Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 6, 2020

(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

Carstenson, Eric B.

Office Address (Street, Box, or Route)

233 South 13th Street, Suite 801

Permanent Residence (Street, Box, or Route)

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68508

Office Phone

(402) 476-2423

Home Phone

Email Address

jwolfe@ntaonline.net

PRINCIPAL {49-1480(2)}

Name

Nebraska Telecommunications Association

Office Phone

(402) 476-2423

Office Address (Street, Box, or Route)

233 South 13th Street, Suite 801

Official to Whom Lobbyist is Accountable

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

Trade Association

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

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

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

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)}

ntaeric

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

Carstenson, Eric B.

Lobbyist Name

Jan 6, 2020

Date