Nebraska Legislature - Lobbyist Reporting Application

Clerk of the Legislature

Room 2014 State Capitol

PO Box 94604

Lincoln, NE 68509

(402) 471-2608

NEBRASKA PRINCIPAL
SPECIAL REPORT

NADC FORM C-C

Submission Date: Feb 15, 2024

Special Monthly Reports must be filed by principals receiving or spending more than $5,000 for lobbying purposes during any calendar month in which the legislature is in session. Exception: Lobbyist compensation disclosed on Lobbyist Application for registration is not included in the $5,000 calculation. All information on a special report must be included on the next Quarterly Report.
Reports are required to be filed within 15 days after the end of each calendar month in which more than $5,000 is raised or spent for lobbying purposes.

ITEM 1

PERIOD OF FILING

For Calendar Year of

2024

Calendar Month Covered by Report

January

Amended Report

ITEM 2

NAME OF PRINCIPAL AND LOBBYIST(S)

Principal Name

Nebraska Association of Independent Ambulatory Centers

Phone

(402) 380-3592

Address (Street, Box, or Route)

5500 Pine Lake Rd

City

Lincoln

State

Zip

68516

Name(s) of All Registered Lobbyist(s)

O'Hara Lindsay & Associates, Inc.

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.

Lincoln Endoscopy Ctr 4545 R Lincoln 68503 $1500, NOC Surgery Ctr 6900 A Ste 200 Lincoln68510 $1500, Midwest Endoscopy Svcs 8901 Indian Hills Ste 100 Omaha 68114 $1500, Midwest Eye Surgery Ctr 4353 Dodge Omaha 68131 $1500, Miracle Hills Surgery Ctr 11819 Miracle Hills Ste201 Omaha 68114 $1500 , Urology Surgical Ctr 5500 Pine Lake Lincoln 68516 $1500, Outpatient Surgical Specialties Ctr 11704 W Center Ste 110 Omaha 68144 $1500, Pacific Surgery Ctr 10707Pacific Ste 100 Omaha 68114 $1500, Urology Ctr 111 S 90th Omaha 68114 $1500, Advanced Medical Imaging Surgery Center 7555 Pioneers Blvd, Lincoln, NE 68506 $1500

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

15,000.00

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.

Nebraska Association of Independent Ambulatory Centers

Lobbyist Name

Feb 15, 2024

Date