Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 5, 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

Dobler, James B.

Office Address (Street, Box, or Route)

3922 S. 31st Street Circle

Permanent Residence (Street, Box, or Route)

3922 S. 31st Street Circle

City

Lincoln

State

Zip

68502

City

Lincoln

State

Zip

68502

Office Phone

(402) 770-6904

Home Phone

(402) 488-8922

Email Address

jbdobler@outlook.com

PRINCIPAL {49-1480(2)}

Name

Professional Insurance Agents of Nebraska

Office Phone

(402) 392-1611

Office Address (Street, Box, or Route)

11932 Arbor Street, Suite 100

Official to Whom Lobbyist is Accountable

Cathy Klasi

City

Omaha

State

Zip

68114

Nature of Business {49-1480(3)}

INSURANCE

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 Month

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Property and casualty insurance agent matters

Description of industry, trade, profession, or interests and groups represented by the principal:
Property and casualty insurance

Names and addresses of principal's officers:

Joe Bob Atkins, president, 203 W. Arnold Ave., Arnold, NE, Michael Bowman, president elect, 11132 "O" Street, Omaha, NE, Patrick Wehling, vice president, 1502 1st Corso, Nebraska City, NE, Joyce Harner, Treasurer, Plattsmouth, NE.

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.

James B. Dobler

Lobbyist Name

Dec 5, 2022

Date