Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 13, 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

DeRossett, Dennis M.

Office Address (Street, Box, or Route)

845 S Street

Permanent Residence (Street, Box, or Route)

4021 Fossil Creek Circle

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68516

Office Phone

(402) 476-2851

Home Phone

(217) 725-5900

Email Address

dderossett@nebpress.com

PRINCIPAL {49-1480(2)}

Name

Nebraska Press Association

Office Phone

(402) 476-2851

Office Address (Street, Box, or Route)

845 Street

Official to Whom Lobbyist is Accountable

Amy Johnson, President of Nebraska Press

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

Trade Association for Nebraska Newspapers

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

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

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

Names and addresses of principal's officers:

President: Amy Johnson, Box 369, Springview NE 68778
Vice Pres: Kevin Peterson, Box 70, Wayne NE 68787
Treasurer: Willis Mahannah, Box 40, West Point NE 68788

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.

Dennis M DeRossett

Lobbyist Name

Dec 13, 2023

Date