Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Feb 13, 2024

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

Husch Blackwell Strategies

Office Address (Street, Box, or Route)

1630 K Street

Permanent Residence (Street, Box, or Route)

City

Lincoln

State

Zip

68508

City

State

Zip

Office Phone

(402) 434-8040

Home Phone

Email Address

rmallett@hbstrategies.us

PRINCIPAL {49-1480(2)}

Name

Papio Valley Preservation Association, Inc.

Office Phone

(402) 427-5452

Office Address (Street, Box, or Route)

P.O. Box 200

Official to Whom Lobbyist is Accountable

Shawn Melotz

City

Kennard

State

Zip

68034

Nature of Business {49-1480(3)}

Government Relations

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
16,000.00 Per Year

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Water safety and water quality

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

Names and addresses of principal's officers:

Papio Valley Preservation
PO Box0200
Kennard. NE 68034

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.

HBS

Lobbyist Name

Feb 13, 2024

Date