Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Oct 23, 2023

(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

Mueting, Marcia

Office Address (Street, Box, or Route)

6221 South 58th Street, Ste A

Permanent Residence (Street, Box, or Route)

3629 Diablo Drive

City

Lincoln

State

Zip

68516

City

Lincoln

State

Zip

68516

Office Phone

(402) 420-1500

Home Phone

(402) 499-8528

Email Address

marcia.mueting@npharm.org

PRINCIPAL {49-1480(2)}

Name

Nebraska Pharmacists Association

Office Phone

(402) 420-1500

Office Address (Street, Box, or Route)

6221 South 58th Street, Ste A

Official to Whom Lobbyist is Accountable

Marcia Mueting

City

Lincoln

State

Zip

68516

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.
200.00 Per Month

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

Description of industry, trade, profession, or interests and groups represented by the principal:
Pharmacy Professionals

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.

Marcia Mueting

Lobbyist Name

Oct 23, 2023

Date