupation Government relations consultant 8. What is the name and address of the primary registrant? Name Chartwell Strategy Group, LLC 9. Address 300 M Street SE, Suite 402 Washington, DC 20003 Indicate your connection with the primary registrant: □ partner □ director □ employee □ consultant □ officer □ associate □ agent □ subcontractor E other (specify) Member__________________ 10. List every foreign principal to whom you will render services in support of the primary registrant. Government of Georgia 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 foe date(s) of such services. (Ifspace is insufficient, a full insert page must be used.) Will provide government relations and public affairs consulting services to strengthen U.S.-Georgia bilateral relations. FORM NSD-6 Revised 05/17 Received_by.NSD/FARA.Registration.Unit_02/02/20.18 12:52:25 PM Received by NSD/FARA Registration Unit 02/02/2018 12:52:25 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 El No Q If yes, describe separately and in detail such political activity. Will work to strengthen bilateral relations by supporting Government's outreach efforts to U-S. Congress and Administration that generates political support for Georgia and increases U.S. foreign security assistance. Will engage administration officials on the need to support greater U.S. foreign direct investment (FDD into Georgia and to grow bilateral trade relations. Will conduct outreach to media about bilateral relations. 13. The saVices describwi m Items 11 and 12are toberenderedona □ full time basis IS part time basis Q special basis 14. What compensation or thing of value have you received to date or will you receive for the above services? □ Salary: Amount $per_________________________ □ Commission at%of 0 Salary: Not based solely on services rendered to the foreign principal(s). Q Fee: Amount $____________ □ Other thing of value ________.. 15. 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 of in connection with any primary election, convention, or caucus held to select candidates for any political office? Yes El No □ If yes, furnish the following information: Date Amount or Thing of Value Political Organization or Candidate Location of Event see attachment 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. Vy/y (Date 6/signature) /f s (Signature) i Footnote: "Political activity," as defined in Section l(o)ofthe 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 ofthe Government of die United States or any section of (he public within die United States with reference to formulating, adopting, or changing the domestic or foreign policies of die 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 02/02/2018 _12:52:25.PM.