Received by NSD/FARA Registration Unit 02/10/2018 2:29:34 PM OMB No. 1124-0006; Expires May 31.2020 l .s. 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 filing of this document requires the payment of a filing fee as set forth in Rule (dX IX 28 C.F.R. § 5.5(d)(1). Compliance is accomplished by filing an electronic Exhibit A form at https://www.farn.gov Privacy Act Statement. The filing of this document is required by the Foreign Agents Registration Actof 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 this 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 tiled with the Attorney General under this Act is a public record open to public examination, inspection and copying during die posted business hours of the; Registration Unit in Washington. DC. Statements are also available online at the Registration Unit's webpage: httDs://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 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 in print and online at https://www.fam.gov. Public Reporting Burden. Public reporting burden for this collection of information is estimated to average .49 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the dara 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 Affairs, Office of Management and Budget. Washington, DC 20503. 2. Registration No. 1. Name and Address of Registrant Forbes Tate Partners LLC 777 6th Street NW, 8th Floor. Washington, DC 20001 3. Name of Foreign Principal Embassy of Japan / /L 4. Principal Address of Foreign Principal 2520 Massachusetts Avenue NW Washington. DC 20008 5. indicate whether your foreign principal is one of the following: El Government of a foreign country1 Q Foreign political party □ Foreign or domestic organization: If either, check one of the following: O Partnership ' Q Committee Q 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 Embassy of Japan b) Name and title of official with whom registrant deals Takuya Sasayama, Minister and Head of Chancery, Embassy of Japan 7. If the foreign principal is a foreign political party, stale: a) Principal address b) Name and title of official with whom registrant deals c) Principal aim 1 'Government of b foreign country.* as defined in Section 1(e) of the Act, includes any person or group of persons exercising sovereign dc facto or dc jurc political jurisdiction over any country, other than the United States, or oyer 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 intireciiy delegated. Such term shall include any faction or body of insurgents within a country assuming to exercise governmental authority whether such faction or body of insurgents has or has not been recognized by the United States. FORMNSD-3 Revised 0S/17 Received by NSD/FARA Registration Unit 02/10/2018 2:29:34 PM Received by NSD/FARA Registration Unit 02/10/2018 2:29:34 PM 8. if the foreign principal is hot 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 Q No D Directed by a foreign government, foreign political party, or other foreign principal Yes Q No Q Controlled by a foreign government, foreign political party, or other foreign principal Yes D 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 O 9. Explain fully all items answered "Yes" in Item 8(b). (Ifadditional space is needed, afall insert page must be used.) 1$. If the foreign principal Is an organization and is not owned or controlled by a foreigrTgovemment, foreign political party or otherforeign 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. DateofExhibit A Name and Title Si Daniel Clyde Tate. Jr., Founding Partner RpppivpH hy NSD/FARA Registration Unit 02/10/2018 2:29:34 PM Received by NSD/FARA Registration Unit 02/10/2018 2:29:26 PM OMB No. 1124-0004; Expires May 31,2020 Li-S. Department of justiee Washington, dc 20530 Exhibit B to Registration Statement Pursuant to the Foreign Agents Registration Act of 1938, as amended 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 all modifications of such agreements, of, where no contract exists, a lull 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 this document is required for the Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. § 611 et seq., for the purposes of registration under die 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 die 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 in print and online at: https://www.fara.gov. Public Rejporting Burden. Public reporting burden for this collection of information is estimated to average .33 hours per response, including the time for reviewing instructions, searching existing data sources, gathering ami 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 Affairs, Office of Management and Budget Washington. DC 20503. 1. Name of Registrant Forbes fate Partners LLC 2. Registration No. (2,53^ 3. Name of Foreign Principal Embassy of Japan Check Appropriate Box: 4. 0 The agreement between the registrant and the above-named foreign principal is a formal written contract If this box is checked, attach a ropy of the contract to this exhibit. 5. G There is no forma! 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. □ 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. Forbes Tate Partners LLC will provide lobbying services, and political analysis and information on policies of interest to the Embassy of Japan at the direction of the Minister and Head of Chancery. FORM NSEM Revised 05/17 Received by NSD/FARA Registration Unit 02/10/2018 2:29:26 PM Received by NSD/FARA Registration Unit 02/10/2018. 2:29:26 PM 8. Describe fully the activities the registrant engages in or proposes to engage in on behalf of the above foreign principal. Monitor and advise the principal on U.S. policies of interest, research and analyze issues and government actions of concern, and communicate with Members of Congress arid their staff. 