Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 10, 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

PLEASE FILL IN ALL BLANKS

LOBBYIST {49-1480(1)}

Name

Zalenski, Susan D.

Office Address (Street, Box, or Route)

1038 Lake Viking Ter

Permanent Residence (Street, Box, or Route)

City

Altamont

State

Zip

64620

City

State

Zip

Office Phone

(913) 707-7832

Home Phone

Email Address

szalensk@its.jnj.com

PRINCIPAL {49-1480(2)}

Name

Johnson & Johnson

Office Phone

(913) 707-7832

Office Address (Street, Box, or Route)

1038 Lake Viking Ter

Official to Whom Lobbyist is Accountable

Sharon D'Agostino

City

Altamont

State

Zip

64620

Nature of Business {49-1480(3)}

Healthcare

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Medicaid, healthcare, biosimilars, pharmaceuticals, mental health, business, taxes, environment, pharmacy

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

Names and addresses of principal's officers:

Sharon D'Agostino, Johnson & Johnson
16475 W. 223rd St., Spring Hill, KS 66083

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.

Zalenski, Susan D.

Lobbyist Name

Dec 10, 2018

Date