Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 6, 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

Reljic, Boro

Office Address (Street, Box, or Route)

100 Abbott Park Rd, Dept. 38L - Bldg. AP6D-2

Permanent Residence (Street, Box, or Route)

41618 N Anthem Ridge Drive

City

Abbott Park

State

Zip

60064

City

Anthem

State

Zip

85086

Office Phone

(224) 667-5951

Home Phone

(630) 254-3676

Email Address

boro.reljic@abbott.com

PRINCIPAL {49-1480(2)}

Name

Abbott

Office Phone

(224) 667-5951

Office Address (Street, Box, or Route)

100 Abbott Park Rd., Dept. G801-Bldg. AP6D-2

Official to Whom Lobbyist is Accountable

David Topp

City

Abbott Park

State

Zip

60064

Nature of Business {49-1480(3)}

Health Care company

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Matters relating to health care

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

Names and addresses of principal's officers:

David M. Topp
Sr. Director, State Government Affairs
1127 11th Street, Suite 550
Sacramento, CA 95814

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.

Boro Reljic

Lobbyist Name

Dec 6, 2023

Date