Nebraska Legislature - Lobbyist Reporting Application

Clerk of the Legislature

Room 2014 State Capitol

PO Box 94604

Lincoln, NE 68509

(402) 471-2608

NEBRASKA PRINCIPAL
QUARTERLY REPORT

NADC FORM C

Submission Date: Apr 18, 2024

Reports are required to be filed within 30 days after the end of each calendar quarter with the Clerk of the Legislature.
Special Monthly Reports are required by principals receiving or spending more than $5,000 for lobbying purposes during any calendar month in which the legislature is in session. Certain exceptions apply. See NADC Form C-C.
A Principal is required to file a single Quarterly Report and may not file separate reports for each of its lobbyists.
For further information see Title 4, Chapter 6, Rules and Regulations for Lobbying.

ITEM 1

NATURE OF FILING (Check appropriate box)

For Calendar Year of

2024

First Quarter
1/1-3/31 1^st Qtr

Second Quarter
4/1-6/30 2^nd Qtr

Third Quarter
7/1-9/30 3^rd Qtr

Fourth Quarter
10/1-12/31 4^th Qtr

Amended Report
(Check Applicable Quarter)

ITEM 2

NAME OF PRINCIPAL AND LOBBYIST(S)

Principal Name

American Kratom Association

Phone

(571) 294-5978

Address (Street, Box, or Route)

13575 Heathcote Blvd, Suite 320

City

Gainesville

State

Zip

20155

Name(s) of All Registered Lobbyist(s)

Haddow, Mac

ITEM 3

RECEIPTS AND EXPENDITURES

State the name and address of every person from whom more than $100 has been received in any one month for lobbying purposes. State the month of the receipt. If none, write none. Amounts given by those listed below should be part of the total listed on line 1, Total Receipts. 49-1483.01.

Mac Haddow 13575 Heathcote Blvd. Suite 320. Gainesville, VA 20155.
Mr. Haddow receives and monthly retainer of $17,500 from American Kratom Association for his work in all states that we are active.

MONEY LOANED, PROMISED OR PAID. Give a detailed description of any money loaned, promised, or paid by you or anyone on your behalf to any official in the Legislative or Executive Branch of the State Government or a member of the official's staff. Identify the recipient or beneficiary of the payment and the date, amount and the terms of the loan, promise or payment. If none, write none. Any amounts reported should also be part of the total entered on line 2, Miscellaneous Expenses. 49-1483(2)(b) and Ch. 6, sec. 009.08.

RECEIPTS THIS PERIOD OF PRINCIPAL - Complete Each Blank Space. Write 0 if Applicable

1. Total Receipts

52,500.00

EXPENDITURES THIS PERIOD BY PRINCIPAL - Complete Each Blank Space. Write 0 if Applicable

2. Miscellaneous Expenses

0.00

3. Entertainment Expenses

a) Members of the Legislature

0.00

b) Elected Executive Branch Officials

0.00

c) Entertainment other than 3a and 3b

0.00

d) Total (Lines 3a, 3b, and 3c)

0.00

4. Lodging Expenses

0.00

5. Travel Expenses

0.00

6. Office Expenses (see instructions)

0.00

7. Lobbyist Compensation paid by Principal

0.00

8. Lobbyist Reimbursement paid by Principal

0.00

9. Gifts (except gifts of admissions)

a) Members of the Legislature

0.00

b) Elected Executive Branch Officials

0.00

c) Gifts other than 9a and 9b

0.00

d) Total (Lines 9a, 9b, and 9c)

0.00

10. Gifts of Admissions (see instructions)

a) Members of the Legislature

0.00

b) Elected Executive Branch Officials

0.00

c) Gifts of Admissions other than 10a and 10b

0.00

d) Total (Lines 10a, 10b, and 10c)

0.00

11. Total (Sum of 2, 3d, 4, 5, 6, 7, 8, 9d, and 10d)

0.00

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

Tom Moore

Principal Name

Apr 18, 2024

Date