Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 20, 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

Wiltgen, Jennifer

Office Address (Street, Box, or Route)

2525 N. 117th Ave, Suite 100

Permanent Residence (Street, Box, or Route)

City

Omaha

State

Zip

68164

City

State

Zip

Office Phone

(402) 305-9407

Home Phone

Email Address

compliance_NE_Centene_1@multistate.us

PRINCIPAL {49-1480(2)}

Name

Centene Corporation on behalf of its affiliates and subsidiaries

Office Phone

(314) 505-6738

Office Address (Street, Box, or Route)

1150 Connecticut Ave., N.W., Suite 1000

Official to Whom Lobbyist is Accountable

Jon Dinesman

City

Washington

State

Zip

20036

Nature of Business {49-1480(3)}

Medicaid managed care organization

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
2,812.00 Per Month

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

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

Names and addresses of principal's officers:

Heath Phillips, Plan President/CEO, 2525 N 117th Ave Suite 100, Omaha, NE 68164

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.

Jennifer Wiltgen

Lobbyist Name

Dec 20, 2023

Date