FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Jan 5, 2024

(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)}

127 S 37th Street, Suite A 

855 S 33rd Street 

Lincoln 

NE 

686510 

Lincoln 

NE 

68510 

(402) 476-7000, Ext. 204 

(402) 560-6076 

lacieb@nap.org 

PRINCIPAL {49-1480(2)}

(402) 552-9260 

250 S 77th Street, Suite A 

Brent Koster 

Omaha 

NE 

68114 

Human Services 

AMOUNTS GIVEN
597.14  Per Quarter  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Healthcare, Housing, Poverty/Low-income Issues  
Description of industry, trade, profession, or interests and groups represented by the principal:
Nonprofit human services & healthcare organization 
Names and addresses of principal's officers:

Lacie Bolte
127 S 37th ST, Suite A
Lincoln, NE 68510

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:

None

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

Lacie Bolte

Lobbyist Name

Jan 5, 2024

Date