Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 20, 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

Harris, Jasmine

Office Address (Street, Box, or Route)

3555 Farnam Street, Suite 209

Permanent Residence (Street, Box, or Route)

5014 Pratt Street

City

Omaha

State

Zip

68131

City

Omaha

State

Zip

68104

Office Phone

(402) 999-8063

Home Phone

(402) 915-2996

Email Address

jharris@seeusrise.org

PRINCIPAL {49-1480(2)}

Name

RISE

Office Phone

(402) 999-8063

Office Address (Street, Box, or Route)

3555 Farnam Street, Suite 209

Official to Whom Lobbyist is Accountable

Jeremy Bouman, CEO & Founder

City

Omaha

State

Zip

68131

Nature of Business {49-1480(3)}

Working with incarcerated and formerly incarcerated individuals - programming and reentry services.

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Matters that affect individuals who have been impacted by the criminal and/or juvenile justice system; currently or formerly incarcerated and their families.

Description of industry, trade, profession, or interests and groups represented by the principal:
Non-Profit Organization

Names and addresses of principal's officers:

Chair - Ken Stinson, 200 S. 31st Ave, #4802, Omaha, NE 68131
Vice Chair - LaShonna Dorsey,15867 Larimore Plaza, Apt.115, Omaha, NE 68116
Treasurer - Leah Smejkal, 1502 Jones Street,#403, Omaha, NE 68102
Secretary - Cortney Bauer, 4305 Poppleton Ave, Omaha, NE 68105
CEO - Jeremy Bouman, 4905 N. 103rd Ave, Omaha, NE 68134

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.

Jasmine L. Harris

Lobbyist Name

Dec 20, 2023

Date