FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
May 10, 2019
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)}

1700 Farnam Street, Suite 1500 

 

Omaha 

NE 

68102 

 

 

 

(402) 636-8310 

 

dlevy@bairdholm.com 

PRINCIPAL {49-1480(2)}

(612) 616-2445 

16 Hawk Ridge Drive 

Philip Stalboerger 

Lake St. Louis 

MO 

63367 

Transportation 

AMOUNTS GIVEN
1,000.00  Per Month  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Non-Emergency Medical Transportation  
Description of industry, trade, profession, or interests and groups represented by the principal:
Medical Transportation 
Names and addresses of principal's officers:

Alaina Macia, President & CEO, 16 Hawk Ridge Dr., Lake St. Louis, MO 63367
Donald Tiemeyer, Executive VP & General Counsel, 16 Hawk Ridge Dr., Lake St. Louis, MO 63367
Philip Stalboerger, VP of Public Affairs, 16 Hawk Ridge Dr., Lake St. Louis, MO 63367

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:

NONE

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

Baird Holm LLP

Lobbyist Name

May 10, 2019

Date