Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 22, 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

Jones, Christine

Office Address (Street, Box, or Route)

4939 South 118th Street

Permanent Residence (Street, Box, or Route)

City

Omaha

State

Zip

68137

City

State

Zip

Office Phone

(402) 451-0787

Home Phone

Email Address

cjones@nchs.org

PRINCIPAL {49-1480(2)}

Name

Nebraska Children's Home Society

Office Phone

(402) 451-0787

Office Address (Street, Box, or Route)

4939 South 118th Street

Official to Whom Lobbyist is Accountable

Chief Executive Officer

City

Omaha

State

Zip

68137

Nature of Business {49-1480(3)}

Human services 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.
0.00 Percentage of salary

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Nebraska Children's Home Society

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

Names and addresses of principal's officers:

Lana Temple-Plotz, Chief Executive Officer; 4939 South 118th Street, Omaha, NE 68137

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.

Christine Jones

Lobbyist Name

Dec 22, 2023

Date