Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Feb 12, 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

Fernandez, David

Office Address (Street, Box, or Route)

101 Constitution Avenue NW, Suite 400-W

Permanent Residence (Street, Box, or Route)

City

Washington

State

Zip

20001

City

State

Zip

Office Phone

(916) 583-9300

Home Phone

Email Address

kari.s.ortiz@altria.com

PRINCIPAL {49-1480(2)}

Name

Altria Client Services LLC and its Affiliates

Office Phone

(608) 251-0195

Office Address (Street, Box, or Route)

1415 L Street, Suite 1150

Official to Whom Lobbyist is Accountable

City

Sacramento

State

Zip

95814

Nature of Business {49-1480(3)}

Tobacco

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Tobacco-related issues for Altria Client Services LLC and its Affiliates-- Philip Morris USA Inc, John Middleton Co., U.S. Smokeless Tobacco Co., Helix Innovations LLC and NJOY, LLC

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

Names and addresses of principal's officers:

L. Henry Turner, VP State Government Affairs, 101 Constitution Ave NW, Suite 400-W, Washington DC 20001

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 Fernandez

Lobbyist Name

Feb 12, 2024

Date