Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 19, 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

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

ABATE of Nebraska, Inc.

Office Phone

(402) 489-0651

Office Address (Street, Box, or Route)

PO Box 22764

Official to Whom Lobbyist is Accountable

Todd Miller

City

Lincoln

State

Zip

68542-2764

Nature of Business {49-1480(3)}

Motorcycle safety education

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
10,000.00 Per Session

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Any and all matters associated with motorcycles

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

Names and addresses of principal's officers:

Todd Miller, President, 1740 NW 54th St, Lincoln NE 68528

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.

JensenRogertAssocInc

Lobbyist Name

Dec 19, 2022

Date