Received by NSD/FARA Registration Unit 02/02/2018 12:52:28 PM OMB No.. 1124-0006; Expires May 31,2020 vs. Department of justice Washington, dc 20530 Exhibit A to Registration Statement Pursuant to the Foreign Agents Registration Act of 1938, as amended INSTRUCTIONS. Furnish this exhibit for EACH foreign principal listed in an initial statement and for EACH additional foreign principal acquired subsequently. The Tiling of this document requires the payment of a filing fee as set forth in Rule(dXl). 28C.F.R. § 5:5(d)(I). Compliance is accomplished by filing an electronic Exhibit A form at https://www.fara.gov Privacy Act Statement. The filing of this document is required by the Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. § 611 etseq., for fee purposes of registration under fee Act and public disclosure. Provision of fee information requested is mandatory, and failure to provide this information is subject to fee penalty and enfongment provisions established in Section 8 of fee Act Every registration statement, short form registration statement, supplemental statement, exhibit amendment copy of informational materials or other document or information filed wife the Attorney General under this Act is a public record open to public examination, inspection and copying during the posted business hours of fee Registration Unit in Washington, DC. Statements are also available online at fee Registration Unit’s webpage: https://www.fara.gov. One copy of every such document, other than informational materials, is automatically provided to fee Secretary of State pursuan t to Section 6(b) of fee Act. and copies of any and all documents are routinely made available to other agencies, departments and Congress pursuant to Section 6(c) of fee Act The Attorney General also transmits a semi-annual report to Congress on fee administration of the Act which lists fee names of all agents registered under fee Act and fee foreign principals they represent This report is available to fee public in print and online at: https://www.rara.gov. Public Reporting Burden. Public reporting burden for this collection of information is estimated to average .49 hours per response, including fee time for reviewing instructions, searching existing data sources, gathering and maintaining fee data needed, and completing and reviewing fee 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. Department of Justice, Washington, DC 20530* and to fee Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503. 2. Registration No 1. Name and Address of Registrant Chartwell Strategy Group, LLC 300 M Street, SE, Suite 402, Washignton, DC 20003 3. Name of Foreign Principal 4. Principal Address of Foreign Principal Government of Georgia Government of Georgia Tbilisi, Georgia 0175 P. Ingorovka Str. N7 5. Indicate whether your foreign principal is one of the following: 13 Government of a foreign country1 □ Foreign political party □ Foreign or domestic organization: If either, check one of the following: □ Partnership Q Committee D Corporation Q Voluntary group □ Association □ Other (specify) □ Individual-State nationality_____________________________________ 6. If the foreign principal is a foreign government, state: a) Branch or agency represented by the registrant Administration of the Government of Georgia b) Name and title of official with whom registrant deals Maya Tskitishviii, Head of the Administration 7. If the foreign principal is a foreign political paity, state: a) Principal address b) Name arid title of official with whom registrant deals c) Principal aim I "Government of a foreign country," as defined in Section I (e) of the Act. includes any prison or group of prisons ex'riciaing sovrieigp de facto or de jure political jurisdiction over aay country, other than the United States, or over any part of such country, and includes any subdivision of any such group and any group or agency to which such sovereign de facto or de jure authority or functions are directly or indirectly delegated. Such term shall include any faction or body of insurgents within a country aoaiming to exercise governmental authority whether such faction or body of insurgents has or has not been recognized by ihe United States. FORM NSD-3 Revised 05/17 . - .Received_h>LNSD/EARA.Registration.Unit .02/02/2018. 12:52:28_PM Received by NSD/FARA Registration Unit 02/02/2018 12:52:28 PM 8. If the foreign principal is not a foreign government or a foreign political party: a) State the nature of the business or activity of this foreign principal. b) is this foreign principal: Supervised by a foreign government, foreign political party, or other foreign principal Yes □ No □ Owned by a foreign government, foreign political party, or other foreign principal Yes □ No □ Directed by a foreign government, foreign political party, or other foreign principal Yes □ No □ Controlled by a foreign government, foreign political party, or other foreign principal Yes □ No □ Financed by a foreign government, foreign political party, or other foreign principal Yes □ No □ Subsidized in part by a foreign government, foreign political party, or other foreign principal Yes O No □ 9. Explain folly all items answered "Yes" in Item 8(b). (Ifadditional space is needed, a full insert page must be used.) 10. If the foreign principal is an organization and is not owned or controlled by a foreign government, foreign political party or other foreign principal, state who owns and controls it. 