FORM
A
NEBRASKA LEGISLATURE                                                
APPLICATION FOR REGISTRATION AS A LOBBYIST                                                
Send form to:
Clerk of the Legislature
Room 2014, State Capitol
PO Box 94604
Lincoln, NE 68504-4604
Phone: (402) 471-2608
First Session,    
X Second Session,   2012
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  
  FILL IN ALL BLANKS
LOBBYIST {49-1480(1)}
 
Name
American Communications Group, Inc.
Office Address (Street, Box, or Route)
1141 H Street, Suite B
Permanent Residence (Street, Box, or Route)
1141 H Street, Ste B
City
Lincoln
State
NE
Zip
68508
City
Lincoln
State
NE
Zip
68508
Office Phone
402-475-0727
Home Phone
402-475-0727

  PRINCIPAL {49-1480(2)}  
Name
City of Omaha - Mayor's Office
Office Phone
402-444-5005
Office Address (Street, Box, or Route)
Omaha/Douglas Civic Ctr,1819 Farnam Street, Ste 300
Official to Whom Lobbyist is Accountable
Steve Oltmans
City
Omaha
State
NE
Zip
68106-0300
Nature of Business {49-1480(3)}
A Nebraska Political Subdivision / City Government
AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
$5,000.00
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)}
Tax issues
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:

IF OTHER THAN INDUSTRY, TRADE, or PROFESSIONAL: {49-1480(7)}
Description of interests and groups represendted by principal:

Names and addresses of principal's officers

			
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)}
>>>>> AMENDED RECEIVED 4-30-2012, ORIGINALLY FILED AS "CITY OF OMAHA". "-MAYOR'S OFFICE" ADDED.