Received by NSD/FARA Registration Unit 02/09/2018 3:11:04 PM OMB No. 1124-0005; Expires May 31,2020 u.s. Department or 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 u registrant is required to 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 arc in a secretarial, clerical, or in a related or similar capacity. Compliance is accomplished by filing an electronic short form registration statement at hUps://ww\v.fhrn.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. {1611 aseq.. 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 filcd'with the Attorney General under (his 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 tire also uvuilahlc online at the Registration Unit's webpage: hups:/Avww.f;irn.gov. One copy of every such document, other than informational materials, is automatically provided to the Secretary of Slate pursuant to Section 6(b) of (he AcC and . copies of any and all documents are routinely made available to other agencies, departments and Congress pursuant to Section 6(c) ofthc 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 under the Act and the foreign principals they represent. This report is available to the public and online at: hnhs://wwvv.iani.yov. 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 nf 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 the Office of Information and Regulatory Affairs. Ofllcc of Management and Budget. Washington, DC 20503. I. Name 2. Registration No. Kenneth L. Khachigian 5870 3. Residence Address(es) 4. Business Addrcss(cs) 501 W, Lobos Marinas San Clemente, CA 92672 5. YearofBirth Nationality 300 So. HI Camino Real, Suite 203 San Clemente, CA 92672 1944 6. If present citizenship was not acquired by birth, indicate when, and how acquired. USA ------ Present Citizenship USA 7. Occupation Counsel 8, What‘is the name and address of the primary registrant? Name B^ownsldn Hyatt Fiarber Sbhreck, LLP 410 Seventeenth Street, Suite 2200 Address Denver CD 80202 9. Indicate your connection with the primary registrant: □ partner □ director 0 employee Q consultant □ officer □ associate □ agent □ subcontractor □ other (specify)• . 10. List every foreign principal to whom you will render services in support ofthc primary registrant. Rspublicof India 11. Describe separately and in detail ail services which you will render to the foreign principal(s) listed in Item 10 either directly, or through the primary registrant listed in Item 8, and die date(s) of such services, (ifspace is insufficient, a fitll insert page must be used) Communicate with USGovernment, the IS Congress, and select state government offidalson issues related to India FORM NSD-6 Revised 05/17 Received by NSD/FARA Registration Unit 02/09/2018 3:11:04 PM Received by NSD/FARA Registration Unit 02/09/2018 3:11:04 PM 12~. Do any of the above described sefviccs'include political activity as defined in Section l(o) of the Act and in die footnote below? Yes ^ No □ If yes, describe separately and in detail such political activity. Sse response to question 11. 13. The services described in Items 11 and 12 are to be rendered on a s']part time basis □ full 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 principals). □ Fee: Amount $ □ Other thine 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 □ No 0 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 of affirms under penalty of petjury 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 arid accurate to the best of his/her knowledge and belief. (Date ofsignature) turei Footnote: "Political uitivity,* as defined in Section l(o) of the Act, means any activity which the person engaging in believes will, or that the person intends to, in any way influence any agency or oliiciai of the Government of the Umted 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 ora foreign political party Received by NSD/FARA Registration Unit 02/09/2018 3:11:04 PM