Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 27, 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

O'Hara Lindsay & Associates, Inc.

Office Address (Street, Box, or Route)

1220 Lincoln Mall, Suite 150

Permanent Residence (Street, Box, or Route)

City

Lincoln

State

Zip

68508

City

State

Zip

Office Phone

(402) 474-6200

Home Phone

Email Address

hpoe@oharalindsay.com

PRINCIPAL {49-1480(2)}

Name

Nebraska Association of Independent Ambulatory Centers

Office Phone

(402) 380-3592

Office Address (Street, Box, or Route)

5500 Pine Lake Rd

Official to Whom Lobbyist is Accountable

Jay Slagle

City

Lincoln

State

Zip

68516

Nature of Business {49-1480(3)}

PROFESSIONAL

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
6,000.00 Per Quarter

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} all bills, resolutions and amendments thereto affecting ambulatory centers

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

Names and addresses of principal's officers:

Brooke Day - 5803 Osborne Drive W Hastings, NE 68901

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.

O'Hara Lindsay & Associates

Lobbyist Name

Dec 27, 2023

Date