Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 9, 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

Falk, W. Jarad

Office Address (Street, Box, or Route)

6555 Winchester Avenue

Permanent Residence (Street, Box, or Route)

3112 SE Brookside Court

City

Kansas City

State

Zip

64133

City

Lee's Summit

State

Zip

64063

Office Phone

(816) 222-5391

Home Phone

(816) 886-8618

Email Address

jarad.falk@charter.com

PRINCIPAL {49-1480(2)}

Name

Charter Communications Operating, LLC

Office Phone

(402) 328-3536

Office Address (Street, Box, or Route)

5400 S. 16th Street

Official to Whom Lobbyist is Accountable

Todd Baxter

City

Lincoln

State

Zip

68512

Nature of Business {49-1480(3)}

Telecommunications

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)} telecommunications (generally), state funding for broadband expansion in unserved areas, broadband mapping, taxes, access to rights of way, general business matters

Description of industry, trade, profession, or interests and groups represented by the principal:
employees, customers and shareholders of Charter Communications

Names and addresses of principal's officers:

please see https://corporate.charter.com/leadership

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)}

None

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

W. Jarad Falk

Lobbyist Name

Dec 9, 2023

Date