FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 28, 2023

(This report is required to be filed on or before December 31 of each calendar year.)
49-1480.01(3)

Amended Registration
Lobbyist Registration Fee:
{49-1480.01}

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

625 S. 14th Street, Suite A 

625 S 14th Street, Suite A 

Lincoln 

NE 

68508 

Lincoln 

NE 

68508 

(402) 436-2165 

(402) 436-2165 

kent@jensenrogert.com 

PRINCIPAL {49-1480(2)}

(317) 997-5895 

9903 Buttondown Ln 

William S Reid 

Zionsville 

IN 

46077 

HEALTH 

AMOUNTS GIVEN
24,000.00  Per Year  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Matters impacting the policies and operations of Eli Lilly  
Description of industry, trade, profession, or interests and groups represented by the principal:
Pharmaceuticals 
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:

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

JensenRogertAssocInc

Lobbyist Name

Dec 28, 2023

Date