Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jun 20, 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

Milton, Jay

Office Address (Street, Box, or Route)

100 Bayer Boulevard

Permanent Residence (Street, Box, or Route)

City

Whippany

State

Zip

07981

City

State

Zip

Office Phone

(862) 217-8442

Home Phone

Email Address

compliance_ne_bayer_2@multistate.us

PRINCIPAL {49-1480(2)}

Name

Bayer U.S. LLC

Office Phone

(314) 694-8516

Office Address (Street, Box, or Route)

100 Bayer Boulevard

Official to Whom Lobbyist is Accountable

City

Whippany

State

Zip

07981

Nature of Business {49-1480(3)}

Pharmaceuticals

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

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

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

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.

Jay Milton

Lobbyist Name

Jun 20, 2024

Date