Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 13, 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

Community Information Trust

Office Phone

(402) 391-3190

Office Address (Street, Box, or Route)

10500 Regency Circle, Suite 101

Official to Whom Lobbyist is Accountable

Dan Waters & Rachel Jacobson

City

Omaha

State

Zip

68114

Nature of Business {49-1480(3)}

Non-Profit Community Technology Access & Instruction

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
48,000.00 Per Year

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Community technology access

Description of industry, trade, profession, or interests and groups represented by the principal:
Non-Profit Community Technology

Names and addresses of principal's officers:

Chair- Michael McCarthy/Bridges Trust/13333 California Street, Suite 500/Omaha, NE 68154
Vice Chair – D. David Slosburg/Spruce Capital/10050 Regency Circle, Suite 210/Omaha, NE 68114
President – Rachel Jacobson/Heritage Omaha/10050 Regency Circle, Suite 101/Omaha, NE 68114
Secretary – Daniel Waters/Lamson, Dugan & Murray, LLP/10306 Regency Parkway Drive/Omaha, NE 68114
Treasurer – Jennifer Callahan/Heritage Omaha/10050 Regency Circle, Suite 101/Omaha, NE 68114

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 Radcliffe

Lobbyist Name

Jan 13, 2023

Date