Nebraska Legislature - Lobbyist Reporting Application

Print Form
Close

Revision History

Dec 26, 2023 - 7:09 PM
Jan 2, 2024 - 11:24 AM

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 26, 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
Date Amended: Jan 2, 2024

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

Catalyst Public Affairs

Office Address (Street, Box, or Route)

301 South 13th Street, Suite 402

Permanent Residence (Street, Box, or Route)

City

Lincoln

State

Zip

68508

City

State

Zip

Office Phone

(402) 261-5293

Home Phone

Email Address

tgay@catalystnebraska.com

PRINCIPAL {49-1480(2)}

Name

Health Center Association of Nebraska

Office Phone

(402) 932-3132

Office Address (Street, Box, or Route)

3929 S. 147th Street, Suite 100A

Official to Whom Lobbyist is Accountable

Amy Behnke

City

Omaha

State

Zip

68144

Nature of Business {49-1480(3)}

Healthcare

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
4,000.00 Per Month

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Issues surrounding healthcare and federally qualified health centers

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

Names and addresses of principal's officers:

Amy Behnke, 3929 S. 147th Street, Suite 100A, Omaha, NE 68144

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)}

n/a

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

Catalyst Public Affairs, Inc.

Lobbyist Name

Jan 2, 2024

Date