Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 27, 2018

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

Gerrard, Eric

Office Address (Street, Box, or Route)

1141 H Street, Suite B

Permanent Residence (Street, Box, or Route)

City

Lincoln

State

Zip

68508

City

State

Zip

Office Phone

(402) 475-0727

Home Phone

Email Address

afaustman@acgusa.net

PRINCIPAL {49-1480(2)}

Name

City of Lincoln

Office Phone

(402) 441-7511

Office Address (Street, Box, or Route)

555 S. 10th Street, Suite 301

Official to Whom Lobbyist is Accountable

Mayor Chris Beutler

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

City/County/Etc...

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
7,083.33 Per Month

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} All bills, resolutions, studies and amendments thereto affecting cities of the primary class

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

Names and addresses of principal's officers:

Chris Beutler
555 S. 10th Street, Suite 301, Lincoln, NE, 68508

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.

Gerrard, Eric

Lobbyist Name

Dec 27, 2018

Date