Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Nov 15, 2022

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

PLEASE FILL IN ALL BLANKS

LOBBYIST {49-1480(1)}

Name

Jensen Rogert Associates, Inc.

Office Address (Street, Box, or Route)

625 S. 14th Street, Suite A

Permanent Residence (Street, Box, or Route)

625 S 14th Street, Suite A

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68508

Office Phone

(402) 436-2165

Home Phone

(402) 436-2165

Email Address

kent@jensenrogert.com

PRINCIPAL {49-1480(2)}

Name

Nebraska Association for Behavior Analysis

Office Phone

(402) 960-0344

Office Address (Street, Box, or Route)

15911 Newport Ave

Official to Whom Lobbyist is Accountable

Desiree Dawson

City

Omaha

State

Zip

68116

Nature of Business {49-1480(3)}

Promote the science & practice of Applied Behavior Analysis

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
15,000.00 Per Year

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Matters pertaining to the licensure of Applied Behavior Analysts in Nebraska

Description of industry, trade, profession, or interests and groups represented by the principal:
Applied Behavior Analysts

Names and addresses of principal's officers:

Steven Taylor, Treasurer, 15911 Newport Ave, Omaha NE 68116
Desiree Dawson, Legislative Committee Chair, 7005 N 89th St, Omaha NE 68122

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)}

None

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

Jensen Rogert Associates, Inc.

Lobbyist Name

Nov 15, 2022

Date