Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Nov 21, 2018

(This report is required to be filed on or before December 31 of each calendar year.)
49-1480.01(3)

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

$200.00

(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

Gottschalk, Kristen

Office Address (Street, Box, or Route)

1244 K Street, PO Box 82048

Permanent Residence (Street, Box, or Route)

1992 County Road T

City

Lincoln

State

Zip

68508

City

Colon

State

Zip

68018

Office Phone

(402) 475-4988

Home Phone

(402) 540-5700

Email Address

kgottschalk@nrea.org

PRINCIPAL {49-1480(2)}

Name

Nebraska Rural Electric Association

Office Phone

(402) 475-4988

Office Address (Street, Box, or Route)

1244 K Street, PO Box 82048

Official to Whom Lobbyist is Accountable

Kim Christiansen

City

Lincoln

State

Zip

68501

Nature of Business {49-1480(3)}

ENERGY

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
12,800.00 Per Quarter

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

Description of industry, trade, profession, or interests and groups represented by the principal:
Association support services for Rural Electric Providers

Names and addresses of principal's officers:

Butch Gray, President 2317 Hwy 14, Albion NE 68620
Greg Weidner, Vice President/Secretary82625 Hwy 81, Madison NE 68748
Bryan Monahan, 25273 Circle Dot Drive, Hyannis NE 69350

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.

Gottschalk, Kristen

Lobbyist Name

Nov 21, 2018

Date