Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Nov 30, 2023

(This report is required to be filed on or before December 31 of each calendar year.)
49-1480.01(3)

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

LeFlore-Ejike, JoAnna

Office Address (Street, Box, or Route)

3124 Forest Lawn Ave

Permanent Residence (Street, Box, or Route)

3124 Forest Lawn Ave

City

Omaha

State

Zip

68112

City

Omaha

State

Zip

68112

Office Phone

(402) 708-4811

Home Phone

(402) 708-4811

Email Address

joanna@malcolmxfoundation.org

PRINCIPAL {49-1480(2)}

Name

The Malcolm X Memorial Foundation

Office Phone

(402) 934-3732

Office Address (Street, Box, or Route)

P.O. Box 111446

Official to Whom Lobbyist is Accountable

Board of Directors

City

Omaha

State

Zip

68111

Nature of Business {49-1480(3)}

Lobbying

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
1.00 Percentage of salary

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Education, General Affairs, Judiciary

Description of industry, trade, profession, or interests and groups represented by the principal:
Cultural Preservation, Historic Birth site

Names and addresses of principal's officers:

Leo Louis II, 10507 Sprague Plz., Omaha, Ne, 68134; Morghan Price, 2909 Bristol Street, Omaha, Ne, 68111;

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)}

N/A

I certify that all information presented in this form is accurate to the best of my knowledge.

JoAnna LeFlore-Ejike

Lobbyist Name

Nov 30, 2023

Date