Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Nov 30, 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

Harbeke, Dan

Office Address (Street, Box, or Route)

c/o 28 Liberty Ship Way, Suite 2815

Permanent Residence (Street, Box, or Route)

City

Sausalito

State

Zip

94965

City

State

Zip

Office Phone

(415) 903-2800

Home Phone

Email Address

google2@politicomlaw.com

PRINCIPAL {49-1480(2)}

Name

Google LLC and its Affiliates

Office Phone

(415) 903-2800

Office Address (Street, Box, or Route)

c/o 28 Liberty Ship Way, Suite 2815

Official to Whom Lobbyist is Accountable

Erin Lama

City

Sausalito

State

Zip

94965

Nature of Business {49-1480(3)}

Internet Services & Products

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
1,000.00 Per Month

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Matters affecting internet-related Services and Products

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

Names and addresses of principal's officers:

Sundar Pichai, Kent Walker, Ruth Porat
25 Massachusetts Ave., NW, Washington D.C. 20001

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)}

N/A

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

Dan Harbeke

Lobbyist Name

Nov 30, 2023

Date