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Clerk
of the Legislature |
LOBBYIST QUARTERLY REPORT NADC FORM B |
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Room
2014 State Capitol |
Office
Use Only |
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(402)
471-2608 |
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·
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 lobbyists 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 B-B. ·
Late filing fees for
filing this statement after the due date are $25.00 per day, not to exceed
$750.00 ·
For
further information see Title 4, Chapter 6, Rules and Regulations for
Lobbying. |
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ITEM
1 |
NATURE
OF FILING (Check appropriate box) |
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Year of Session |
2004 |
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1/1-3/31 |
4/1 – 6/30 |
7/1-9/30 |
10/1
– 12/31 |
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ITEM 2 |
NAME
OF LOBBYIST AND PRINCIPAL |
Check
here if any information in Item 2 is new |
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Alice
Licht |
Telephone No. |
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1335 H
Street, Suite 100, Lincoln, NE 68508 |
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Principal Name |
Telephone
No. |
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1335 H
Street, Suite 100, Lincoln, NE 68508 |
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ITEM
3 |
RECEIPTS AND EXPENDITURES |
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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 reason for
the payment. If none, write none.
Any amount reported should also be part of the total entered on line 4,
Miscellaneous Expense. 49-1483(1)(b) and |
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SUMMARY OF RECEIPTS FOR THIS PERIOD - Complete Each Blank Space. Write 0 if Applicable |
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1. Compensation received
by Lobbyist |
$0.00 |
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2. Reimbursement of
Expenses |
$0.00 |
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3. Total (Lines 1 plus 2) |
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$ 0.00 |
EXPENDITURES THIS PERIOD BY LOBBYIST -- Complete Each Blank Space. Write 0 if Applicable |
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4. Miscellaneous Expenses |
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$0.00 |
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5. Entertainment Expenses |
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a) Members of Legislature |
$0.00 |
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b) Elected Executive Branch Officials |
$0.00 |
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c) Entertainment other than 5a and 5b |
$0.00 |
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d) Total (Lines 5a, 5b, and 5c) |
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$ 0.00 |
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6. Lodging Expenses |
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$0.00 |
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7. Travel Expenses |
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$0.00 |
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8. Office Expenses (see
instructions) |
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$0.00 |
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9. Lobbyist Compensation
paid by Lobbyist |
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$0.00 |
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10. Lobbyist
Reimbursement paid by Lobbyist |
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$0.00 |
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11. Gifts (except gifts
of admissions) |
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a) Members of the Legislature |
$0.00 |
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b) Elected Executive Branch Officials |
$0.00 |
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c) Gifts other than 11a and 11b |
$0.00 |
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d) Total (Lines 11a, 11b, and 11c) |
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$ 0.00
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12. Gifts of Admissions
(See instructions) |
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a) Members of the Legislature |
$0.00 |
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b) Elected Executive Branch Officials |
$0.00 |
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c) Gifts of Admissions other than 12a
and 12b |
$0.00 |
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d) Total (Lines 12a, 12b, and 12c) |
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$ 0.00
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13. Total (Sum of 4, 5d,
6, 7, 8, 9, 10, 11d and 12d) |
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$ 0.00 |
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Lobbyist
Name |
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Principal
Name |
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Lobbyist
Signature |
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Date |
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YOU MUST FILE AN ORIGINAL
AND ONE COPY OF THIS REPORT WITH THE CLERK OF THE LEGISLATURE. |
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DO NOT FILE THE
INSTRUCTION PAGE |
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