Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Apr 22, 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

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

Smith, Scott

Office Address (Street, Box, or Route)

PO Box 13

Permanent Residence (Street, Box, or Route)

326 N 26th St, Apt. 1

City

Nebraska City

State

Zip

68410

City

Lincoln

State

Zip

68503

Office Phone

Home Phone

(308) 940-2536

Email Address

scott@stilmockmcintosh.com

PRINCIPAL {49-1480(2)}

Name

Stilmock McIntosh Government Relations, LLC

Office Phone

(402) 873-7888

Office Address (Street, Box, or Route)

PO Box 13

Official to Whom Lobbyist is Accountable

City

Nebraska City

State

Zip

68410

Nature of Business {49-1480(3)}

lobby firm

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

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

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

Names and addresses of principal's officers:

Gerald M. Stilmock, PO Box 186, Syracuse, NE 68446
Ryan K. McIntosh, PO Box 13, Nebraska City, NE 68410

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.

Scott Smith

Lobbyist Name

Apr 22, 2025

Date