Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Apr 8, 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

Stopak, Kenneth

Office Address (Street, Box, or Route)

1009 Creighton Road

Permanent Residence (Street, Box, or Route)

1009 Creighton Rd

City

Papillion

State

Zip

68046

City

Papillion

State

Zip

68046

Office Phone

(531) 358-0387

Home Phone

(531) 358-0387

Email Address

Coach@purposepassionprofits.com

PRINCIPAL {49-1480(2)}

Name

Stopak, Kenneth

Office Phone

(531) 358-0387

Office Address (Street, Box, or Route)

1009 Creighton Road

Official to Whom Lobbyist is Accountable

Self

City

Papillion

State

Zip

68046

Nature of Business {49-1480(3)}

Local 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.
0.00 Per Month

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

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

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)}

1009 Creighton Road

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

Kenneth Stopak

Lobbyist Name

Apr 8, 2025

Date