FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Feb 13, 2024
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)}

500 E Coronado Rd 

500 E Coronado Rd 

Phoenix 

AZ 

85004 

Phoenix 

AZ 

85004 

(602) 462-5000 

 

registeredagent@debeeclark.com 

PRINCIPAL {49-1480(2)}

500 E. Coronado Rd 

Kelly Day 

Phoenix 

AZ 

85004 

501(c)(3) public charity 

AMOUNTS GIVEN
8,000.00  Percentage of salary  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Education  
Description of industry, trade, profession, or interests and groups represented by the principal:
Education 
Names and addresses of principal's officers:

All officers can be contacted at the Principal's business address. Victor Riches, President & CEO; Roger Zetah, CFO.

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.

Matt Beienburg

Lobbyist Name

Feb 13, 2024

Date