Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 10, 2019

(This report is required to be filed on or before December 31 of each calendar year.)
49-1480.01(3)

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

$200.00

(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

Martin, Susan L.

Office Address (Street, Box, or Route)

2012 South 13th Street

Permanent Residence (Street, Box, or Route)

630 Norwood Drive

City

Lincoln

State

Zip

68502-2313

City

Lincoln,

State

Zip

68512-2105

Office Phone

(402) 476-0002

Home Phone

(402) 617-3151

Email Address

neaflcio@neafl-cio.org

PRINCIPAL {49-1480(2)}

Name

Nebraska State AFL-CIO

Office Phone

(402) 476-0002

Office Address (Street, Box, or Route)

2012 South 13th Street

Official to Whom Lobbyist is Accountable

Nebraska State AFL-CIO

City

Lincoln

State

Zip

68502-2313

Nature of Business {49-1480(3)}

LABOR

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 Percentage of salary

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

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

Names and addresses of principal's officers:

Name Title Address City/State/Zip
Michael Zgud Vice President 6715 46th Avenue Kearney, NE 68845-1613
Bradley B. Bird Executive Board 12018 County Road P30 Blair, NE 68008-6527
Kevin G. Hevelone Executive Board P. O. Box 21922 Lincoln, NE 68542-1922
Daniel R. Janak Executive Board 3138 East Roberts Street Seward, NE 68434-1648
Steven E. LeClair Executive Board 5106 N 115th Street Omaha, NE 68164-2000
Richard M. Martines Trustee 8118 Maywood Street Ralston, NE 68127-3772
Richard K. Michel Executive Board 5951 Eagle Ridge Drive Nebraska City, NE 68410-1069
Andrew J. Mommsen Executive Board 5005 South 95th Street Omaha, NE 68127-2413
Timothy M. Morrison Trustee 12404 South 217th Street Gretna, NE 68028-5994
Mark A. Ondracek Executive Board 3476 Golden Eagle Circle Blair, NE 68008-6704
Larrissa A. Parde Executive Board 4668 West Mary Louise Lane Lincoln, NE 68528-1936
Gregg D. Rhoades Executive Board 2717 Capehorn Circle Plattsmouth, NE 68048-7158
Mark A. Salerno Executive Board 10324 North 53rd Street Omaha, NE 68152-5016
Scott E. Salisbury Executive Board Box 38; 63 Highway 83 Stapleton, NE 69163-6200

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.

Martin, Susan L.

Lobbyist Name

Dec 10, 2019

Date