FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Oct 16, 2025
Amended Registration
Lobbyist Registration Fee:
{49-1480.01}

(If you are a salaried employee of your principal, you are a compensated lobbyist.)
(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)}

101 Merrit 7, 1st Floor 

P.O. Box 1971 

Norwalk  

CT 

06851 

Kyle 

TX 

78640 

(800) 597-2557 

(800) 597-7860 

lkaufman@Shatterproof.org 

PRINCIPAL {49-1480(2)}

(800) 597-7860 

101 Merrit 7, 1st Floor 

Kevin Roy 

Norwalk 

CT 

06851 

Nonprofit Corporation 

AMOUNTS GIVEN
63.75  Per Hour  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Intoxicating Hemp Bill  
I am lobbying on behalf of a Chinese military company and thereby acting as an agent of a foreign adversary of the United States. {49-1480 (1)(a)(vi)}
Description of industry, trade, profession, or interests and groups represented by the principal:
Healthcare 
Names and addresses of principal's officers:

Pam Jenkins, CEO - 101 Merrit 7, 1st Flor, Norwalk, CT 06851
Molly Gravholt, Chief Financial and Administrative Officer - 101 Merrit 7, 1st Flor, Norwalk, CT 06851
Kevin Roy, Chief Public Policy Officer - 101 Merrit 7, 1st Flor, Norwalk, CT 06851

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:

N/A

Leah Kaufman

Lobbyist Name

Oct 16, 2025

Date