Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 21, 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

DeGarmo, Alexander

Office Address (Street, Box, or Route)

11711 Arbor Street, Suite 110

Permanent Residence (Street, Box, or Route)

City

Omaha

State

Zip

68114

City

State

Zip

Office Phone

Home Phone

Email Address

compliance_ne_alz_2@multistate.us

PRINCIPAL {49-1480(2)}

Name

Alzheimer's Association

Office Phone

Office Address (Street, Box, or Route)

11711 Arbor Street, Suite 110

Official to Whom Lobbyist is Accountable

City

Omaha

State

Zip

68114

Nature of Business {49-1480(3)}

non-profit

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
3,000.00 Per Month

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Healthcare and Alzheimer's and dementia related issues

Description of industry, trade, profession, or interests and groups represented by the principal:
Healthcare and Alzheimer's and dementia related issues

Names and addresses of principal's officers:

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.

Alexander DeGarmo

Lobbyist Name

Jan 21, 2025

Date