FORM A-R NEBRASKA LEGISLATURE                                                 RENEWAL OF 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 For calendar year     2012 Lobbyist Registration Fee: {49-1480.01(1)} Compensated   $200.00   X (if you are a salaried employee of your principal you are a compensated lobbyist.) Not Compensated   $ 15.00   Lobbyist Name: Jensen Rogert Associates Inc. / Ronald L. Jensen       Phone: 402-436-2165 Address:   625 South 14th Street, Ste A / Lincoln, NE 68508 Principals to be renewed - if any information has changed from your original registration form, you must file an amended Form A or report any changes on your quarterly report, Form B {49-1483(2)} AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbusement of lobbying: {49-1480(3)}. Please state the basis for your compensation. NE Podiatric Medical Assn $4,800 / yr Name of Principal 2705 Samson Way c/o Foot & Ankle Specialists/NPMA / Bellevue, NE 68123 Address (City, State, Zip Code)   Magellan Health Services, Inc. $24,000 / yr Name of Principal 1221 N Street, Ste 700 / Lincoln, NE 68508 Address (City, State, Zip Code)   NE Optometric Association $19,000 / yr Name of Principal 1633 Normandy Court, Ste A / Lincoln, NE 68512-1473 Address (City, State, Zip Code)   Mosaic $11,000 / yr Name of Principal 4980 South 118th Street / Omaha, NE 68137-3884 Address (City, State, Zip Code)