Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Oct 31, 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

Martin, Becca

Office Address (Street, Box, or Route)

15407 McGinty Rd W

Permanent Residence (Street, Box, or Route)

15615 57th Ave N

City

Wayzata

State

Zip

55391

City

Plymouth

State

Zip

55446

Office Phone

(651) 470-9426

Home Phone

(651) 470-9426

Email Address

Becca_Martin@cargill.com

PRINCIPAL {49-1480(2)}

Name

Cargill

Office Phone

(651) 470-9426

Office Address (Street, Box, or Route)

15407 McGinty Rd W

Official to Whom Lobbyist is Accountable

City

Wayzata

State

Zip

55391

Nature of Business {49-1480(3)}

Government Relations and Lobbying

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
10,000.00 Percentage of salary

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} All matters of relevance to Cargill

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

Names and addresses of principal's officers:

Katie Smith
15407 McGinty Rd W., Wayzata, MN 55391

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.

Becca Martin

Lobbyist Name

Oct 31, 2023

Date