Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 10, 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

Eickholt, Christopher/Spike

Office Address (Street, Box, or Route)

635 South 14th Street Suite #320

Permanent Residence (Street, Box, or Route)

City

Lincoln

State

Zip

68508

City

State

Zip

Office Phone

(402) 310-5663

Home Phone

Email Address

spike@eickholtlaw.com

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

Andi Curry Grubb

City

St Paul

State

Zip

55114

Nature of Business {49-1480(3)}

Healthcare provider and advocacy organization

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
2,083.33 Per Month

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Legislation relating to reproductive rights, healthcare, privacy rights, and related areas of law.

Description of industry, trade, profession, or interests and groups represented by the principal:
Healthcare provider and advocacy for healthcare rights.

Names and addresses of principal's officers:

Andi Curry Grubb, State Executive Director, 671 Vandalia Street, 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.

Christopher Spike Eickholt

Lobbyist Name

Jan 10, 2024

Date