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

Abboud, Chris - Public Affairs Group

Office Address (Street, Box, or Route)

8700 Executive Woods Dr

Permanent Residence (Street, Box, or Route)

9771 Westchester Drive

City

Lincoln

State

Zip

68512

City

Omaha

State

Zip

68127

Office Phone

(402) 968-4798

Home Phone

Email Address

chris@abboudlawfirm.com

PRINCIPAL {49-1480(2)}

Name

American Healthy Alternatives Association

Office Phone

(197) 280-9639, Ext. 5

Office Address (Street, Box, or Route)

108 E. Jefferson St

Official to Whom Lobbyist is Accountable

Bret Worley

City

Tallahassee

State

Zip

32301

Nature of Business {49-1480(3)}

Health Care

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
5,000.00 Per Month

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

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

Names and addresses of principal's officers:

Bret Worely

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.

ChrisAbboud01

Lobbyist Name

Jan 22, 2024

Date