Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 19, 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

Ehlert, Tim

Office Address (Street, Box, or Route)

601 New Jersey Avenue, NW, Suite 900

Permanent Residence (Street, Box, or Route)

5452 Girard Ave. S

City

Washington

State

Zip

20001

City

Minneapolis

State

Zip

55419

Office Phone

(612) 499-8425

Home Phone

(612) 499-8425

Email Address

tim.ehlert@stateandfed.com

PRINCIPAL {49-1480(2)}

Name

Amazon.com Services LLC

Office Phone

(202) 442-2900

Office Address (Street, Box, or Route)

601 New Jersey Avenue, NW, Suite 900

Official to Whom Lobbyist is Accountable

Andrea Fava

City

Washington

State

Zip

20001

Nature of Business {49-1480(3)}

Technology

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

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

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

Names and addresses of principal's officers:

Andrea Fava
601 New Jersey Ave., NW
Suite 900
Washington, DC 20001

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.

Tim Ehlert

Lobbyist Name

Dec 19, 2023

Date