Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 3, 2023

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

Radcliffe, Walter H. of Radcliffe Gilbertson & Brady

Office Address (Street, Box, or Route)

625 S. 14th Street, Suite 100

Permanent Residence (Street, Box, or Route)

1701 South 33rd

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68506

Office Phone

(402) 476-7272

Home Phone

(402) 488-0609

Email Address

WRadcliffe@RGBLOBBY.com

PRINCIPAL {49-1480(2)}

Name

Nebraska State Home Builders Association

Office Phone

(402) 435-6772

Office Address (Street, Box, or Route)

P.O. Box 448

Official to Whom Lobbyist is Accountable

Michael Gray

City

Norfolk

State

Zip

68702

Nature of Business {49-1480(3)}

Home Building

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 Year

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Home Building and Associated Industry

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

Names and addresses of principal's officers:

Roger Brummels, Executive Director. PO Box 448, Norfolk, NE 68702
Michael Gray, Assoc VP, 14010 FNB Pkwy, Suite 300, Omaha, NE 68554
Todd Enck, President, 511 Fleetwood Cr., Grand Island, NE 68803
Greg Geis, 1st VP, 1415 Webb Road, Grand Island, NE 68803
Chris Ruda, 106 Main Street, Wayne, NE 68787

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.

Walter H. Radcliffe

Lobbyist Name

Jan 3, 2023

Date