FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Nov 15, 2023

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

Amended Registration
Lobbyist Registration Fee:
{49-1480.01}

(If you are a salaried employee of your principal, you are a compensated lobbyist.)
(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)}

330 NW 82nd Street 

330 NW 82nd Street 

Topeka 

KS 

66617 

Topeka 

KS 

66617 

(785) 554-1061 

 

wade_hapgood@uhg.com 

PRINCIPAL {49-1480(2)}

(702) 242-7191 

9900 Bren Road East 

Erin Russell 

Minnetonka 

MN 

55343 

INSURANCE 

AMOUNTS GIVEN
5,000.00  Percentage of salary  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Insurance, health and healthcare, medicaid, tax  
Description of industry, trade, profession, or interests and groups represented by the principal:
 
Names and addresses of principal's officers:

Tarrant Jeffrey Putnam, 9900 Bren Road East, Minnetonka, MN 55343
Thomas Edward Roos, 9900 Bren Road East, Minnetonka, MN 55343
Payman Pezhman, 9900 Bren Road East, Minnetonka, MN 55343
Peter Marshall Gill, 9900 Bren Road East, Minnetonka, MN 55343
Steven Marc Burstein, 9900 Bren Road East, Minnetonka, MN 55343
Heather Anastasia Lang, 9900 Bren Road East, Minnetonka, MN 55343
Jessica Leigh Zuba, 9900 Bren Road East, Minnetonka, MN 55343
Nyle Brent Cottington, 9900 Bren Road East, Minnetonka, MN 55343

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:

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

Wade Hapgood

Lobbyist Name

Nov 15, 2023

Date