Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 24, 2024

(This report is required to be filed on or before December 31 of each calendar year.)
49-1480.01(3)

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

$300.00

(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

Jensen Rogert Associates, Inc.

Office Address (Street, Box, or Route)

625 S. 14th Street, Suite A

Permanent Residence (Street, Box, or Route)

625 S 14th Street, Suite A

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68508

Office Phone

(402) 436-2165

Home Phone

(402) 436-2165

Email Address

kent@jensenrogert.com

PRINCIPAL {49-1480(2)}

Name

Burt County Economic Development Corp.

Office Phone

(904) 327-8479

Office Address (Street, Box, or Route)

111 N. 13th Street, Suite 13

Official to Whom Lobbyist is Accountable

Cindy Chatt

City

Tekamah

State

Zip

68061

Nature of Business {49-1480(3)}

Economic Development

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Matters of interest to BCEDC

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

Names and addresses of principal's officers:

Cindy Chatt, Executive Director, 111 N 13th St, Ste 13, Tekamah NE 68061

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)}

None

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

Jensen Rogert Associates Inc

Lobbyist Name

Dec 24, 2024

Date