Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 28, 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

Kruse Company

Office Address (Street, Box, or Route)

2744 Stratford Ave

Permanent Residence (Street, Box, or Route)

2744 Stratford Ave

City

Lincoln

State

Zip

68502

City

Lincoln

State

Zip

68502

Office Phone

(402) 770-8898

Home Phone

(402) 770-8898

Email Address

daciakruse@gmail.com

PRINCIPAL {49-1480(2)}

Name

Philanthropy Roundtable

Office Phone

(202) 822-8333

Office Address (Street, Box, or Route)

1120 20th Street NW, Suite 550 South

Official to Whom Lobbyist is Accountable

Megan Schmidt

City

Washington

State

Zip

20036

Nature of Business {49-1480(3)}

Building and sustaining a vibrant American philanthropic movement that strengthens our free society

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} philanthropy, non profits, administrative procedures

Description of industry, trade, profession, or interests and groups represented by the principal:
Foster excellence in philanthropy, protect philanthropic freedom

Names and addresses of principal's officers:

Richard W. Graber
Chairman
1120 20th Street NW, Suite 550 South
Washington, D.C. 20036
David Stover
Treasurer
1120 20th Street NW, Suite 550 South
Washington, D.C. 20036
Heather Templeton Dill
Secretary
1120 20th Street NW, Suite 550 South
Washington, D.C. 20036

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.

Dacia Kruse

Lobbyist Name

Dec 28, 2023

Date