Received by NSD/FARA Registration Unit 02/21/2018 11:17:10 AM OMB*No. 1124-0002; Expires May 31,2020 Supplemental Statement Pursuant to the Foreign Agents Registration Act of 1938, as amended U.S. Department of Justice Washington, dc 20330 For Six Month Period Ending January 31,2018 (Insert date) I-REGISTRANT 1. (a) Name of Registrant (b) Registration No.. Gephardt Group Government Affairs, LLC 5874 (c) Business Address(es) ofRegistrant 13501 Street, NW Suite250 Washington, DC 20005 2. Has there been a change in the information previously furnished in connection with the following? (a) If an individual: Yes □ No □ (1) Residence address(es) YesQ NoQ (2) Citizenship Yes □ No □ (3) Occupation (b) If an organization: (1) Name (2) Ownership or control (3) Branch offices Yes Q Yes □ Yes □ No E No 0 No 0 (c) Explain fully all changes, if any, indicated in Items (a) and (b) above. IF THE REGISTRANT IS AN INDIVIDUAL, OMIT RESPONSE TO ITEMS 3,4, AND 5(a). 3. If you have previously filed Exhibit C*1,*state * * whether any changes therein have occurred during this 6 month reporting period. Yes □ ' No 0 If yes, have you filed an amendment to the Exhibit C? Yes □ No □ If no, please attach the required amendment. 1 The Exhibit dt for which no printed form is provided, consists of a true copy of the charter, articles pt~nicafporatinn,-a»mciatmn,-imci hy lao/snta registrant that« an organization. (A waiver of the requirement to file an Exhibit C may be obtained for good cause upon written application to the Assistant Attorney General. National Security Division, U.S. Department of Justice, Washington, DC 20530.) FORMNSD-2 Revised 05/17 Received by NSD/FARA Registration Unit 02/21/2018 11:17:10 AM Received by NSD/FARA Registration Unit 02/21/2018 11:17:10 AM (PAGE 2) 4: (a)'Have any^erednsceased actingas“partriers, officers, directors or similar officials of the registrant during this 6 month reporting period? . Yes □ No 0 If yes, furnish the following information: Name Position Date Connection Ended (b) Have any persons become partners, officers, directors or similar officials during this 6 month reporting period? Yes □ No 0 If yes, furnish the following information: Name Residence Address Citizenship Position Date Assumed5 5. (a) Has ahy~person*riamed in Item 4(b)rendered services directly in furtherance of the interests of any foreign principal? Yes □ No □ If yes, identify each such person and describe the service rendered. (b) During this six month reporting period, has the registrant hired as employees or in any other capacity, any persons who rendered or will render services to the registrant directly in furtherance of the interests of any foreign principal(s) in other than a clerical or secretarial, or in a related or similar capacity? Yes □ No 0 Name Residence Address Citizenship Position Date Assumed (c) Have any employees or individuals, who have filed a short form registration statement, terminated their employment or connection with the registrant during this 6 month reporting period? Yes 0 No □ If yes, furnish the following information: Name Position or Connection Date Terminated Michael Messrher Vice President Gephardt Group Government Affairs, 2/1/2018 LLC (d) Have any employees or individuals, who have filed a short fonh registration statement terminated their connection with any foreign principal during this 6 month reporting period? Yes H No □ If yes, furnish the following information: Name Michael Messmer Position or Connection Foreign Principal VicePresident, Gephardt Group Government Affairs, Taipei Economic and Cultural Representation Office in the United States (TECRO) LLC 6. Date Terminated 2/1/2018 Have short form registration statements been filed by all of the persons named in Items 5(a) and 5(b) of the supplemental statement? Yes □ No □ If no, list names of persons who have not filed the required statement. Received by NSD/FARA Registration Unit 02/21/2018 11:17:10AM Received by NSD/FARA Registration Unit 02/21/2018 11:17:10AM (PAGE 3) II - FOREIGN PRINCIPAL 7. Has your connection with any foreign principal ended during this 6 month reporting period? If yes, furnish the following information: Foreign Principal 8. Have you acquired any new foreign principal(s)2 during this 6 month reporting period? If yes, furnish th following information: Name and Address of Foreign Principal(s) Yes □ No [El Date of Termination Yes □ No S Date Acquired 9. In addition to those named in Items 7 and 8, if any, list foreign principal(s)2 whom you continued to represent during the 6 month reporting period. Taipei Economic and Cultural Representative Offlcein the United States (TERCO) 10. (a) Have you filed exhibits for the newly acquired foreign principal(s), if any, listed in Item 8? Exhibit A3 Yes □ No □ Exhibit B4 Yes □ No □ If no, please attach the required exhibit. (b) Have there been any changes in the Exhibits A and B previously filed for any foreign principal whom you represented during this six month period? Yes SI No □ If yes, have you filed an amendment to these exhibits? Yes 0 No □ If ho, please attach the required amendment. .2 The tern "foreign principal" includes, in addition to those defined in Section 1(b) of the Act, an individual organization any of whose activities are directly or indirectly supervised, directed, controlled, financed, or subsidized in whole or in major part by a foreign government, foreign political party, foreign organization or foreign individual. (See Rule 100(a) (9)). A registrant who represents more than one foreign'principal is required to list in the statements he files under the Act only those principals for whom he is not entitled to claim exemption under Section 3 of the Act. (See Rule 208.) 3 The Exhibit A, which is filed on Form NSP-3, sets forth the information required to be disclosed concerning cwh foreign principal. 4 The Exhibit B, which is filed on Form NSP-4, sets forth the information concerning the agreement or understanding between foe registrant and the foreign principal. Received by NSD/FARA Registration Unit 02/21/2018 11:17:10 AM Received by NSD/FARA Registration Unit 02/21/2018 11:17:10 AM (PAGE 4) III - ACTIVITIES 11. During this 6 month reporting period, have you engaged m any activities for or rendered any services to any foreign principal named in Items 7,8, or 9 of this statement? Yes @ No □ If yes, identify each foreign principal arid describe in full detailyour activities and services: For Taipei Economic and Cultural Representative Office in the United States (TECRO) please refer to the attached PDF file: 5874_Sup_February2018_Activities_TECRO 12. During this 6 month reporting period, haveyou on behalf of any foreign principal engaged in political activity3 as defined below? Yes H _ No □ If yes, identify each such foreign principal and describe in full detail all such political activity, indicating, among other things, the relations, interests and policies sought to be influenced and the means employed to achieve this purpose. If the registrant arranged, sponsored or delivered.speeches, lectures or radio and TV broadcasts, give details as to dates, places of delivery, names of speakers and subject matter. For Taipei Economic and Cultural Representative Office in the United States (TECRO) please refer to the attached PDF file: 5874_$u‘p_February2018_Actiyities_TECRO 13. In addition to the above described activities, if any, have you engaged iri activity on your own behalf which benefits your Yes □ No H foreign principal(s)? If yes, describe fully.5 * 5 "Political activity," as defined in Section l(o) of the Act, means any activity that the person engaging in believes will, or that the person intends to, in any way influence any agency or official of tin 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 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 02/21/2018 11:17:10 AM Received by NSD/FARA Registration-Unit 02/21/2018 11:17:10 AM (PAGE 5) IV- FINANCIAL INFORMATION 14. (a) RECEIPTS-MONIES ■ ' - ~ “ During this 6 month reporting