Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 22, 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, Kevin

Office Address (Street, Box, or Route)

8336 Norman Creek Trail

Permanent Residence (Street, Box, or Route)

8336 Norman Creek Trail

City

Bloomington

State

Zip

55437

City

Bloomington

State

Zip

55437

Office Phone

(925) 454-8914

Home Phone

(925) 454-8914

Email Address

kevin.johnson@stateandfed.com

PRINCIPAL {49-1480(2)}

Name

Amgen

Office Phone

(781) 235-3502

Office Address (Street, Box, or Route)

55 Boulder Brook Road

Official to Whom Lobbyist is Accountable

David Goggin

City

Wellesley

State

Zip

02481

Nature of Business {49-1480(3)}

Pharmaceutical Industry

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} All matters affecting the pharmaceutical industry

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

Names and addresses of principal's officers:

David Goggin: 55 Boulder Brook Road, Wellesley, MA 02481

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.

Kevin Johnson

Lobbyist Name

Jan 22, 2024

Date