9. Will the activitieson behalf of the above foreign priricipal'tnclude" political activities as defined in Section 1(6) of the Act and in the footnote below? Yes 0 No □ 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. The registrants activities on behalf of the foreign principal as described above in Section 8 will be undertaken in order to communicate information and issues of concern to and about the foreign principal relating to the Government of Japan. These activities will indude communications with Members of Congress and their staff. Congressional meetings may be arranged at the request of the foreign principal. 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 Exhibit B Name and Title Daniel Clyde Tate, Jr., Founding Partner Footn&e: "(fDUtical activity,' a* defined in Section 1 (o) of the Act; means any activity which the person engaging in believes will, ortlftt the person intends to, in any way influence any agney or official of die Government of tbe United States nr my section of the public within the t fatted Setter with reference to fawnHlfttfag n/faptfag rtf changing ffa» 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 02/10/2018 2:29:26 PM Received by NSD/FARA Registration Unit 02/10/2018 2:29:26 PM FORBES I TATE PARTNERS CONTRACTOR AGREEMENT Between Forbes Tate Partners, LLC And Embassy of Japan I. Introduction. This Agreement between Forbes Tate Partners. LLC ("FTP”), a public policy consulting firm with its principal place of business at 777 6* Street. NW. 8th Floor. Washington. D.C. 2000 i and Embassy of Japan ("EOJ”) located at 2520 Massachusetts Avenue NW. Washington. DC 20008. 2. Services. Commencing upon execution of this Agreement, FTP will devote its best-efforts to provide • representation services on behalf of EOJ. Services shall he provided for a period commencing on February I. 2018. and ending on March 31. 2018. EOJ POl N f OF CON TACT will serve as principal point of contact for EOJ. Daniel Tate. Jr. will serve as principal point of contact for FTP. 3. Payment. For services rendered under this Agreement. EOJ agrees to pay FTP a sum of $33,000 per annum. EOJ will pay this amount in monthly increments of $16,500 once receiving FTP's written invoice. Forbes Tate Partners. LLC Embassy of Japan Address for Accounts Receivable: Address for Invoices: Forbes fate Partners Attn: Paula Thrasher P.O. Box 210816 Montgomery. AL 36121 Telephone: 334.328.2713 Email: pthrusherffifoTbes-unc.com 4. Embassy o-f Japan A4*n : Confft■ j {> Where Services are to be Performed. FTP will provide its services at its Washington. DC offices and at such Other places as it mutually agrees to with EOJ. The retainer specified in Payment section includes ordinary and customary out-of-pocket expenses (principally tor local travel, business entertainment. long distance telephone and other communications, postage document reproduction and other expenses). Any additional expenses (i.e.. out-of-town travel) incurred with EOJ approval will he billed monthly and shall be reimbursed promptly upon submission of a monthly statement to EOJ. 6. Ownership and Non-Disclosure of Intellectual Property. All information that EOJ supplics.to FTP and all information that FTP supplies to EOJ will be EOJ exclusive property as a "Work for Hire." under applicable U.S. Copyright Law. FTP and any of its employees, assigns or agents, agree not to disclose this information to any third party, unless EOJ directs it in writing to do so. FTP agrees to use information or data it obtains from EOJ only to perform the services under this Agreement. 7. Lobbying Registration and Disclosure. FTP will comply fully with all applicable Federal, state and local government registration and disclosure requirements regarding its representation of EOJ. FTP agrees to cooperate with EOJ in fulfilling those requirements. 8. Conflicts of Interest. During (his Agreement. FTP’s representation of EOJ requires FTP to decline to represent any clients whose policy interests conflict with those of EOJ regarding the matters on which EOJ seeks FTP’s Received by NSD/FARA Registration Unit 02/10/2018 2:29:2.6 PM Received by NSD/FARA Registration Unit 02/10/2018 2:29:26 PM assistance. FTP will obtain EOJ prior written consent before undertaking to represent any other client that has a potential policy conflict. 9. Termination. Hither party shall have the right to terminate this agreement at any time, without cause, upon thirty (30) calendar day’s written notice to the other party. The "date of termination" shall be the date upon which the thirty (30) calendar day notice period expires. EOJ shall pay F TP for work completed through the date of termination, plus expenses incurred on or before the date of termination. If the date of termination does not fall on the last day of a month. EOJ shall pay FTP pro rata monthly representation fee for the number or days worked that month as of the date of termination. Such payments for expenses and fees shall be made on or before the date of termination. This section shall survive the termination of this agreement. If EOJ shall, by reason of dissolution or any other cause, become unable to perform the functions described in the representation services section of this agreement or if either party breaches this agreement in a material fashion fi.e. failure to pay the fees and/or expenses due hereunder), cither party shall have the right to terminate this agreement immediately, upon written notice to the other party. This agreement may be modified or amended only by a written instrument executed by both parties. The section headings as set forth throughout this agreement are for convenience only, and are not intended to affect the meaning of the provisions of this agreement. IN WITNESS THEREOF, the parties have caused this Agreement to be executed by their respective dulv authorized representatives: Registration Unit 02/10/2018 2:29:26 PN1