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Global Policy Group, Inc. Foreign Agents Registration Act filing PDF

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. Received by NSD/FARA Registration Unit 01/04/2013 4:29:46 PM OMB NO. 1124-0002; Expires February 28, 2014 u.s. Department of Justice Supplemental Statement Washington, ife20530 Pursuant to the Foreign Agent&iRegistration Act of 1938, as amended For Six Month Period Ending 12/31/12 (Insert dale) I - REGISTRANT 1. (a) Name of Registrant (b) Registration No. Global Policy Group, Inc. 5290 (c) Business Address(es) of Registrant 1101 16th Street, NW " Washington, DC 20036 2. Has there been a change in the information previously furnished in connection with the following? (a) If an individual: (1) Residence address(es) Yes • No __ (2) Citizenship Yes D No D (3) Occupation Yes • No __ ' (b) If an organization: (1) Name YesD No H (2) Ownership or control Yes __ No __ (3) Branch offices Yes • No __ . (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 G1, state whether any changes therein have occurred during this 6 month reporting period. ' Yes • • . No H Ifyes, have you filed an amendment to the Exhibit C? YesD NoD If no, please attach the required amendment. 1 The Exhibit C, for which no printed form is provided, consists of a true copy ofthe charter, articles of incorporation, associatron, and by laws of a registrant that is an organization. (A waiver ofthe 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.) ' Formerly CRM-154 FORMNSD-2 Revised 03/11 Received by NSD/FARA Registration Unit 01/04/2013 4:29:46 PM . Received by NSD/FARA Registration Unit 01/04/2013 4:29:46 PM (PAGE 2) =il>r 4. (a) Have any persons ceased acting as partners, officers, directors or similar officials of thtejiSgistrant during this 6 month reporting period? Yes • No B 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 ED If yes, furnish the following information: Name Residence Address Citizenship Position Date Assumed 5. (a) Has any person named in Item 4(b) rendered services directly in furtherance ofthe interests of any foreign principal? Yes • No D Ifyes, 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 ofthe interests of any foreign principal(s) in other than a clerical or secretarial, or in a related or similar capacity? Yes • No __ 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 • No [x] Ifyes, furnish the following information: Name ' Position or Connection Date Terminated (d) Have any employees or individuals, who have filed a short form registration statement, terminated their connection with any foreign principal during this 6 month reporting period? Yes • No IH1 If yes, furnish the following information: Name Position or Connection Foreign Principal Date Terminated 6. Have short form registration statements been filed by all ofthe persons named in Items 5(a) and 5(b) ofthe supplemental statement? Yes [x] No Q If no, list names of persons who have not filed the required statement. Received by NSD/FARA Registration Unit 01/04/2013 4:29:46 PM . Received by NSD/FARA Registration Unit 01/04/2013 4:29:46 PM - ' (PAGE 3) II-FOREIGIpiUNCIPAL 7. Has your connection with any foreign principal ended during this 6 month reporting period? Yes • No (HI Ifyes, furnish the following information: Foreign Principal Date of Termination 8. Have you acquired any new foreign principal(s)2 during this 6 month reporting period? Yes • No S Ifyes, furnish th following information: Name and Address of Foreign Principal(s) Date Acquired 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. Japan External Trade Organization [JETRO] 1221 Avenue ofthe Americas New York, NY 10020 10. (a) Have you filed exhibits for the newly acquired foreign principal(s), if any, listed in Item 8? Exhibit A3 Yes • No D Exhibit B4 Yes • No D 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 • No H Ifyes, have you filed an amendment to these exhibits? Yes • No D If no, please attach the required amendment. 2 The term "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 ofthe Act. (See Rule 208.) 3 The Exhibit A, which is filed on Form NSD-3 (Formerly CRM-157) sets forth the information required to be disclosed concerning each foreign principal. 4 The Exhibit B, which is filed on Form NSD-4 (Formerly CRM-155) sets fourth the information concerning the agreement or understanding between the registrant and the foreign principal. Received by NSD/FARA Registration Unit 01/04/2013 4:29:46 PM . Received by NSD/FARA Registration Unit 01/04/2013 4:29:46 PM (PAGE 4) , p^ III - ACTIVITIES 11. During this 6 month reporting period, have you engaged in any activities for or rendered any services to any foreign principal named in Items 7, 8, or 9 of this statement? Yes ~ No • Ifyes, identify each foreign principal and describe in full detail your activities and services: Prepared research reports and memos on: Social Security A Pre-Election Update, The "Fiscal Cliff' in Washington, The US Elections and the Outlook for Retirement Policy, Pension Provisions in MAP-21 12. During this 6 month reporting period, have you on behalf of any foreign principal engaged in political activity5 as defined below? Yes • No H Ifyes, 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. 13. In addition to the above described activities, if any, have you engaged in activity on your own behalf which benefits your foreign principal(s)? Yes • No __ - Ifyes, describe fully. 