Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 7, 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

Michalakes, Emily

Office Address (Street, Box, or Route)

PO Box 4184

Permanent Residence (Street, Box, or Route)

PO Box 4184

City

New York

State

Zip

10163

City

New York

State

Zip

10163

Office Phone

(646) 324-8250

Home Phone

(646) 324-8250

Email Address

michalakeset@everytown.org

PRINCIPAL {49-1480(2)}

Name

Everytown for Gun Safety Action Fund

Office Phone

(646) 324-8250

Office Address (Street, Box, or Route)

PO Box 4184

Official to Whom Lobbyist is Accountable

Michael Brouillard

City

New York

State

Zip

10163

Nature of Business {49-1480(3)}

Advocacy and Education Organization

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Issues related to the prevention of gun violence.

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

Names and addresses of principal's officers:

Richard DeScherer - Chair
John Feinblatt - President
Michael Brouillard - Chief Financial Officer
PO Box 4184
New York, NY 10163

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.

Emily Michalakes

Lobbyist Name

Dec 7, 2023

Date