Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 19, 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

Reynolds, Josh

Office Address (Street, Box, or Route)

10460 North St

Permanent Residence (Street, Box, or Route)

901 Varnum St. NW Unit B

City

Fairfax

State

Zip

22030

City

Washington

State

Zip

20011

Office Phone

(703) 688-9450

Home Phone

(281) 925-8823

Email Address

jreynolds@pestworld.org

PRINCIPAL {49-1480(2)}

Name

Nebraska State Pest Control Association

Office Phone

(402) 476-1528

Office Address (Street, Box, or Route)

1111 Lincoln Mall, Suite 308

Official to Whom Lobbyist is Accountable

J.D. Darr

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

Pest Management Trade Association

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 Other

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Pest control; pest management; landlord/tenant issues regarding pests; sales taxes for industry

Description of industry, trade, profession, or interests and groups represented by the principal:
Structural pest management in businesses and residences.

Names and addresses of principal's officers:

Chanel Braxton, Executive Director, Nebraska State Pest Control Association. 10460 North Street Fairfax, VA 22030. nspca@pestworld.org

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.

Josh Reynolds

Lobbyist Name

Dec 19, 2023

Date