Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Apr 30, 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

Bromm & Associates

Office Address (Street, Box, or Route)

635 S 14th Suite 305

Permanent Residence (Street, Box, or Route)

City

Lincoln

State

Zip

68508

City

State

Zip

Office Phone

(402) 443-3225

Home Phone

Email Address

jb@bnmlobby.com

PRINCIPAL {49-1480(2)}

Name

Douglas County West Community Schools

Office Phone

(402) 359-2583

Office Address (Street, Box, or Route)

401 South Pine Street

Official to Whom Lobbyist is Accountable

Dr. Poloncic

City

Valley

State

Zip

68064

Nature of Business {49-1480(3)}

Education

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
14,900.00 Bi-Annually

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Education Related Matters

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.

Bromm & Associates

Lobbyist Name

Apr 30, 2025

Date