FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 24, 2018

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

Amended Registration
Lobbyist Registration Fee:
{49-1480.01}

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

PLEASE FILL IN ALL BLANKS

LOBBYIST {49-1480(1)}

635 S 14th Suite 315 

 

Lincoln 

NE 

68508 

 

NE 

 

(402) 327-1603 

 

coleen@bnmlobby.com 

PRINCIPAL {49-1480(2)}

(804) 834-2626 

212 Spring Branch Road 

David Root 

Waverly 

VA 

23890 

Pharmacy Benefit Manager 

AMOUNTS GIVEN
3,000.00  Per Month  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Matters relating to pharmacy benefit management  
Description of industry, trade, profession, or interests and groups represented by the principal:
Pharmacy Benefit Manager 
Names and addresses of principal's officers:

Jim DuCharme, President and CEO . 1305 Corporate Center Dr.
Eagan, Minnesota 55123

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:

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

Bromm Nielsen & Mines

Lobbyist Name

Dec 24, 2018

Date