Received by NSD/FARA Registration Unit 02/20/2018 2:38:54 PM OMB No. 1124-000$; Expires May 31,2020 Short Form Registration Statement Pursuant to the Foreign Agents Registration Act of 1938, as amended C.S. Department of Justice 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 m no activities in furtherance of the interests of the registrant's foreign principal or unless the services he rentiers 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,farn,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 infonnatiah requested is mandatory, and failure to provide foe information is subject to the penalty and enforcement provisions established in Section 8 of foe Act. Every registration statement, short form registration statement, supplemental statement, exhibit, amendment, copy of informational materials of other document or information filed with foe Attorney General under this Act is a public record open to public examination, inspection and copying during foe posted business hours of foe Registration Unit in Washington, DC. Statements are also available online at foe Registration Unit’s webpage: https://www.fara.pov. One copy of every such document, other than informational materials, is automatically provided to the Secretary of State pursuant to Section 6(b) of foe Act, and copied of any and all documents are routinely made available to other agencies, departments and Congress pursuant to Section 6(c) of foe Act. The Attorney General also transmits a semi-annual report to Congress on foe administration of foe Act which lists the names of all agents registered under the Aft and the foreign principals they represent. This report is available to the public and online at: https://wvnv fara.gnv. 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 and Export Control Section, National Security Division, U S. Department of Justice, Washington, DC 20530; and to foe Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503. 1. Name 2. Registration No. . David B. Kultgen 3. Residence Address(es) VI641 Overlook Pass Austin, TX 78738 4. Business Address(es) Same 5. YearofBirth 6. If present citizenship was not acquired by birth, indicate when, and how acquired. Nationality 1948 US N/A Present Citizenship US 7. Occupation Attorney 8. What is the name and address of the primary registrant? Name The Law Office of David B. Kultgen, PLLC 9: Indicate'yoiur connection with the primary registrant: □ partner □ director S officer □ associate Address 11841 Overlook Pass Austin, TX 78738 E employee □ consultant □ agent □ subcontractor EJ other (specify) Sole member and President 10. List every foreign principal to whom you will render services in support of the primary registraht The Ministry of Energy, Industry and Mineral Resources of the Kingdom of Saudi Arabia 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 foe date(s) of such services. (Ifspace is insufficient, a full insert page must be used.) Legal and consulting services in connection with the Saudi National Atomic Energy Project, as from the date of this registration. FORM NSD-6 Revised 05/17 Received by NSD/FARA Registration Unit 02/20/2018 2:38:54 PM Received by NSD/FARA Registration Unit 02/20/2018 2:38:54 PM 12. Do any ofthTabove 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. Such services may include participation in interaction with agencies and departments of the U.S. Government and members of Congress on behalf of the Ministry with respect to the Agreement contemplated by Section -123 of the Atomic Energy Act of 1954 (the"Section 123 Agreement") and related agreements in connection with the Kingdom's development of a commercial nuclear program, and Congressional review of the Section 123 Agreement 13. The services described in Items 11 and 12 are to be rendered on a □ full time basis IS part time basis □ special basts 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). 0 Fee: Amount $ 550/hr Q Other thing of value 15. During the period beginning 60 days prior to the date of your obligatiorfto 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 B 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 or affirms under pen. of peijury.tbat-he/she has wad the information set forth in this registration statement and that he/she is far&Tifecvit!) th contents'thereof and that such contents are in their entirety true and accurate to the best of his/her knowledge and belief. 2 -3.0 , /& (Date ofsignature) (Si re) Footnote: ‘Political activity," as defined in Section l(o)of the Act, means'any activity which the penon 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 ot 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 cr 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 02/20/2018 2:38:54 PM