Received by NSD/FARA Registration Ufiit 02/10/2018 2:29:38 PM
OMB No. 1124-0005; Expires May 31.2020

u.s. Departmcot «f justice

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

Washington, dc 20530

INSTRUCTIONS. Each partner, officer, director, associate, employee, and agent of a 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
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.Bov.
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..
foT 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: hups:/AvvAV-fara.gov. One copy of
every such document, other then 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 semiannual 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: hitps.v/www.fara.^ov.
Public Reporting Burden. Public reporting burden for this collection of information is estimated id 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 and Export Control Section, National Security Division. U.S. Department of
Justice, Washington, DC 20530; and to the Office of Information and Regulatory Affair*. Office of Management and Budget Washington. DC 20503.

1. Name

2. Registration No.

Adrienne Noel Schweer
3. Residence Addresses)
1825 Briar Ridge Court
Mdean, VA 22101

4. Business Address(es)
777 6th Street NW, 8th Floor
Washington, DC 20001

5. YearofBirth 1982

6. If present citizenship was not acquired by birth,
indicate when, and how acquired.

Nationality USA
Present Citizenship USA
7. Occupation Government Affairs
8. What is the name and address of die primary registrant?
Name
Forbes Tate Partners LLC
9. Indicate your connection with die primary registrant:
□ partner
□ director
□ officer

Q associate

...
777 6th Street NW, 8th Floor
Address Washington, DC 20001

£3 employee

□ consultant

□ agent

□ subcontractor

□ other (specify)__________________________
10. List every foreign principal to whom you wiH'rcrider services in support of the primary registrant.
Embassy of Japan

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 die datc(s) of such services. (Ifspace is insufficient, afall insert page must be
used)
Provide political analysis and information on policies of interest to the Embassy of Japan.

FORM NSD-6
Revised 05/ 7

Receu^edby NSD/FARA Registration Unit 02/10/2018 2:29:38 PM

 Received by NSD/FARA Registration Unit 02/10/2018 2:29:38 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.'
Meetings with Members of Congress arid Congressional staff.

13. The services described in Items 11 and 12 are to be rendered on a
D full time basis

□ part time basis

IS 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

K Salary. Not based solely on services tendered to the foreign principalis).
□ Fee: Amounts___________

\ □ Other thing of value

IS. During* the period beginning 60 days prior to die 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 □
NoH
If yes, furnish the following information:
Date

Amount or Thing of Value

Political Organization or Candidate

Location of Event

EXECUTION

r

In accordance with 28 U.S.C. § 1746. the undersigned swears or affirms undtr penalty of
information set forth in this registration statement and that he/she is familiaj wi the con
their entirety true and accurate to die best of higher knowledge and belief.

IMM L..
(Dpte ofsignature)

ury that e/she has read the
thereof d that such contents arc in

(Si

ature)

C7

Footnote: "Political activity." ax defined in Section Ifo) 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 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, of relations of a government of a foreign country or a foreign political
parry.

Registration Unit 02/10/2018 2:29:38 PM