Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 2, 2024

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

Johnson, Rachael A.

Office Address (Street, Box, or Route)

1404 Fort Crook Road

Permanent Residence (Street, Box, or Route)

6151 S 102nd Ave

City

Bellevue

State

Zip

68005

City

Omaha

State

Zip

68127

Office Phone

(712) 301-5579

Home Phone

(712) 301-5579

Email Address

rjohnson@hochunkcorporateservices.com

PRINCIPAL {49-1480(2)}

Name

Ho-Chunk, Inc.

Office Phone

(402) 878-4383

Office Address (Street, Box, or Route)

1 Mission Drive, PO Box 390

Official to Whom Lobbyist is Accountable

Lance Morgan

City

Winnebago

State

Zip

68071

Nature of Business {49-1480(3)}

Economic Development

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
2,000.00 Per Month

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

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

Names and addresses of principal's officers:

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.

Rachael Johnson

Lobbyist Name

Jan 2, 2024

Date