Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 21, 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

Johnson, Michael B.

Office Address (Street, Box, or Route)

1128 Lincoln Mall, Suite 302, PO Box 95128

Permanent Residence (Street, Box, or Route)

City

Lincoln

State

Zip

68509

City

Omaha

State

Zip

68132

Office Phone

(402) 474-4422

Home Phone

Email Address

mjohnson@nechamber.com

PRINCIPAL {49-1480(2)}

Name

Nebraska Chamber of Commerce & Industry

Office Phone

(402) 474-4422

Office Address (Street, Box, or Route)

1128 Lincoln Mall, Suite 302, PO Box 95128

Official to Whom Lobbyist is Accountable

Bryan L. Slone

City

Lincoln

State

Zip

68509

Nature of Business {49-1480(3)}

Economic Development

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

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

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

Names and addresses of principal's officers:

Bryan L. Slone, President
1128 Lincoln Mall, Suite 302, PO Box 95128
Lincoln, NE 68509

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.

Michael Johnson

Lobbyist Name

Dec 21, 2023

Date