Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 13, 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

George, Dee D

Office Address (Street, Box, or Route)

2538 Dahl Avenue East

Permanent Residence (Street, Box, or Route)

2538 Dahl Avenue East

City

Maplewood

State

Zip

55119

City

Maplewood

State

Zip

55119

Office Phone

(651) 756-1154

Home Phone

Email Address

dee.george@novartis.com

PRINCIPAL {49-1480(2)}

Name

Novartis Services, Inc.

Office Phone

(202) 662-4361

Office Address (Street, Box, or Route)

801 Pennsylvania Ave. N.W., Suite 700

Official to Whom Lobbyist is Accountable

Daniel Casserly

City

Washington

State

Zip

20004

Nature of Business {49-1480(3)}

HEALTH

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

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

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

Names and addresses of principal's officers:

Daniel Casserly, 701 Pennsylvania Ave. N.W., Suite 725, Washington DC 20004

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)}

N/A

I certify that all information presented in this form is accurate to the best of my knowledge.

George, Dee D

Lobbyist Name

Dec 13, 2018

Date