Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 26, 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

Givens-Dunn, Taylor

Office Address (Street, Box, or Route)

7914 W Dodge RD #254

Permanent Residence (Street, Box, or Route)

City

Omaha

State

Zip

68114

City

State

Zip

Office Phone

(402) 819-9906

Home Phone

(402) 359-7436

Email Address

taylor@ibeblackgirl.org

PRINCIPAL {49-1480(2)}

Name

I Be Black Girl

Office Phone

(402) 819-9906

Office Address (Street, Box, or Route)

7914 W Dodge Road #254

Official to Whom Lobbyist is Accountable

Ashlei Spivey

City

Omaha

State

Zip

68114

Nature of Business {49-1480(3)}

Reproductive Justice-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.
39.90 Per Hour

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

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

Names and addresses of principal's officers:

Ashlei Spivey, I Be Black Girl

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.

Taylor Givens-Dunn

Lobbyist Name

Dec 26, 2023

Date