Received by N SD/FARA Registration Unit 01/31 /2018 12:14:06 PM OMB No. 1124-0005; Expires May 31,2020 u.s. Department of Justice Washington, dc 20530 Short Form Registration Statement Pursuant to the Foreign Agents Registration Act of 1938, as amended INSTRUCTIONS. Each partner, officer, director, associate, employee, and agent of a registrant is requiredto 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 in a secretarial, clerical, or in a related or similar capacity. Compliance is accomplished by filing an electronic short form registration statement at https://www.fara.gov 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 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: https://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 die 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: https://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 this burden to Chief, Registration Unit, Counterintelligence arid 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. Jason Osborne 5430 3. Residence Address(es) 4. Business Address(es) 1002 Pennsylvania Ave* SE Washington DC 20003 5. Year of Birth 1969 6. If present citizenship was not acquired by birth, indicate when,- arid how acquired. N/A Nationality USA Present Citizenship USA 7. Occupation Consultant 8." What is the name and address of the primary registrant? Name g^g Government Affairs, LLC 9. Indicate your connection with the primary registrant: □ partner □ director □ officer □ associate □ other (specify)_________________________ 601 13th St. NW Address i ith Floor South Washington, DC 20005 □ employee □ agent □ consultant subcontractor 10. List every foreign principal to whom you will render services in support of the primary registrant. Embassy for the Republic of Azerbaijan; Polska Grupa Zbrojeniowa 11. Describe separately and in detail all services which you will render to the foreign principal(s) listed iri Item 10 either directly, or through the primary registrant listed in Item 8, and die date(s) of such services. (Ifspace is insufficient, afull insert page must be used.) The Short Form Registrant will engage in political activities that may include relevant outreach to U.S. government officials, non-government organizations, members of the media arid other individuals within the U.S. FORM NSD-6 Revised 05/17 Received by NSD/FARA Registration Unit 01/31/2018 12:14:06 PM Received by NSD/FARA Registration Unit 01/31/2018 12:14:06 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 H No □ I f yes, describe separately and in detail such political activity. The means employed may include communications to, and meeting and briefings with, U.S. government officials and members of the U.S. media, as well as distribution of informational materials. 13. The services described in Items II and 12 are to be rendered on a O full time basis 0 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? G Salary: Amountsper___________ □ Commission at.%of E Salary: Not based solely on services rendered to the foreign principal(s). Q Fee: Amounts___________ Q 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 or in connection with any primary election, convention, or caucus held to select candidates for any political office? Yes G No 0 If yes, furnish the following information: Date Amount or Thing of Value Political Organization or Candidate Location of Event N/A r EXECUTION In accordance with 28 U.S.C. § 1746, the undersigned swears or affirms under penalty of peijury 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. January3l,2018 (Date of signature) /s/ Jason Osborne eSigned (Signature) Footnote': "Political activity," as defined in Section'!(o) of the Act, meansany activity which the person engaging iii 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 the 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 12:14:06 PM