Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 5, 2023

(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

Kubat, Rick

Office Address (Street, Box, or Route)

7350 World Communications Drive

Permanent Residence (Street, Box, or Route)

8222 Castelar

City

Omaha

State

Zip

68122

City

Omaha

State

Zip

68124

Office Phone

(402) 504-7125

Home Phone

(402) 598-7456

Email Address

rick_kubat@mudnebr.com

PRINCIPAL {49-1480(2)}

Name

Metropolitan Utilities District

Office Phone

(402) 504-7125

Office Address (Street, Box, or Route)

7350 World Communications Drive

Official to Whom Lobbyist is Accountable

Mark Mendenhall

City

Omaha

State

Zip

68122

Nature of Business {49-1480(3)}

Natural gas and water

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)} All matters related to MUD as a water and natural gas company

Description of industry, trade, profession, or interests and groups represented by the principal:
natural gas and water

Names and addresses of principal's officers:

Mark Mendenhall, General Counsel, Metropolitan Utilities District, 7350 World Communications Dr. Omaha NE 68122

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.

Rick Kubat

Lobbyist Name

Dec 5, 2023

Date