period, have you received from any foreign principal named in Items 7,8, or 9 of this statement, or from any other source, for or in the interests of any such foreign principal, any contributions, income or money either as compensation or otherwise? Yes E No □ If no, explain why. If yes, set forth belowiri the required detail mid separately for each foreign principal an account of such monies.6 Date 10/25/2017 1/10/2018 From Whom TECRO TECRO Purpose Amount Payment for government affairs services Payment for government affairs services $66,000.00 $66,000.00 $132,000.00 Total (b) RECEIPTS - FUNDRAISING CAMPAIGN During this 6 month reporting period, have you received, as part of a fundraising campaign7, any money on behalf of any foreign principal named m Items 7,8, or 9 ofthis statement? Yes □ No E If yes, have you filed an Exhibit D8 to your registration? If yes, indicate the date the Exhibit D was filed. (c) Yes D No □ Date RECEIPTS-THINGS OF VALUE During this 6 month reporting period, Kaye you received any thing of value9 other than money from any foreign principal named in Items 7, 8, or 9 of this statement, or from any other source, for or in the interests of any such foreign principal? Yes □ No§ If yes, furnish the following information: Foreign Principal DateReceived Thing ofValue Purpose 6,7 A registrant is required to file an Exhibit D if he collects or receives contributions, loans, moneys, or other things of value for a foreign principal, as part of a fundraising campaign. (See Rule 201(e)). 8 Ah Exhibit D, for which no printed form is provided, sets forth an account of money collected or received as a result of a fundraising campaign and transmitted for a foreign principal. 9 Things of value include but are not limited to gifts, interest free loans, expense free travel, favored stock purchases, exclusive rights, favored treatment over competitors, "kickbacks," and the like. Received by NSD/FARA Registration Unit 02/21/2018 11:17:10 AM Received by NSD/FARA Registration Unit 02/21/2018 11:17:10 AM (PAGE 6) 15/(a)“ DISBURSEMENTS-MOMES During this 6 mohtii reporting period, have you (1) disbursed or expended monies in connection with activity on behalf of any foreign principal named in Items 7,8, or 9 of this statement? Yes □ No E (2) transmitted monies to any such foreign principal? Yes □ No 0 If no, explain in full detail why there were no disbursements made on behalf of any foreign principal. If yes, set forth below in the required detail and separately foreach foreign principal an account of such monies, including monies transmitted, if any, to each foreign principal. Date To Whom Purpose Amount Total Received by NSD/FARA. Registration Unit 02/21/2018 11:17:10AM Received by NSD/FARA Registration Unit 02/21/2018 11:17:10 AM (PAGE 7) (b) DISBURSEMENTS-THINGS OF VALUE During this 6 month reporting period, have you disposed of anything of value10 other than money in furtherance of or in connection with activities on behalf of any foreign principal named in Items 7, 8, or 9 of this statement? Yes □ No [El If yes, furnish the following information: Date Recipient Foreign Principal Thing of Value Purpose (c) DISBURSEMENTS-POLITICAL CONTRIBUTIONS During this 6 month reporting period, have you from your own fluids and on your own behalf either directly or through any other person, made any contributions of money or other things of value11 in connection with an election to any political office, or in connection with any primary election, convention, or caucus held to select candidates for political office? Yes H No □ If yes, furnish the following information: Date 11/16/2017 9/12/2017 9/28/2017 Amount or Thing of Value $500.00 (from Janice O'Connell) 9/28/2017 . $1,000.00 (From Richard Gephardt) $18,900.00 (From Richard Gephardt) $2,500.00 (From Richard Gephardt) 10/24/2017 $250.00 (from Richard Gephardt) 11/1/2017 $2700.00 (From Richard Gephardt) 11/7/2017 $1000.00 (From Richard Gephardt) 11/16/2017 $2000.00 (from Richard Gephardt) 11/16/2017 $4,400.00 (from Richard Gephardt) 12/8/2017 $2,500.00 (from Richard Gephardt) 12/13/2017 $1,000.00 (From Richard Gephardt) Political Organization or Candidate McCaskill for Missouri (sen Claire McCaskill (D-MO)) Friends of Cheri Bustos (Rep. Cheri Bustos (D-IL)) DCCC Martin Heinrich for Senate(Sen. Martin Heinrich (D-NMj) Richard E. Neal for Congress (Rep. Richard Neal (D-MA)) Friends of Sherrod Brown (Sen Sherrod Brown (D-OH)) Richard E. Neal for Congress (Rep. Richard Neal (D-MA)) John Lewis for Congress (Rep. John Lewis (D-GA) McCaskill for Missouri (Seri Claire McCaskill (D-MO)) Donnelly for Indiana (Sen Joe Donnelly (D-IN)) Bob Casey for U.S. Senate (Sen Bob Casey (D-PA)) Location of Event Washington, DC Washington, DC Washington, DC Washington, DC Washington, DC Washington, DC Washington, DC Washington, DC Washington, DC Washington, DC Washington/ DC (Note: No contributions by Michael Messmer during this period) 10. II Things of value include but are not limited to gifts, interest free loans, expense free travel, favored stock purchases, exclusive rights, favored treatmeit over competitors, "kickbacks," and the like. Received by NSD/FARA Registration Unit 02/21/2018 11:17:10 AM Received by NSD/FARA Registration Unit 02/21/2018 11:17:10 AM (PAGE 8) V-INFORMATIONAL MATERIALS 16. (a) During this 6 month reporting period, did you prepare, disseminate or cause to be disseminated any informational materials?12 Yes □ No S If Yes, go to Item 17. (b) If you answered No to Item 16(a), do you disseminate any material in connection with your registration? ' Yes □ No [El If Yes, please forward the materials disseminated during the six month period to the Registration Unit for review. 17. "Identify each such foreign principal. 18. During this 6 month reporting period, has:any foreign'principal established a budget or allocated a specified sum of money to finance your activities in preparing or disseminating informational materials? Yes □ No 0 If yes, identify each such foreign principal, specify amount, and indicate for what period of time. 19. During this 6 month reporting period, did your activities in preparing,'disseminating or causing the dissemination ofinformational materials include the use of any of the following: □ Radio or TV broadcasts G Magazine or newspaper G Motion picture films G Letters or telegrams G Advertising campaigns G Press releases G Pamphlets or other publications G Lectures or speeches □ Other (specify)________________ Electronic Communications G Email G Website URL(s):___________________________________ G Social media websites URL(s):______ ;____________________________ ;_______ _ Q Other (specify) _______ .______________ ._________ .________________________ 20. During this 6 month reporting period, did you disseminate or cause to be disseminated informational materials among any of the following groups: G Public officials G Newspapers G Libraries G Legislators G Editors G Educational institutions G Government agencies G Civic groups or associations G Nationality groups G Other (specify)_______ 21. Whatlseiguage was used in the informational materials: G English G Other(specify)______________ 22. Did you file withthe Registration Unit, U.S. Department of Justice a copy of each item of such informational materials disseminated or caused to be disseminated during this 6 month reporting period? Yes 0 No G 23. Did you label each item of such informational materials with the statement required by Section 4(b) of the Act? Yes G No G 12 The term informational materials included any oral, visual, graphic, written, or pictorial information or natter of any kind, including that published by means of advertising, books, periodicals, newspapers, lectures, broadcasts, motion pictures, or any mans or instrumentality of interstate or foreign commerce or otherwise. Informational materials disseminated by an agent of a foreign principal as part of an activity in itself exempt from registration, or an activity which by itself would not require