Untermeyer 6751 Registration Statement 20191119 1
Untermeyer 6751 Registration Statement 20191119 1
Untermeyer 6751 Registration Statement 20191119 1
I--REGISTRANT
1. Name of Registrant
N/A
(c) Name of responsible individual
(e.g., officer, director or partner)
FORM NSD-1
Revised 06/19
(PAGE 2)
(f) List all partners, officers, directors or persons performing the functions of an officer or director of the registrant.
(g) Which of the above named persons renders services directly in furtherance of the interests of any of the foreign principals?
Name Foreign Principal(s) Represented Services
N/A N/A N/A
(i) Give a complete description of the ownership and control structure of the registrant.
N/A
6. List all individuals, other than those listed in Item 5(g), who render services to the registrant directly in furtherance of the
interests of any of the foreign principals in other than a clerical, secretarial, or in a related or similar capacity.
II--FOREIGN PRINCIPAL
7. List every foreign principal for whom the registrant is acting or has agreed to act.
1
III--ACTIVITIES
8. In addition to the activities described in any Exhibit B to this statement, will the registrant engage or is the registrant engaging
now in activity or rendering services on its own behalf which benefits any or all of its foreign principals?
Yes □ No ✘ □
If yes, describe fully.
N/A
IV--FINANCIAL INFORMATION
9. (a) RECEIPTS-MONIES
During the period beginning 60 days prior to the date of your obligation to register 2 under FARA, did the registrant receive from
any foreign principal named in Item 7 any contribution, income, or money either as compensation on, or for disbursement, or
otherwise? Yes □ No ✘ □
If yes, set forth below in the required detail and separately for each such foreign principal an account of such monies. 3
Total: N/A
1 The term "foreign principal," as defined in Section 1(b) of the Act, includes a foreign government, foreign political party, foreign organization, foreign individual and, for the
purpose of registration, an organization or an individual 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.
2 An agent must register within 10 days of becoming an agent, and before acting as such.
3 A registrant is required to file an Exhibit D if he collects or receives contributions, loans, monies, or other things of value for a foreign principal, as part of a fundraising
campaign. There is no printed form for this exhibit. (See Rule 201(e), 28 C.F.R. § 5.201(e)).
10
V--INFORMATIONAL MATERIALS
11. Prior to the time of filing this statement,11 did the registrant prepare, disseminate or cause to be disseminated, any
informational materials on behalf of any foreign principal listed in Item 7 of this statement?
Yes □ No ✘ □
If yes, identify each foreign principal and attach the informational materials.
Foreign Principal Informational Materials Attached Type
N/A N/A N/A
12. Will the activities of the registrant on behalf of any foreign principal include the preparation or dissemination of informational
materials?
Yes ✘ □ No □
IF YES, RESPOND TO THE REMAINING ITEMS IN THIS SECTION V.
14. Has a budget been established or specified sum of money allocated to finance the registrant's activities in preparing or
disseminating informational materials? Yes No ✘ □ □
If yes, identify each foreign principal, and specify the period of time and the amount.
Foreign Principal Period of Time Amount
N/A N/A N/A
15. Will any individuals or organizations, including public relations firms or publicity agents, participate in the preparation or
dissemination of such informational materials?
Yes □ No ✘ □
If yes, furnish the names and addresses of such individuals or organizations.
Name Address Foreign Principal(s)
N/A N/A N/A
16. Activities in preparing or disseminating informational materials will include the use of the following:
□✘Email
□ Website URL(s): _____________________________________________________________________________________________
N/A
10 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, electronic communications, 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) of the Act.
11 See Footnote 2, on page 3.
□Legislators Libraries □
□Government agencies ✘ Educational groups □
□Newspapers Nationality groups □
□
✘ Editors □
✘ Other (specify) _____________________________
Businesses, cultural institutions
19. (a) The following described exhibits shall be filed with an initial registration statement:
Exhibit A- This exhibit, which is filed on Form NSD-3, sets forth the information required to be disclosed concerning each
foreign principal named in Item 6.
Exhibit B- This exhibit, which is filed on Form NSD-4, sets forth the information concerning the agreement or understanding
between the registrant and the foreign principal.
(b) An Exhibit C shall be filed when applicable. This exhibit, for which no printed form is provided, consists of a true copy of
the charter, articles of incorporation, association, constitution, and bylaws of a registrant that is an organization. A waiver of
the requirement to file an Exhibit C may be obtained for good cause shown upon written application to the Assistant Attorney
General, National Security Division, U.S. Department of Justice, Washington, DC 20530. (See Rule 201(c) and (d)).
(c) An Exhibit D shall be filed when applicable. This exhibit, 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. (See Rule 201 (e)).
VII--EXECUTION
In accordance with 28 U.S.C. § 1746, and subject to the penalties of 18 U.S.C. § 1001 and 22 U.S.C. § 618, the undersigned swears or
affirms under penalty of perjury that he/she has read the information set forth in this Registration Statement, 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.
12 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.