Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 20, 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

Becket, Deanna

Office Address (Street, Box, or Route)

7670 Opportunity Rd., Ste. 205

Permanent Residence (Street, Box, or Route)

299 Rio Grande

City

San Diego

State

Zip

92111

City

Edgewater

State

Zip

32141

Office Phone

(540) 441-7227

Home Phone

(605) 390-6965

Email Address

dbecket@cosaction.com

PRINCIPAL {49-1480(2)}

Name

Convention of States Action

Office Phone

(540) 441-7227

Office Address (Street, Box, or Route)

5850 San Felipe, Suite 580A

Official to Whom Lobbyist is Accountable

Mark Meckler

City

Houston

State

Zip

77057

Nature of Business {49-1480(3)}

Nonprofit

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Article V of the U.S. Constitution

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

Names and addresses of principal's officers:

Mark Meckler - 7670 Opportunity Rd., Ste. 205, San Diego, CA 92111
Robert Kelly - 7670 Opportunity Rd., Ste. 205, San Diego, CA 92111
Rita Peters - 7670 Opportunity Rd., Ste. 205, San Diego, CA 92111

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.

dbecket

Lobbyist Name

Dec 20, 2023

Date