Nebraska Legislature - Lobbyist Reporting Application

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Jan 9, 2024 - 5:11 PM
Apr 24, 2024 - 2:06 PM

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
Date Amended: Apr 24, 2024

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

Stahly, Dee Ann

Office Address (Street, Box, or Route)

8120 E. Fairmount Avenue

Permanent Residence (Street, Box, or Route)

8120 E. Fairmount Avenue

City

Scottsdale

State

Zip

85251

City

Scottsdale

State

Zip

85251

Office Phone

(317) 750-2465

Home Phone

Email Address

dee.ann.stahly@stateandfed.com

PRINCIPAL {49-1480(2)}

Name

Dexcom, Inc.

Office Phone

(419) 560-2987

Office Address (Street, Box, or Route)

1432 Ironwood Dr.

Official to Whom Lobbyist is Accountable

Bill Raines

City

McLean

State

Zip

22101

Nature of Business {49-1480(3)}

Healthcare and devices

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

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

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

Names and addresses of principal's officers:

Bill Raines, 1432 Ironwood Dr. McLean, VA 22101

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.

Dee Ann Stahly

Lobbyist Name

Apr 24, 2024

Date