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 Exhibit A to the 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. Date of Exhibit A Name and Title Signature David Tamasi, Managing Director .Received by NSD/EARA Registration-Unit-02/Q2/2Q18-12:52:28-PM____________ u.s. S D/FARA RegistratioiEUiiftit Pursuant to the Foreign Agents Registration Act of 1938, as amended Washington, dc 20530 INSTRUCTIONS. A registrant must furnish as an Exhibit B copies of each written agreement and the terms and conditions of each oral agreement with his foreign principal, including ail modifications of such agreements, or, where no contract exists, a foil statement of all the circumstances by reason of which the registrant is acting as an agent of a foreign principal. Compliance is accomplished by filing an electronic Exhibit B form at https://www.fara.gov. Privacy Act Statement The filing of tius documcnt is required for the Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §6Iler seq.. for the purposes of registration under the Act and public disclosure. Provision of the information requested is mandatory, and failure to provide die information is subject to the penalty and enforcement provisions established m 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: https://www.farn.ftov. 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, deportments 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 nanus of all agents registered under the Act and the foreign principals they represent This report is available to the public in print and online at: https://www.fani.gov. Public Reporting Burden. Public reporting burden for this collection of information is estimated to average J3 hours per response, including die 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 this burden to Chief, Registration Unit, Counterintelligence and Export Control Section, National Security Division, U.S. Department of Justice, Washington, DC 20S30; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503. 1. Name of Registrant Chartwell Strategy Group, LLC 2. Registration No. ( 3. Name of Foreign Principal Government of Georgia Check Appropriate Box: 4. □ The agreement between the registrant and the above-named foreign principal is a formal written contract. If this box is checked, attach a copy of the contract to this exhibit 5. □ There is no formal written contract between the registrant and the foreign principal. The agreement with the above-named foreign principal has resulted from an exchange of correspondence. If this box is checked, attach a copy of all pertinent correspondence, including a copy of any initial proposal which has been adopted by reference in such correspondence. 6. 0. The agreement or understanding between the registrant and the foreign principal is the result of neither a formal written contract nor an exchange of correspondence between the parties. If this box is checked, give a complete description below of the terms and conditions of the oral agreement or understanding, its duration, the fees and expenses, if any. to be received. 7. Describe fully the nature and method of performance of the above indicated agreement or understanding. The agreement is oral, and will be followed by a written contract. The terms are services to be provided between 1/1/2018 and 12/31/2018 at $50,000 per month. Registrant will provide government relations and public affairs consulting services to the Government of Georgia. Registrant 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.5. foreign security assistance. Registrant will engage administration officials on the need to support greater U.5. foreign direct investment (FDR into Georgia and to grow bilateral trade relations. Registrate will communicate to US and global media about the bilateral relationship. > FORM NSD-4 Revised 05/17 Received by NSD/FARA Registration Unit 02/02/2018 12:52:17 PM Received by NSD/FARA Registration Unit 02/02/2018 12:52:17 PM 8. Describe fully the activities the registrant engages in or proposes to engage in on behalf of the above foreign principal. Registrant will provide government relations and public affairs consulting services to strengthen U.S.-Georgia bilateral relations. 9. Will the activities on' behalf of die above foreign principal’include political activities as defined in Section 1 (o) of the Act and in the footnote below? Yes E No Q If yes, describe all such political activities indicating, among other things, the relations, interests or policies to be influenced together with the means to be employed to achieve this purpose. Registrant will provide government relations and public affairs consulting services to the Government of Georgia. Registrant 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. Registrant will engage administration officials on the need to support greater U.S. foreign direct investment (FDI) into Georgia and to grow bilateral trade relations. Registrate will communicate to US and global media about the bilateral relationship. 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 Exhibit B to the 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. Date of ibit B /? Name and Title Signature David Tamasi, Managing Director Footnote: "Political*activity," as defined m Section l (o) of the Act. mams any activity which the person engaging in believes wilt"or'lMt the person intends to, in any way influence any agency or official of the Covenunent of the United States or any section of the public within the Unitial States with reference to foanulating, adopting, or changing the domestic or foreign policies of the United States or with reference to die political or public interests, policies, or relations of a government of a foreign country or a foreign political I»ny. Received by NSD/FARA Registration Unit 02/02/2018 12:52:17 PM