Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 9, 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

Curry Grubb, Andi

Office Address (Street, Box, or Route)

3105 N. 93rd Street

Permanent Residence (Street, Box, or Route)

5439 Lafayette Ave.

City

Omaha

State

Zip

68134

City

Omaha

State

Zip

68132

Office Phone

(402) 557-6690

Home Phone

(503) 200-9951

Email Address

agrubb@ppncs.org

PRINCIPAL {49-1480(2)}

Name

Planned Parenthood North Central States

Office Phone

(515) 280-7004

Office Address (Street, Box, or Route)

671 Vandalia Street

Official to Whom Lobbyist is Accountable

Ruth Richardson

City

St Paul

State

Zip

55114

Nature of Business {49-1480(3)}

Healthcare

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

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

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

Names and addresses of principal's officers:

Ruth Richardson, CEO - 671 Vandalia St. St. Paul, MN 55114
Sheilahn Davis-Wyatt, COO - 671 Vandalia St. St. Paul, MN 55114
Randy Drager, CFO - 671 Vandalia St. St. Paul, MN 55114

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.

Andi Curry Grubb

Lobbyist Name

Jan 9, 2024

Date