Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 5, 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

Gibson, Rachel

Office Address (Street, Box, or Route)

PO Box 29816

Permanent Residence (Street, Box, or Route)

2155 S. 108th St.

City

Lincoln

State

Zip

68529

City

Omaha

State

Zip

68144

Office Phone

(402) 982-1572

Home Phone

(785) 979-5947

Email Address

RachelLWV

PRINCIPAL {49-1480(2)}

Name

League of Women Voters of Nebraska

Office Phone

(402) 475-1411

Office Address (Street, Box, or Route)

4600 Valley Road, Suite 306

Official to Whom Lobbyist is Accountable

City

Lincoln

State

Zip

68510

Nature of Business {49-1480(3)}

Civic engagement

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

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

Description of industry, trade, profession, or interests and groups represented by the principal:
Civic engagement and good government

Names and addresses of principal's officers:

LWVNE

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.

Rachel M. Gibson

Lobbyist Name

Dec 5, 2023

Date