Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 17, 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

Sanchez, Sarah

Office Address (Street, Box, or Route)

1300 Wilson Boulevard, Suite 600

Permanent Residence (Street, Box, or Route)

City

Arlington

State

Zip

22209

City

State

Zip

Office Phone

(612) 991-7398

Home Phone

Email Address

compliance_ne_als_1@multistate.us

PRINCIPAL {49-1480(2)}

Name

ALS Association

Office Phone

(402) 826-7494

Office Address (Street, Box, or Route)

1300 Wilson Boulevard, Suite 600

Official to Whom Lobbyist is Accountable

City

Arlington

State

Zip

22209

Nature of Business {49-1480(3)}

non-profit

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Healthcare, Prior Authorization, Insurance Policy, Prescription Drug Access and Affordability

Description of industry, trade, profession, or interests and groups represented by the principal:
ALS Patients and Families, Researchers, Clinicians and Medical C

Names and addresses of principal's officers:

Calaneet Balas - 1300 Wilson Blvd, Arlington, VA 22209

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.

Sarah Sanchez

Lobbyist Name

Dec 17, 2024

Date