Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jul 1, 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

$300.00

(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

Hassebrook, Kristen

Office Address (Street, Box, or Route)

1128 Lincoln Mall, Ste. 302

Permanent Residence (Street, Box, or Route)

1320 Lincoln Mall, Suite 201, PO Box 95128

City

Lincoln

State

Zip

68509

City

State

Zip

Office Phone

(402) 474-4422

Home Phone

Email Address

khassebrook@nechamber.com

PRINCIPAL {49-1480(2)}

Name

Mueller Robak, LLC

Office Phone

(402) 434-3399

Office Address (Street, Box, or Route)

530 S. 13th Street, Suite 110

Official to Whom Lobbyist is Accountable

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

Lobbyist

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 Percentage of salary

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

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

Names and addresses of principal's officers:

William J. Mueller - 530 S. 13th Street, #110 Lincoln, NE 68508
Kim M. Robak - 530 S. 13th Street, #110 Lincoln, NE 68508

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.

Kristen J. Hassebrook

Lobbyist Name

Jul 1, 2024

Date