Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 2, 2025

Clerk of the Legislature
Room 2014, State Capitol
PO Box 94604
Lincoln, NE 68509-4604
Phone: (402) 471-2608

For Calendar Year of:

Amended Registration

Lobbyist Registration Fee:
{49-1480.01}

Compensated

$300.00

(If you are a salaried employee of your principal, you are a compensated lobbyist.)

Not Compensated

$15.00

(File a Form E for quarterly report exemption. You are not exempt from the Form D Activity Report.)

PLEASE FILL IN ALL BLANKS

LOBBYIST {49-1480(1)}

Name

Higgins, Kersten

Office Address (Street, Box, or Route)

3300 Mutual of Omaha Plaza

Permanent Residence (Street, Box, or Route)

3320 Pine St.

City

Omaha

State

Zip

68175

City

Omaha

State

Zip

68105

Office Phone

(402) 351-6984

Home Phone

(402) 415-9291

Email Address

kersten.higgins@mutualofomaha.com

PRINCIPAL {49-1480(2)}

Name

Mutual of Omaha

Office Phone

(402) 342-7600

Office Address (Street, Box, or Route)

3300 Mutual of Omaha Plaza

Official to Whom Lobbyist is Accountable

City

Omaha

State

Zip

68175

Nature of Business {49-1480(3)}

Insurance & Financial Services

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
150.00 Per Hour

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Insurance & financial services

Description of industry, trade, profession, or interests and groups represented by the principal:

Names and addresses of principal's officers:

President and CEO: James Blackledge
Executive Vice President: Scott Ault, Brad Buechler, Jason Coyle, Richard Hrabchak, Mike Lechtenberger, Liz Mazzotta, Stacy Scholtz

GIVE NAME and ADDRESS of any OFFICIAL in the Legislative or Executive Branch and of 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)}

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

Kersten Higgins

Lobbyist Name

Jan 2, 2025

Date