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

Lien, Ross

Office Address (Street, Box, or Route)

3601 Vincennes Road

Permanent Residence (Street, Box, or Route)

1000 Berkley Parkway, Apt. 236

City

Indianapolis

State

Zip

46268

City

Kansas City

State

Zip

64120

Office Phone

(701) 202-8214

Home Phone

(701) 202-8214

Email Address

compliance_ne_namic_1@multistate.us

PRINCIPAL {49-1480(2)}

Name

National Association of Mutual Insurance Companies (NAMIC)

Office Phone

(317) 875-5250

Office Address (Street, Box, or Route)

3601 Vincennes Road

Official to Whom Lobbyist is Accountable

Jon Schnautz

City

Indianapolis

State

Zip

46268

Nature of Business {49-1480(3)}

Insurance

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
2,000.00 Per Month

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

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

Names and addresses of principal's officers:

Jon Schnautz
3601 Vincennes Road
Indianapolis, IN 46268

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.

Ross Lien

Lobbyist Name

Dec 20, 2023

Date