Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Nov 30, 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

Hubly, Justin

Office Address (Street, Box, or Route)

1230 O Street, Suite 120

Permanent Residence (Street, Box, or Route)

1600 O St Apt 203

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68521

Office Phone

(402) 486-3911

Home Phone

(402) 326-3030

Email Address

jhubly@napeafscme.org

PRINCIPAL {49-1480(2)}

Name

Nebraska Association of Public Employees NAPE/AFSCME Local 61

Office Phone

(402) 486-3911

Office Address (Street, Box, or Route)

1230 O Street, Suite 120

Official to Whom Lobbyist is Accountable

Melissa Haynes - President - NAPE/AFSCME

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

Union

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
2,000.00 Per Quarter

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Labor Unions, Matters affecting State Employees

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

Names and addresses of principal's officers:

Melissa Haynes - 1397 E 4th St, Fremont, NE 68025
Brian Koch - 1321 Country Club Ln, Beatrice, NE 68310
Jay Jensen - 120 S. 31st Ave #5312, Omaha, NE 68131
Ashlie Thompson - 7830 Cherrywood Dr, Lincoln, NE 68510
Brandon Brown - 5703 N 21st St, Lincoln, NE 68521

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)}

None

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

Justin Hubly

Lobbyist Name

Nov 30, 2023

Date