|
Clerk
of the Legislature |
NEBRASKA PRINCIPAL QUARTERLY REPORT NADC FORM C |
Postmark
Date |
|
|
||||||||||||||
|
Room
2014 State Capitol |
Office
Use Only |
|||||||||||||||||
|
|
|
|
|
|||||||||||||||
|
|
|
|
|
|||||||||||||||
|
(402)
471-2608 |
|
|
|
|||||||||||||||
|
·
Reports
are required to be filed within 15 days after the end of each calendar
quarter with the Clerk of the Legislature. File an original and one copy. ·
Special
Monthly Reports are required by principals receiving or spending more than
$5,000 for lobbying purposes during any calendar month in which the
legislature is in session. Certain exceptions apply. See NADC Form C-C. ·
A Principal is required
to file a single Quarterly Report and may not file separate reports
for each of its lobbyists. ·
For
further information refer to Title 4, Chapter 6, Rules and Regulations for
Lobbying. |
||||||||||||||||||
ITEM 1 |
NATURE
OF FILING (Check appropriate box) |
|||||||||||||||||
|
Year of Session |
2004 |
|
|
|
|
|
|
|||||||||||
|
1/1-3/31 |
4/1 – 6/30 |
7/1-9/30 |
10/1
– 12/31 |
|||||||||||||||
ITEM 2 |
NAME
OF PRINCIPAL AND LOBBYIST(S) |
Check here if any information in
item 2 is new |
||||||||||||||||
|
Iowa/Nebraska
Equipment Dealers Association |
Telephone No. |
|||||||||||||||||
|
P.O. Box
65840, West Des Moines, IA 50265 |
||||||||||||||||||
|
|
Street |
|
|
|
City |
|
State |
Zip |
|
|||||||||
|
Name(s) of all Registered
Lobbyist(s): |
Dennis Rasmussen and Mark Othmer |
|||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|||||||||
ITEM 3 |
RECEIPTS AND EXPENDITURES |
|
|
|
|
|
||||||||||||
|
State the name and
address of every person from whom more than $100 has been received in any one
month for lobbying purposes. State the month of the receipt. Attach
information if space is not sufficient. If
none, write none. Amounts given by those listed below should be part of
the total listed on Line 1, Total Receipts. 49-1483.01. MONEY
LOANED, PROMISED OR PAID. Give
a detailed description of any money loaned, promised, or paid by you or
anyone on your behalf to any official in the Legislative or Executive Branch
of the State Government or a member of the official’s staff. Identify the
recipient or beneficiary of the payment and the date, amount and the terms of
the loan, promise or payment. If none,
write none. Any amounts reported here should be part of the total on Line
2, Miscellaneous Expenses. 49-1483(1)(b) and |
||||||||||||||||||
RECEIPTS THIS PERIOD OF PRINCIPAL – Complete Each Blank Space. Write 0 if Applicable |
|||
|
|
|
|
|
|
|
|
|
|
|
1. Total Receipts |
|
|
|
EXPENDITURES THIS PERIOD BY PRINCIPAL -- Complete Each Blank Space. Write 0 if Applicable |
|||
|
2. Miscellaneous Expenses |
|
|
$0.00 |
|
3. Entertainment Expenses |
|
|
|
|
a) Members of Legislature |
$0.00 |
|
|
|
b) Elected Executive Branch Officials |
$0.00 |
|
|
|
c) Entertainment other than 3a and 3b |
$0.00 |
|
|
|
d) Total (Lines 3a, 3b, and 3c) |
|
|
$ 0.00 |
|
4. Lodging Expenses |
|
|
$0.00 |
|
5. Travel Expenses |
|
|
$0.00 |
|
6. Office Expenses (see
instructions) |
|
|
$0.00 |
|
7. Lobbyist Compensation
paid by Principal |
|
|
$3,000.00 |
|
8. Lobbyist Reimbursement
paid by Principal |
|
|
$0.00 |
|
9. Gifts (except gifts of
admissions) |
|
|
|
|
a) Members of Legislature |
$0.00 |
|
|
|
b) Elected Executive Branch Officials |
$0.00 |
|
|
|
c) Gifts other than 9a and 9b |
$0.00 |
|
|
|
d) Total (Lines 9a, 9b, and 9c) |
|
|
$ 0.00 |
|
10. Gifts of Admissions
(See instructions) |
|
|
|
|
a) Members of Legislature |
$0.00 |
|
|
|
b) Elected Executive Branch Officials |
$0.00 |
|
|
|
c) Gifts of Admissions other than 10a
and 10b |
$0.00 |
|
|
|
d) Total (Lines 10a, 10b, and 10c) |
|
|
$ 0.00 |
|
11. Total (Sum of 2, 3d,
4, 5, 6, 7, 8, 9d, and 10d) |
|
|
$3,000.00 |
|
|
|
|
|
|
|
|
|
|
|
Principal
Name (Print or Type) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Principal
Signature |
|
Date |
|
|
|
|
|
|
|
YOU MUST FILE AN ORIGINAL
AND ONE COPY OF THIS REPORT WITH THE CLERK OF THE LEGISLATURE. |
|||
|
|
|
|
|
|
DO NOT FILE THE
INSTRUCTION PAGE |
|||
|
|
|
|
|
|
|
|
|