Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 18, 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

Hrdlicka, Joseph

Office Address (Street, Box, or Route)

c/o 2350 Kerner Blvd., Ste. 250

Permanent Residence (Street, Box, or Route)

1 DNA Way

City

San Rafael

State

Zip

94901

City

South San Francisco

State

Zip

94080

Office Phone

(415) 389-6800

Home Phone

(650) 225-1000

Email Address

genentech1@nmgovlaw.com

PRINCIPAL {49-1480(2)}

Name

Genentech, Inc.

Office Phone

(415) 389-6800

Office Address (Street, Box, or Route)

c/o 2350 Kerner Blvd., Ste. 250

Official to Whom Lobbyist is Accountable

James W. Carson

City

San Rafael

State

Zip

94901

Nature of Business {49-1480(3)}

Biotechnology and Pharmaceuticals

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
2,500.00 Per Month

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

Description of industry, trade, profession, or interests and groups represented by the principal:
Biotechnology and Pharmaceuticals

Names and addresses of principal's officers:

Alexander Hardy, CEO: 1 DNA Way, South San Francisco, CA, 94080
Ed Harrington, CFO: 1 DNA Way, South San Francisco, CA, 94080

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)}

None.

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

Joseph Hrdlicka

Lobbyist Name

Dec 18, 2023

Date