Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 21, 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

Ekeler, Jeremy

Office Address (Street, Box, or Route)

5100 Van Dorn Street #6778

Permanent Residence (Street, Box, or Route)

4506 Birch Hollow Drive

City

Lincoln

State

Zip

68506

City

Lincoln

State

Zip

68516

Office Phone

(402) 205-7047

Home Phone

(402) 310-5167

Email Address

jeremy@nebraskaopportunity.org

PRINCIPAL {49-1480(2)}

Name

Opportunity Scholarships of Nebraska

Office Phone

(402) 205-7047

Office Address (Street, Box, or Route)

5100 Van Dorn Street #6778

Official to Whom Lobbyist is Accountable

Rick Bettger

City

Lincoln

State

Zip

68506

Nature of Business {49-1480(3)}

Education Scholarships

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 Percentage of salary

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

Description of industry, trade, profession, or interests and groups represented by the principal:
Providing scholarships to low-income and vulnerable children.

Names and addresses of principal's officers:

Rick Bettger 1008 Dodge Street #301, Omaha, NE 68102
Kim Schroll 7167 S. Dodge Hill Road, North Platte, NE 69101
Britt Thedinger 9968 Spring Street, Omaha, NE 68124
Jim Timmerman 3530 S. 116th Street, Omaha, NE 68144

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)}

None.

I certify that all information presented in this form is accurate to the best of my knowledge.

jjekeler

Lobbyist Name

Dec 21, 2023

Date