5 The term "political activity" means any activity that the person engaging in believes will, or that the person intends to, in any way influence any agency or official ofthe Government ofthe United States or any section ofthe public within the United States with reference to formulating, adopting or changing the domestic or foreign policies ofthe 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 01/04/2013 4:29:46 PM - Received by NSD/FARA Registration Unit 01/04/2013 4:29:46 PM (PAGE 5) siS* 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 H No D If no, explain why. Ifyes, set forth below in the required detail and separately for each foreign principal an account of such monies.6 Date From Whom Purpose Amount 7/27/12 JETRO Research Reports and Memos $6,475 10/1/12 JETRO Research Reports and Memos $6,475 12/7/12 JETRO Research Reports and Memos $6,475 $19,425 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 in Items 7, 8, or 9 of this statement? Yes • No ED Ifyes, have you filed an Exhibit D to your registration? Yes D No D If yes, indicate the date the Exhibit D was filed. Date (c) RECEIPTS-THINGS OF VALUE During this 6 month reporting period, have 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 S Ifyes, furnish the following information: Foreign Principal Date Received Thing of Value 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 An 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 01/04/2013 4:29:46 PM Received by NSD/FARA Registration Unit 01 /04/2013 4:29:46 PM (PAGE 6) 15. (a) DISBURSEMENTS-MONIES During this 6 month 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 0 No D (2) transmitted monies to any such foreign principal? Yes • No H If no, explain in full detail why there were no disbursements made on behalf of any foreign principal. Ifyes, set forth below in the required detail and separately for each foreign principal an account of such monies, including monies transmitted, if any, to each foreign principal. Date To Whom Purpose Amount ongoing paid routine office expenses such expenses for telephone, copying, $19,425 throughout July as telephone, copying, paper, paper, equipment & supplies, through equipment & supplies, rent, and rent, and salaries for staff December 2012 salaries for staff none expenses for entertainment, travel, expenses for entertainment, 0 or payments to other firms travel, or payments to other firms $19,425 Total Received by NSD/FARA Registration Unit 01/04/2013 4:29:46 PM - Received by NSD/FARA Registration Unit 01/04/2013 4:29:46 PM (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 S Ifyes, 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 funds 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 D No S Ifyes, furnish the following information: Date Amount or Thing of Value Political Organization or Candidate Location of Event 10,11 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 01/04/2013 4:29:46 PM - Received by NSD/FARA Registration Unit 01/04/2013 4:29:46 PM (PAGE8) 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 IfYes, 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 H IfYes, please forward the materials disseminated during the six month period to the Registration Unit for review. 17. Identify each such foreign principal, none 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 13 Ifyes, 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 of informational materials include the use of any of the following: • Radio or TV broadcasts • Magazine or newspaper • Motion picture films • Letters or telegrams D Advertising campaigns • Press releases P Pamphlets or other publications • Lectures or speeches • Other (specify) ' Electronic Communications • Email • Website URL(s): ' . • P Social media websites URL(s): • 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: D Public officials • Newspapers • Libraries D Legislators • Editors D Educational institutions • Government agencies __ Civic groups or associations • Nationality groups • Other (specify) 21. What language was used in the informational materials: • English Q Other (specify) 22. Did you file with the 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 P' No P 23. Did you label each item of such informational materials with the statement required by Section 4(b) ofthe Act? Yes P No D 12 The term informational materials includes any oral, visual, graphic, written, or pictorial information or matter of any kind, including that published by means of advertising, books, periodicals, newspapers, lectures, broadcasts, motion pictures, or any means 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) ofthe Act. Received by NSD/FARA Registration Unit 01/04/2013 4:29:46 PM • - Received by NSD/FARA Registration Unit 01/04/2013 4:29:46 PM (PAGE 9) • -fcfc;. VI -EXECUTION In accordance with 28 U.S.C. § 1746, the undersigned swear(s) or affirm(s) under penalty of perjury 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) no representation as to truth or accuracy ofthe information contained in the attached Short Form Registration Statement(s), if any, insofar as such information is not within his/her (their) personal knowledge. (Date of signature) (Print or type name under each signature or provide electronic signature13) January 04,2013 Isl Douglas J Bergner eSigned January 04,2013 /s/lanCGraig - eSigned 13 This statement shall be signed by the 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. Received by NSD/FARA Registration Unit 01/04/2013 4:29:46 PM

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