Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 27, 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

Avery, David

Office Address (Street, Box, or Route)

4001 N. Rodney Parham

Permanent Residence (Street, Box, or Route)

City

Little Rock

State

Zip

72212

City

State

Zip

Office Phone

(501) 748-5876

Home Phone

Email Address

afaustman@acgusa.net

PRINCIPAL {49-1480(2)}

Name

Windstream Communications

Office Phone

(402) 436-4160

Office Address (Street, Box, or Route)

1440 M Street

Official to Whom Lobbyist is Accountable

Barry Bishop

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

telecommunications

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
4,125.00 Per Quarter

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

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

Names and addresses of principal's officers:

Tony Thomas, CEO
Stephen Farkouh, CIO
Kristi Moody, Secretary, EVP & General Counsel

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.

David Avery

Lobbyist Name

Dec 27, 2023

Date