FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 5, 2023

(This report is required to be filed on or before December 31 of each calendar year.)
49-1480.01(3)

Amended Registration
Lobbyist Registration Fee:
{49-1480.01}

(If you are a salaried employee of your principal, you are a compensated lobbyist.)
(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)}

3209 Westgate Road 

 

Omaha 

NE 

68124 

 

 

 

(402) 681-5016 

 

bortner@acg.aaa.com 

PRINCIPAL {49-1480(2)}

(813) 842-3003 

120 N. Washington Square (Suite 802 ) 

Heather Drake 

Lansing 

MI 

48933 

Insurance, Traffic and Pedestrian Safety 

AMOUNTS GIVEN
76,000.00  Per Year  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Slow Down Move Over, Helmet Requirements, Traffic Safety, Transportation  
Description of industry, trade, profession, or interests and groups represented by the principal:
Insurance, Traffic Safety, Roadside Services, Travel 
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:

I certify that all information presented in this form is accurate to the best of my knowledge.

Brian Ortner

Lobbyist Name

Dec 5, 2023

Date