Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 16, 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

Heartland Strategy Group, LLC

Office Address (Street, Box, or Route)

1005 S. 107th Ave

Permanent Residence (Street, Box, or Route)

1005 S. 107th Ave

City

Omaha

State

Zip

68114

City

Omaha

State

Zip

68114

Office Phone

(402) 933-0565

Home Phone

(402) 933-0565

Email Address

HeartlandStrategyGroupLobby

PRINCIPAL {49-1480(2)}

Name

Nebraska Families 4 Medical Cannabis

Office Phone

(402) 350-1679

Office Address (Street, Box, or Route)

14504 south 23rd street

Official to Whom Lobbyist is Accountable

City

bellevue

State

Zip

68123

Nature of Business {49-1480(3)}

Medical

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

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

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

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.

Heartland Strategy Group

Lobbyist Name

Jan 16, 2024

Date