Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Nov 21, 2022

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

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

Albrecht, Tim

Office Address (Street, Box, or Route)

c/o Politicom Law LLP, 28 Liberty Ship Way, Suite 2815

Permanent Residence (Street, Box, or Route)

One Apple Park Way, MS 169-5CL

City

Sausalito

State

Zip

94965

City

Cupertino

State

Zip

95104

Office Phone

(415) 903-2800

Home Phone

Email Address

apple1@politicomlaw.com

PRINCIPAL {49-1480(2)}

Name

Apple Inc.

Office Phone

(415) 903-2800

Office Address (Street, Box, or Route)

c/o Politicom Law LLP, 28 Liberty Ship Way, Suite 2815

Official to Whom Lobbyist is Accountable

Darrin Lim

City

Sausalito

State

Zip

94965

Nature of Business {49-1480(3)}

Technology

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
1,000.00 Per Month

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Technology; Education

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

Names and addresses of principal's officers:

Tim Cook / Genevieve Wyman
One Apple Park Way, MS 169-5CL
Cupertino, CA 95014

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.

Tim Albrecht

Lobbyist Name

Nov 21, 2022

Date