Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 14, 2023

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

Hladik, Johnathan

Office Address (Street, Box, or Route)

3808 28th Avenue

Permanent Residence (Street, Box, or Route)

2090

City

Kearney

State

Zip

68845

City

Craig

State

Zip

68019

Office Phone

(402) 587-6939

Home Phone

(402) 314-1418

Email Address

johnathan.hladik@gmail.com

PRINCIPAL {49-1480(2)}

Name

Tallgrass Energy

Office Phone

(303) 763-2950

Office Address (Street, Box, or Route)

370 Van Gordon St.

Official to Whom Lobbyist is Accountable

Steven Davidson

City

Lakewood

State

Zip

80228

Nature of Business {49-1480(3)}

Energy infrastructure

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
10.00 Percentage of salary

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Energy infrastructure

Description of industry, trade, profession, or interests and groups represented by the principal:
Tallgrass Energy Partners, LP

Names and addresses of principal's officers:

Matt Sheehy, CEO - same address as above.

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.

Johnathan Hladik

Lobbyist Name

Dec 14, 2023

Date