Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 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

Delka, Krissa

Office Address (Street, Box, or Route)

1200 Libra Drive, Suite 100

Permanent Residence (Street, Box, or Route)

1625 Arapahoe Street

City

Lincoln

State

Zip

68512

City

Lincoln

State

Zip

68502

Office Phone

(402) 435-3551

Home Phone

(402) 432-0799

Email Address

krissad@nehca.org

PRINCIPAL {49-1480(2)}

Name

Nebraska Health Care Association, Inc.

Office Phone

(402) 435-3551

Office Address (Street, Box, or Route)

1200 Libra Dr Ste 100

Official to Whom Lobbyist is Accountable

Cindy Kadavy

City

Lincoln

State

Zip

68512-9628

Nature of Business {49-1480(3)}

Health

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
31,250.00 Per Year

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Matters related to long-term care and education in Nebraska.

Description of industry, trade, profession, or interests and groups represented by the principal:
Nursing, Assited Living industry

Names and addresses of principal's officers:

NHCA Executive Committee
1200 Libra Drive Suite 100 Lincoln, NE 68512

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.

Krissa Delka

Lobbyist Name

Dec 21, 2022

Date