Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 3, 2020

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

Klute, Anne M. N.

Office Address (Street, Box, or Route)

830 Westgate Blvd

Permanent Residence (Street, Box, or Route)

749 Folsom Lane

City

Lincoln

State

Zip

68528

City

Lincoln

State

Zip

68522

Office Phone

(402) 477-4451

Home Phone

(402) 432-0096

Email Address

annek@abcnebraska.org

PRINCIPAL {49-1480(2)}

Name

Associated Builders and Contractors, Inc.

Office Phone

(402) 477-4451

Office Address (Street, Box, or Route)

830 Westgate Blvd.

Official to Whom Lobbyist is Accountable

City

Lincoln

State

Zip

68528

Nature of Business {49-1480(3)}

Construction

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

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

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

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)}

830 Westgate Blvd.

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

Klute, Anne M. N.

Lobbyist Name

Jan 3, 2020

Date