Clerk of the House of Representatives
Legislative Resource Center
135 Cannon Building
Washington, DC 20515
http://lobbyingdisclosure.house.gov 		Secretary of the Senate
Office of Public Records
232 Hart Building
Washington, DC 20510
http://www.senate.gov/lobby

LOBBYING REGISTRATION

Lobbying Disclosure Act of 1995 (Section 4)

Check One: New Registrant New Client for Existing Registrant Amendment

1. Effective Date of Registration
4/15/2018
2. House Identification
 43477
 Senate Identification
 401104288

REGISTRANT Organization/Lobbying Firm Self Employed Individual

3. Registrant Organization
BALLARD PARTNERS
Address
601 Thirteenth St, NW
 Address2
​Suite 450 N
City
Washington
 State
DC
 Zip
20005
 Country
USA

4. Principal place of business (if different than line 3)

City
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State
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Zip
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5. Contact name and telephone number International Number
Contact
​Mr. Dan McFaul
 Telephone
​2028005620
 E-mail
​dan@ballardfl.com
6. General description of registrant’s business or activities
​Government Relations and Advocacy Services

CLIENT A Lobbying Firm is required to file a separate registration for each client. Organizations employing in-house lobbyists should check the box labeled “Self” and proceed to line 10. Self

7. Client name
​Citizens for a Safe and Secure America
Address
​10727 Chase Court
City
​Fishers
 State
​IN
 Zip
​46037
 Country
​USA
8. Principal place of business (if different than line 7)
City
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State
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Zip
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9. General description of client’s business or activities
​501(c)(4) Created to Promote and Encourage Democratic Change in Syria

LOBBYISTS

10. Name of each individual who has acted or is expected to act as a lobbyist for the client identified on line 7. If any person listed in this section has served as a “covered executive branch official” or “covered legislative branch official” within twenty years of first acting as a lobbyist for the client, state the executive and/or legislative position(s) in which the person served.

Name Covered Official Position (if applicable)
First
Last
Suffix
​Brian ​Ballard ​ ​
​Sylvester ​Lukis ​ ​
​Justin ​Sayfie ​ ​Commissioner, Commission on WH Fellows
​James ​Rubin ​ ​1998-2000 Assistant Secretary of State for Public Affairs
​ ​ ​ ​

LOBBYING ISSUES

11. General lobbying issue areas (Select all applicable codes).

​GOV
​HOM
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12. Specific lobbying issues (current and anticipated)

Registrant will advocate in support of policies that will lead to democracy, and positive changes in war-ravaged Syria, including: the promotion of democratic change in Syria with the assistance of key international institutions, including free and fair elections to establish governance for the Syrian people based on rule of law and the prospect of peace and security; to facilitate international and local efforts to secure a safe and stable Syria no longer riven by civil war; to encourage international efforts to create the security conditions necessary for the provision of urgently-needed humanitarian assistance; and to encourage the return of Syrian refugees and displaced persons to their homes.

AFFILIATED ORGANIZATIONS

13. Is there an entity other than the client that contributes more than $5,000 to the lobbying activities of the registrant in a quarterly period and either participates in and/or in whole or in major part supervises or controls the registrant’s lobbying activities?

No --> Go to line 14. Yes --> Complete the rest of this section for each entity matching the criteria above, then proceed to line 14.
Internet Address:
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Street
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FOREIGN ENTITIES

14. Is there any foreign entity

a) holds at least 20% equitable ownership in the client or any organization identified on line 13; or

b) directly or indirectly, in whole or in major part, plans, supervises, controls, directs, finances or subsidizes activities of the client or any organization identified on line 13; or

c) is an affiliate of the client or any organization identified on line 13 and has a direct interest in the outcome of the lobbying activity?

No --> Sign and date the registration. Yes --> Complete the rest of this section for each entity matching the criteria above, then sign the registration.
Address Ownership
Name Street Principal place of business Amount of contribution
City State/Province Country
(city and state or country) for lobbying activities
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Signature
Digitally Signed By: Sara Nuvy
 Date
4/19/2018 6:05:53 PM