Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 30, 2024

Clerk of the Legislature
Room 2014, State Capitol
PO Box 94604
Lincoln, NE 68509-4604
Phone: (402) 471-2608

For Calendar Year of:

Amended Registration

Lobbyist Registration Fee:
{49-1480.01}

Compensated

$200.00

(If you are a salaried employee of your principal, you are a compensated lobbyist.)

Not Compensated

$15.00

(File a Form E for quarterly report exemption. You are not exempt from the Form D Activity Report.)

PLEASE FILL IN ALL BLANKS

LOBBYIST {49-1480(1)}

Name

Rembolt Ludtke, LLP

Office Address (Street, Box, or Route)

1128 Lincoln Mall, Ste. 300

Permanent Residence (Street, Box, or Route)

City

Lincoln

State

Zip

68508

City

State

Zip

Office Phone

(402) 475-5100

Home Phone

Email Address

apollock@remboltlawfirm.com

PRINCIPAL {49-1480(2)}

Name

Nebraska Library Association

Office Phone

(402) 486-9285

Office Address (Street, Box, or Route)

PO Box 21756

Official to Whom Lobbyist is Accountable

Ginger Jelinek

City

Lincoln

State

Zip

68542

Nature of Business {49-1480(3)}

Non-profit

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
1,080.00 Per Session

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Promotion of libraries, library media centers and library services

Description of industry, trade, profession, or interests and groups represented by the principal:
Non-profit

Names and addresses of principal's officers:

GIVE NAME and ADDRESS of any OFFICIAL in the Legislative or Executive Branch and of any members of any such official's staff or immediate family who is employed by you or by anyone acting on your behalf: {49-1480(8)}

I certify that all information presented in this form is accurate to the best of my knowledge.

Andy Pollock

Lobbyist Name

Jan 30, 2024

Date