Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Oct 26, 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

Simpson, Schmeeka

Office Address (Street, Box, or Route)

3448 Evans St.

Permanent Residence (Street, Box, or Route)

4736 Laurel Ave

City

Omaha

State

Zip

68104

City

Omaha

State

Zip

68104

Office Phone

(402) 934-3732

Home Phone

(402) 301-3944

Email Address

schmeeka@malcolmxfoundation.org

PRINCIPAL {49-1480(2)}

Name

The Malcolm X Memorial Foundation

Office Phone

(402) 934-3732

Office Address (Street, Box, or Route)

3448 Evans St.

Official to Whom Lobbyist is Accountable

JoAnna LeFlore-Ejike

City

Omaha

State

Zip

68111

Nature of Business {49-1480(3)}

Historic Landmark

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
60,000.00 Per Year

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Civic Engagement, Historical Preservation, Education

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

Names and addresses of principal's officers:

JoAnna LeFlore-Ejike, 3124 Forest Lawn Ave, Omaha, Ne, 68112

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.

Schmeeka Simpson

Lobbyist Name

Oct 26, 2023

Date