Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 27, 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, George E.

Office Address (Street, Box, or Route)

1700 Farnam Street, Ste 1500

Permanent Residence (Street, Box, or Route)

2215 South 181st Circle

City

Omaha

State

Zip

68102

City

Omaha

State

Zip

68130

Office Phone

(402) 636-8290

Home Phone

Email Address

gmartin@bairdholm.com

PRINCIPAL {49-1480(2)}

Name

Baird Holm LLP

Office Phone

(402) 636-8310

Office Address (Street, Box, or Route)

1700 Farnam Street, Ste 1500

Official to Whom Lobbyist is Accountable

Richard E. Putnam

City

Omaha

State

Zip

68102-2068

Nature of Business {49-1480(3)}

LEGAL

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)} Personnel litigation

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

Names and addresses of principal's officers:

Richard E. Putnam, 1700 Farnam St., Ste 1500, Omaha, NE 68102
Vickie B. Ahlers, 1700 Farnam St., Ste 1500, Omaha, NE 68102
Christopher R. Hedican, 1700 Farnam St., Ste 1500, Omaha, NE 68102
Karen L. Smith, 1700 Farnam St., Ste 1500, Omaha, NE 68102

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)}

NONE

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

Martin, George E.

Lobbyist Name

Dec 27, 2019

Date