Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Nov 13, 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

Luetkenhaus, Brandon

Office Address (Street, Box, or Route)

16929 Frances Street, Ste. 203

Permanent Residence (Street, Box, or Route)

18843 Edna St.

City

Omaha

State

Zip

68130

City

Omaha

State

Zip

68136

Office Phone

(402) 333-9331

Home Phone

(402) 660-1492

Email Address

brandon@nebrcul.org

PRINCIPAL {49-1480(2)}

Name

Nebraska Credit Union League

Office Phone

(402) 333-9331

Office Address (Street, Box, or Route)

16929 Frances Street, Ste. 203

Official to Whom Lobbyist is Accountable

City

Omaha

State

Zip

68130

Nature of Business {49-1480(3)}

Financial Services

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
1,250.00 Per Year

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

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

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.

Brandon Luetkenhaus

Lobbyist Name

Nov 13, 2023

Date