Nebraska Legislature - Lobbyist Reporting Application

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Feb 24, 2025 - 2:31 PM
Apr 30, 2025 - 5:39 PM

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Feb 24, 2025

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
Date Amended: Apr 30, 2025

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

Horn, Melissa

Office Address (Street, Box, or Route)

1615 L St NW Suite 320

Permanent Residence (Street, Box, or Route)

155 Potomac Passage Unit 635

City

Washington

State

Zip

20036

City

Oxon Hill

State

Zip

20745

Office Phone

(240) 468-7464

Home Phone

(240) 468-7464

Email Address

mhorn@arthritis.org

PRINCIPAL {49-1480(2)}

Name

Arthritis Foundation

Office Phone

(240) 468-7464

Office Address (Street, Box, or Route)

1615 L St NW Suite 320

Official to Whom Lobbyist is Accountable

City

Washington

State

Zip

20036

Nature of Business {49-1480(3)}

Health Policy

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} health insurance coverage, copayment assistance

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

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.

Melissa Horn

Lobbyist Name

Apr 30, 2025

Date