Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 14, 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

Salazar, Anahí

Office Address (Street, Box, or Route)

319 S 17th St Suite 212

Permanent Residence (Street, Box, or Route)

1115 N. 38th St.

City

Omaha

State

Zip

68102

City

Omaha

State

Zip

68131

Office Phone

(402) 597-3100

Home Phone

(402) 650-6737

Email Address

asalazar@voicesforchildren.com

PRINCIPAL {49-1480(2)}

Name

Voices for Children in Nebraska

Office Phone

(402) 597-3100

Office Address (Street, Box, or Route)

319 S 17th St. Suite 212

Official to Whom Lobbyist is Accountable

Juliet Summers, Executive Director

City

Omaha

State

Zip

68102

Nature of Business {49-1480(3)}

Children

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Issues related to child welfare, juvenile justice, economic stability and children's health.

Description of industry, trade, profession, or interests and groups represented by the principal:
All issue areas related to children.

Names and addresses of principal's officers:

Juliet Summers, Executive Director
7521 Main Street, Suite 103, Omaha, NE, 68127

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.

Anahi Salazar

Lobbyist Name

Dec 14, 2023

Date