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

Stembridge, Kurt

Office Address (Street, Box, or Route)

c/o 28 Liberty Ship Way, Suite 2815

Permanent Residence (Street, Box, or Route)

c/o 28 Liberty Ship Way, Suite 2815

City

Sausalito

State

Zip

94965

City

Sausalito

State

Zip

94965

Office Phone

(415) 903-2800

Home Phone

(415) 903-2800

Email Address

jazz2@politicomlaw.com

PRINCIPAL {49-1480(2)}

Name

Jazz Pharmaceuticals, Inc.

Office Phone

(415) 903-2800

Office Address (Street, Box, or Route)

c/o Politicom Law LLP, 28 Liberty Ship Way, Suite 2815

Official to Whom Lobbyist is Accountable

City

Sausalito

State

Zip

94965

Nature of Business {49-1480(3)}

Pharmaceuticals

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

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

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

Names and addresses of principal's officers:

Bruce Cozadd, George Eliades, Renee Gala, Robert Iannone, Finbar Larkin, Heidi Manna, John Miller, Neena Patil, Samantha Pearce, Kim Sablich, Daniel Swisher

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.

Kurt Stembridge

Lobbyist Name

Dec 27, 2023

Date