FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 30, 2023
Amended Registration
Date Amended: Apr 21, 2024
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)}

900 S 74th Plz, Ste 401 

5630 Falcon Circle  

Omaha 

NE 

68114 

Lincoln 

NE 

68516 

(402) 826-7494 

(402) 826-7494 

matt.prokop@als.org 

PRINCIPAL {49-1480(2)}

(402) 826-7494 

1300 Wilson Boulevard, Suite 600 

Colleen Wachter 

Arlington  

VA 

22209 

Non Profit Corporation  

AMOUNTS GIVEN
56.41  Per Hour  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Access to care, prescription drugs, clinical services  
Description of industry, trade, profession, or interests and groups represented by the principal:
 
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.

Matthew Prokop

Lobbyist Name

Apr 21, 2024

Date