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

Wightman, Anna Castner

Office Address (Street, Box, or Route)

1620 Dodge Street, Mail Stop 3395

Permanent Residence (Street, Box, or Route)

5204 Burt Street

City

Omaha

State

Zip

68197

City

State

Zip

68132

Office Phone

(402) 602-3105

Home Phone

Email Address

acastner@fnbo.com

PRINCIPAL {49-1480(2)}

Name

First National of Nebraska, Inc.

Office Phone

(402) 602-3105

Office Address (Street, Box, or Route)

1620 Dodge Street, Mail Stop 3395

Official to Whom Lobbyist is Accountable

Nick Baxter/Clark Lauritzen

City

Omaha

State

Zip

68197

Nature of Business {49-1480(3)}

Financial

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)} business and financial industry

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

Names and addresses of principal's officers:

Clark Lauritzen 1620 Dodge Omaha NE 68197

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.

Anna Castner Wightman

Lobbyist Name

Dec 28, 2023

Date