Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 29, 2023

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

Moore, Scott D.

Office Address (Street, Box, or Route)

1233 Lincoln Mall, Suite 201

Permanent Residence (Street, Box, or Route)

615 N. 62nd St.

City

Lincoln

State

Zip

68508

City

Omaha

State

Zip

68132

Office Phone

(402) 476-1440

Home Phone

(402) 561-9827

Email Address

smoore@ewmlobby.com

PRINCIPAL {49-1480(2)}

Name

Edwards Westerhold Moore

Office Phone

(402) 476-1440

Office Address (Street, Box, or Route)

1233 Lincoln Mall, Suite 201

Official to Whom Lobbyist is Accountable

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

Government Affairs

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
50,000.00 Per Year

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} All matters

Description of industry, trade, profession, or interests and groups represented by the principal:
Government Affairs

Names and addresses of principal's officers:

Jon Edwards
1233 Lincoln Mall, Suite 201
Lincoln NE 68508

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.

Scott Moore

Lobbyist Name

Dec 29, 2023

Date