Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 18, 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

Brandt, Horan, Hallstrom and Stilmock

Office Address (Street, Box, or Route)

PO Box 186

Permanent Residence (Street, Box, or Route)

City

Syracuse

State

Zip

68446

City

State

Zip

Office Phone

(402) 269-2081

Home Phone

Email Address

bob.hallstrom@nebankers.org

PRINCIPAL {49-1480(2)}

Name

Nebraska Fire Chiefs' Association

Office Phone

(402) 478-4881

Office Address (Street, Box, or Route)

PO Box 318

Official to Whom Lobbyist is Accountable

William Lundy

City

Arlington

State

Zip

68002

Nature of Business {49-1480(3)}

FIREFIGHTERS

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
1,000.00 Per Year

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} All issues pertaining to firefighting and rescue services

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

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.

Brandt, Horan, Hallstrom and Stilmock

Lobbyist Name

Dec 18, 2018

Date