FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Jan 28, 2019
Amended Registration
Date Amended: Jan 28, 2019
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)}

Po Box 27842  

 

Omaha 

NE 

68127 

Omaha 

 

68127 

(402) 506-9900, Ext. 125 

(402) 506-9900, Ext. 125 

jbland@nehii.org 

PRINCIPAL {49-1480(2)}

(402) 506-9900 

PO Box 27842 

Michael White, MD- NEHII Board Chair 

Omaha 

NE 

68127 

health information exchange 

AMOUNTS GIVEN
775.00  Per Month  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} health information exchange, health information and prescription drug monitoring  
Description of industry, trade, profession, or interests and groups represented by the principal:
Healthcare 
Names and addresses of principal's officers:

Michael White. MD NEHII Board Chair PO Box 27842 Omaha, NE 68127

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 I am the Lobbyist listed above and that all information presented in this form is accurate to the best of my knowledge.