Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Nov 20, 2023

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

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, Susan L.

Office Address (Street, Box, or Route)

2012 South 13th Street

Permanent Residence (Street, Box, or Route)

630 Norwood Drive

City

Lincoln

State

Zip

68502-2313

City

Lincoln,

State

Zip

68512-2105

Office Phone

(402) 476-0002

Home Phone

(402) 617-3151

Email Address

neaflcio@neafl-cio.org

PRINCIPAL {49-1480(2)}

Name

Nebraska State AFL-CIO

Office Phone

(402) 476-0002

Office Address (Street, Box, or Route)

2012 South 13th Street

Official to Whom Lobbyist is Accountable

Nebraska State AFL-CIO

City

Lincoln

State

Zip

68502-2313

Nature of Business {49-1480(3)}

LABOR

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

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

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

Names and addresses of principal's officers:

Last Name First Name Address City State Zip
Bird Bradley B. 3375 Oak View Drive Omaha, NE 68144-5629
Burt Ally D. 4500 Kirkwood Drive Lincoln, NE 68516-1550
DeHart Brett R. 11317 Pebblebrooke Boulevard Gretna, NE 68028-6914
Grothe II Robert D. 1116 North 154th Avenue Circle Omaha, NE 68154-3745
Helmink, Sr. Michael D. 1090 County Road 75 Hemingford, NE 69348-5005
Janak Daniel R. 1963 25th Road Dwight, NE 68635-3037
Jensen Trey C. 1711 S.W. 25th Street Lincoln, NE 68522-4407
Kirchhevel Jason P. 2306 South 30th Street Omaha, NE 68105-3205
Liebsack Jeremy J. 15229 Shirley Street Omaha, NE 68144-1960
Martin Susan L. 630 Norwood Drive Lincoln, NE 68512-2105
Mass Ken E. 11222 X Street Omaha, NE 68137-3611
McKay Ryan J. 3530 O'Sullivan Road Lincoln, NE 68516-5085
Michel Richard K. 5951 Eagle Ridge Drive Nebraska City, NE 68410-1069
Morehead Todd J. 4619 Sutley Circle Papillion, NE 68133-2746
Mumm Alton C. 602 South 259th Street Waterloo, NE 68069-4616
Mychackavane Johnny 2919 S Street Lincoln, NE 68503-3138
Odom Sion T. 1632 Snowshoe Drive Lincoln, NE 68521-1695
Rose David L. 8716 B Street Omaha, NE 68124-3908
Salerno Mark A. 10324 North 53rd Street Omaha, NE 68152-5016
Schrunk Adam J. 8377 Haley Lynn Lane Denton, NE 68339-9607
Stark Destiny S. 11412 T Circle Omaha, NE 68137-3648
Teunissen Randy A. 3630 South 52nd Street Omaha, NE 68106-4410
Towey Trevor D. 8608 Cuming Street Omaha, NE 68114-2935
Venneman Charles 1836 South 58th Street Lincoln, NE 68506-1412
Wrinkle Wanda S. 8523 South 99th Circle LaVista, NE 68128-7008

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.

Susan L. Martin

Lobbyist Name

Nov 20, 2023

Date