Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Nov 27, 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

Wittstruck, Courtney

Office Address (Street, Box, or Route)

1320 Lincoln Mall, Suite 9

Permanent Residence (Street, Box, or Route)

5937 Woodstock Avenue

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68512

Office Phone

(402) 471-4685

Home Phone

(402) 381-2084

Email Address

cwittstruck@nccaneb.org

PRINCIPAL {49-1480(2)}

Name

Nebraska Community College Association

Office Phone

(402) 471-4685

Office Address (Street, Box, or Route)

1320 Lincoln Mall, Suite 9

Official to Whom Lobbyist is Accountable

Nebraska Community College Association Board of Directors

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

Member Community College Association

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
49,509.00 Percentage of salary

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Matters relating to Nebraska's community colleges

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

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.

Courtney Wittstruck

Lobbyist Name

Nov 27, 2023

Date