FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 21, 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)}

624 2nd Street 

615 Chestnut Street 

Friend 

NE 

68359 

Friend 

NE 

68359 

(402) 730-0276 

 

cara.potter@medica.com 

PRINCIPAL {49-1480(2)}

(952) 992-3059 

401 Carlson Parkway CP250 

 

Minnetonka 

MN 

55305 

Health Insurance 

AMOUNTS GIVEN
90.00  Per Hour  
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:
Health Insurance 
Names and addresses of principal's officers:

Jay Mclaren: 401 Carlson Parkway CP250, Minnetonka, MN 55305

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.

Cara Potter

Lobbyist Name

Dec 21, 2023

Date