Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 28, 2023

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

Radcliffe, Walter H. of Radcliffe Gilbertson & Brady

Office Address (Street, Box, or Route)

625 S. 14th Street, Suite 100

Permanent Residence (Street, Box, or Route)

1701 South 33rd

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68506

Office Phone

(402) 476-7272

Home Phone

(402) 488-0609

Email Address

WRadcliffe@RGBLOBBY.com

PRINCIPAL {49-1480(2)}

Name

Altria Client Services LLC and its Affiliates

Office Phone

(608) 251-0195

Office Address (Street, Box, or Route)

1415 L Street, Suite 1150

Official to Whom Lobbyist is Accountable

Garth Alston

City

Sacramento

State

Zip

95814

Nature of Business {49-1480(3)}

Tobacco

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
69,000.00 Per Year

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Tobacco-related issues for Altria Client Services LLC and its affiliates - Phillip Morris USA, Inc., John Middleton Co., US Smokeless Tobacco Co., Helix Innovations LLC, and NJOY, LLC

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

Names and addresses of principal's officers:

Henry Turner VP,State Gov. Affairs,101Constitution Ave,NW,Ste400W,Washington,DC 20001
Dan Smith, Regional Director, State Gov. Affairs, 1415 L St., Ste 1150, Sacramento, CA 95814

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.

Walter H Radcliffe

Lobbyist Name

Dec 28, 2023

Date