registration, need not be filed pursuant to Section 4(b) of the Act Received by NSD/FARA Registration Unit 02/21/2018 11:17:10 AM Received by NSD/FARA Registration Unit 02/21/2018 11:17:10 AM (PAGE 9) VI-EXECUTION In accordance with 28 U.S.C. § 1746, the undersigned sweats) or affirm(s) under penalty of peijury that he/she has (they have) read the information set forth in this registration statement and the attached exhibits and that he/she is (they are) familiar with the contents thereof and that such contents are in their entirety true and accurate to the best of his/her (their) knowledge and belief, except that the undersigned make(s) ho representation as to truth or accuracy of the information contained in die attached Short Form Registration Statements), if any, insofar as such information is hot within his/her (their) personal knowledge. (Date of signature) February 21,2018N Richard A. Gephardt Februaryj1,2Q18 (Print or type name under each signature or provide electronic signature13) eSigned N Thomas J. O'Donnell eSigned 13 This statement shall be signed by die individual agent, if the registrant is an individual, or by a majority of those partners, officers, directors or persons performing similar functions, if the registrant is an organization, except that the organization can, by power of attorney, authorize one or more individuals to execute this statement on its behalf. 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H* g2 (0 1a c =£ 2*2 £ O to w *5 2 k_ <0 CD CO tr OC ID 2 O C w- c C£ i (0 f 6 &o sr 2o —o - o: g c o. 8 3O Q. S OlS SCO 8 o o o CO 0) c c ii „S:f i CO >» .2 1 (0a iio a «§ c 1 s <0 £ 33 >o o o5 Q E _UJ is 8 8 § JS *o JS £o Received by NSD/FARA Registration Unit 02/21/2018 11:17:10AM Received by NSD/FARA Registration Unit 02/21/2018 11:17:10 AM (3 1 ii$ i § < = CL h* 3 o 5 *2 8 5)5 8* 0)2 - C := = O £ § O _c .2? = .9 II 1 i$ sf II C <0 O Q E on__ 8 < a9 8 9. = O §. CL Slf o Q o $ ” (3 CZ (!) CC s i x I If If 8 z 11 &?■ ft Q Q §> 8 Q IE o g E «) o Q if -M 2 S go E E £.4 S’! TO c c (D 8J C := £ ? H(0 E n_ C: .9 = o tr ii Richard A. G ephardt TECRO (Taiwan): 08/01/2017-01/31/2018 £2 O .2 < E. c w "5 TO 3 5 2 £ to 1 § o w 55 ll I! 9 s« 2 c ' S C TO 55 *<3 c o s _ E 8 Si o »* It o is O Vi & I* a 8 C TO 5 0> TO C CD V) £ -o e c E TO «> H i8 £ I E 5 c w £.6 E E a. § £ 5 € 5 E E I 6 c ii * a TO TO 2 TO o Received by NSD/FARA Registration Unit 02/21/2018 11:17:10AM 0. CD E E £ £ TO O 5 TO TO. E 5 o ir a a Received by N SD/FARA Registration Unit 02/21 /2018 11:17:10 AM 1§ i § & o £2 8: 5)5 = ft I I8 h- o o 0£ - oc H q: h* a I- c Richard A. Gephardt TECROfTaiwan): 08/01/2017-01/31/2018 < re §i 5 g -I? fis 3a v# ® e *8 iti o>? ft 2 g Jft o 8 O5 0 ■ft <0 O5§ o s S x i2 OT A 8r N O* n 3 3 g g *5 P to .y to c i= = .o co k. s g ft 8 £V(0 O tt •e ft O U i0)1^ .11 SS o* S'2 tn Q w £ *5 ill c J* <3 3 i=F lit *6 re a fte $3 ® ft O c *= a r«>, Ql o£ <^ £ - a: ft 5 x i2 ?i.S y co 6)5 > — 3to Q 2 8 PS ft S' 5.2 o _g 5 *D oft a- <8 gl © ® a co c g I _i 8 y o is p re O O O) c <3 § UJ Ig Si re ft 5 c o (0 a> ^ B "5 o o CD c ft If .re A.£ g £ i^ ©^ II a E UJ UJ ui r*. I h» 0$ ft re ft 1 a I I ft re ft re a <3 I JC .2 Received by NSD/FARA Registration Unit 02/21/2018 11:17:10 AM Received by NSD/FARA Registration Unit 02/21/2018 11:17:10AM 1 = ts o 3 © 9 5) c^ Ri­ ll. ?2S <0 11 .y *2 0)2 < - St S X 1 h* X K O IX K © 31 It sd ^ V) o C := a ac i- S-U. z o-S = .© I? i~ £o 8 'Si 2 O a. 1 (0E 3 c (0 E 08/01/2017-01/31/2018 <5 £ S •8 -c £ 5>2 <= Ill h 81 .&£ Si SCO o cn S w 1} TECRO (Taiwan): Richard A. G ephardt 3 I i 2 -2 € 11 O 2 w © ■ c m c >. 3 if Is £ § * fr- © 0 CO O 00 <0 8 o CN 35 1 -C Q. « 0 R © 1 R n .c a s 1 g a *2 a .c s i c. o £ a © 0 *2 © .c. a. 8 5 u £ Received by NSD/FARA Registration Unit 02/21/2018 11:17:10 AM *2 ■2 1 a. © 8 o £ £ g a o *2 Received by NSD/FARA Registration Unit 02/21 /2018 11:17:10 AM a g 1.0 3 8 as z < = o 0 0C 2 i M 3'2 w £ S .2 ?i§ - sli a h» t- OC >- Ql h- I Richard A. 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