FORM A
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NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
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Send form to:
Clerk of the Legislature
Room 2014, State Capitol
PO Box 94604
Lincoln, NE 68504-4604
Phone: (402) 471-2608
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First Session,
X
Second Session,
2012
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Lobbyist Registration Fee:
{49-1480.01(1)}
Compensated $100.00
X
(if you are a salaried employee of your principal
you are a compensated lobbyist.)
Not Compensated $ 15.00
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FILL IN ALL BLANKS LOBBYIST {49-1480(1)}
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Name
American Communications Group, Inc.
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Office Address (Street, Box, or Route)
1141 H Street, Suite B
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Permanent Residence (Street, Box, or Route)
1141 H Street, Ste B
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City
Lincoln
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State
NE
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Zip
68508
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City
Lincoln
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State
NE
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Zip
68508
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Office Phone
402-475-0727
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Home Phone
402-475-0727
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Name
City of Omaha - Mayor's Office
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Office Phone
402-444-5005
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Office Address (Street, Box, or Route)
Omaha/Douglas Civic Ctr,1819 Farnam Street, Ste 300
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Official to Whom Lobbyist is Accountable
Steve Oltmans
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City
Omaha
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State
NE
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Zip
68106-0300
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Nature of Business {49-1480(3)}
A Nebraska Political Subdivision / City Government
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AMOUNTS GIVEN or to be given to lobbyist as compensation or
reimbursement of lobbying: {49-1480(3)}. Please state the basis
for your compensation.
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$5,000.00
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IDENTIFICATION of MATTERS on which principal or lobbyist
expects to lobby: {49-1480(5)}
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Tax issues
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Choose and Provide Information in ONE of the Boxes Below
IF INDUSTRY,TRADE, or PROFESSIONAL: {49-1480(6)}
Description of industry, trade, or profession represented by
Principal:
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IF OTHER THAN INDUSTRY, TRADE, or PROFESSIONAL:
{49-1480(7)}
Description of interests and groups represendted by principal:
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Names and addresses of principal's officers
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GIVE NAME and ADDRESS of any OFFICIAL in the Legislative or Executive
Branch and 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)}
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>>>>> AMENDED RECEIVED 4-30-2012, ORIGINALLY FILED AS "CITY OF OMAHA". "-MAYOR'S OFFICE" ADDED.
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