Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 13, 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

Norby, Scott J.

Office Address (Street, Box, or Route)

605 South 14th Street, Suite 220

Permanent Residence (Street, Box, or Route)

2901 South 25th Street

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68502

Office Phone

(402) 434-2390

Home Phone

(402) 450-3344

Email Address

norbylaw@norbylaw.com

PRINCIPAL {49-1480(2)}

Name

Nebraska State Education Association

Office Phone

(402) 475-7611

Office Address (Street, Box, or Route)

605 S. 14th Street

Official to Whom Lobbyist is Accountable

Trish Guinan

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

Education

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

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

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

Names and addresses of principal's officers:

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.

Scott J. Norby

Lobbyist Name

Dec 13, 2023

Date