Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 9, 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

(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

Ortner, Brian

Office Address (Street, Box, or Route)

3209 Westgate Road

Permanent Residence (Street, Box, or Route)

City

Omaha

State

Zip

68124

City

State

Zip

Office Phone

(402) 681-5016

Home Phone

Email Address

bortner@acg.aaa.com

PRINCIPAL {49-1480(2)}

Name

AAA Nebraska and The Auto Club Group

Office Phone

(402) 938-3806

Office Address (Street, Box, or Route)

120 N. Washington Square (Suite 802 )

Official to Whom Lobbyist is Accountable

Heather Drake

City

Lansing

State

Zip

48933

Nature of Business {49-1480(3)}

Insurance, Traffic and Pedestrian Safety

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
75,000.00 Per Year

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Slow Down Move Over, Helmet Requirements, Traffic Safety, Transportation

Description of industry, trade, profession, or interests and groups represented by the principal:
Insurance, Traffic Safety, Roadside Services, Travel

Names and addresses of principal's officers:

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.

Brian Ortner

Lobbyist Name

Dec 9, 2022

Date