Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 3, 2024

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

Byrnes, Alex

Office Address (Street, Box, or Route)

5820 Westown Parkway

Permanent Residence (Street, Box, or Route)

City

West Des Moines

State

Zip

50266

City

State

Zip

Office Phone

(515) 267-2800

Home Phone

(641) 220-4713

Email Address

alex.byrnes@hy-vee.com

PRINCIPAL {49-1480(2)}

Name

Hy-Vee

Office Phone

(515) 267-2853

Office Address (Street, Box, or Route)

5820 Westown Parkway

Official to Whom Lobbyist is Accountable

City

West Des Moines

State

Zip

50266

Nature of Business {49-1480(3)}

Retail Grocery

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
1,200.00 Per Month

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

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

Names and addresses of principal's officers:

Hy-Vee, Inc. 5820 Westown Pkwy, West Des Moines, IA 50266

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.

Alex Byrnes

Lobbyist Name

Jan 3, 2024

Date