Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Feb 13, 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

Beienburg, Matt

Office Address (Street, Box, or Route)

500 E Coronado Rd

Permanent Residence (Street, Box, or Route)

500 E Coronado Rd

City

Phoenix

State

Zip

85004

City

Phoenix

State

Zip

85004

Office Phone

(602) 462-5000

Home Phone

Email Address

registeredagent@debeeclark.com

PRINCIPAL {49-1480(2)}

Name

Barry Goldwater Institute for Public Policy Research

Office Phone

(602) 462-5000

Office Address (Street, Box, or Route)

500 E. Coronado Rd

Official to Whom Lobbyist is Accountable

Kelly Day

City

Phoenix

State

Zip

85004

Nature of Business {49-1480(3)}

501(c)(3) public charity

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
8,000.00 Percentage of salary

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

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

Names and addresses of principal's officers:

All officers can be contacted at the Principal's business address. Victor Riches, President & CEO; Roger Zetah, CFO.

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)}

None.

I certify that all information presented in this form is accurate to the best of my knowledge.

Matt Beienburg

Lobbyist Name

Feb 13, 2024

Date